CAJ | 학술논문

目的：系统评价老年股骨粗隆间内固定术后康复护理的疗效，为临床护理提供科学依据。方法：计算机检索中国生物医学文献数据库、维普数据库、中国期刊全文数据库、万方数据库，获取相关中文文献，同时追溯相关参考文献扩大检索范围。利用Cochrane协作网提供的Revman 5.2软件进行统计分析。结果：本研究总纳入随机对照研究8篇，总共病例为683例。 Meta分析结果显示康复护理组的优良率高于常规护理组[OR=2.52,95%CI（1.42,4.45）]，差异有统计学意义（P=0.002）；早期综合康复护理组的优良率高于常规康复护理组疗效[OR=3.01，95%CI（1.62,5.57）]，差异有统计学意义（P=0.0005）。结论：康复护理可以提高老年股骨粗隆骨折内固定术后的优良率。
목적：계통평개노년고골조륭간내고정술후강복호리적료효，위림상호리제공과학의거。방법：계산궤검색중국생물의학문헌수거고、유보수거고、중국기간전문수거고、만방수거고，획취상관중문문헌，동시추소상관삼고문헌확대검색범위。이용Cochrane협작망제공적Revman 5.2연건진행통계분석。결과：본연구총납입수궤대조연구8편，총공병례위683례。 Meta분석결과현시강복호리조적우량솔고우상규호리조[OR=2.52,95%CI（1.42,4.45）]，차이유통계학의의（P=0.002）；조기종합강복호리조적우량솔고우상규강복호리조료효[OR=3.01，95%CI（1.62,5.57）]，차이유통계학의의（P=0.0005）。결론：강복호리가이제고노년고골조륭골절내고정술후적우량솔。
To systematically evaluate the therapeutic effect of rehabilitation care for femoral in-tertrochanteric fracture after internal fixation surgery in elderly and provide scientific basis for clinical care. Meth-ods: Relevant Chinese documents were obtained by retrieving Chinese Biomedical Literature Database(CBM), VIP Database, China National Knowledge Infrastructure(CNKI) and Wanfang Database on the Internet, meanwhile relat-ed references were traced to extend retrieval range. Statistical analysis was carried out by using Revman 5.2 provided by Cochrane Collaboration. Results: This study included eight random control study which consisted of 683 cases. Analysis results of Meta suggests that good rate of rehabilitation care group was higher than routine care group[OR= 2.52,95%CI(1.42,4.45)], which showed that there was statistical meaning(P=0.002); The therapeutic effect of early comprehensive rehabilitation care group was better than routine rehabilitation care group[OR=3.01,95%CI (1.62,5.57)] . Differences were statistically significant(P=0.0005). Conclusion: Rehabilitation care could enhance the good rate of femoral intertrochanteric fracture after internal fixation surgery.