CAJ | 학술논문

目的:观察术后早期功能训练对老年股骨转子间骨折患者的效果.方法:收治老年股骨转子间骨折患者88例,随机分为观察组和对照组各44例.观察组给予术后早期功能训练,对照组给予术后常规功能训练.比较两组术后下床活动时间及术后6个月内并发症发生情况;比较术前及术后3、6个月Harris评分及日常生活活动能力(Barthel指数).结果:观察组术后下床活动时间明显少于对照组(P<0.05).观察组术后6个月内发生泌尿系感染1例,对照组发生压疮2例、肺炎3例、泌尿系感染6例,两组比较,差异有统计学意义(P<0.05).两组治疗3、6个月后Harris评分、Barthel指数均高于治疗前;观察组治疗3、6个月后Harris评分、Barthel指数均高于对照组.结论:老年股骨转子间骨折患者术后早期功能训练可尽早下床活动、降低并发症发生率、促进患者关节功能恢复、提高其生活质量.
목적:관찰술후조기공능훈련대노년고골전자간골절환자적효과.방법:수치노년고골전자간골절환자88례,수궤분위관찰조화대조조각44례.관찰조급여술후조기공능훈련,대조조급여술후상규공능훈련.비교량조술후하상활동시간급술후6개월내병발증발생정황;비교술전급술후3、6개월Harris평분급일상생활활동능력(Barthel지수).결과:관찰조술후하상활동시간명현소우대조조(P<0.05).관찰조술후6개월내발생비뇨계감염1례,대조조발생압창2례、폐염3례、비뇨계감염6례,량조비교,차이유통계학의의(P<0.05).량조치료3、6개월후Harris평분、Barthel지수균고우치료전;관찰조치료3、6개월후Harris평분、Barthel지수균고우대조조.결론:노년고골전자간골절환자술후조기공능훈련가진조하상활동、강저병발증발생솔、촉진환자관절공능회복、제고기생활질량.
Objective:To observe the effect of postoperative early functional training on the elderly patients with intertrochanteric fracture.Methods:88 elderly patients with intertrochanteric fracture were selected.They were randomly divided into the observation group and the control group with 44 cases in each.The observation group was given postoperative early functional training.The control group was given postoperative routine function training.The postoperative leaving bed activity time and complications occurrence in postoperative 6 months of two groups were compared.The Harris scores and daily living activities(Barthel index) were compared before operation and 3,6 months after operation.Results:The postoperative leaving bed activity time of the observation group was significantly less than that of the control group(P<0.05).There was 1 case of urinary tract infection in the observation group in postoperative 6 months.There were 2 cases of pressure sores,3 cases of pneumonia and 6 cases of urinary tract infection in the control group.The difference between the two groups was statistically significant(P<0.05).The Harris scores and Barthel indexes of two groups in 3,6 months after operation were higher than those before treatment.The Harris scores and Barthel indexes of the observation group in 3,6 months after operation were higher than those of the control group.Conclusion:The postoperative early functional training on the elderly patients with intertrochanteric fracture can make patients to get out of bed as soon as possible,reduce the incidence of complications,promote the joint function recovery of patients,improve the quality of life.