Application value of Chinese medicine comprehensive rehabilitation in postoperative recovery of elderly patients with intertrochanteric fractures surgery
Elderly patients of intertrochanteric fracture suffered in high surgical mortality rate and bad prognosis.This study aims to clarify the clinical value of Chinese medicine comprehensive rehabilitation on postoperative complications,rehabilitation progress,and long-term prognosis of elderly patients with intertrochanteric fractures.Perioperative rehabilitation indicators include the first ambulation without assistance after surgery,drainage volume,visual analogue scale(VAS)score for pain,and bilateral thigh circumference difference.Long-term prognosis and rehabilitation evaluation include Harris score for hip joint function and ADL score.The results showed that the first ambulation time,total postoperative drainage volume,VAS scores of the affected limb and the differences in bilateral thigh circumference both at 1 week after surgery and discharge in the group of Chinese medicine comprehensive rehabilitation were significantly lower than those in the control group.The Harris score and ADL score at 1 month after surgery of the Chinese medicine group were significantly higher than those in the control group.The postoperative ADL score in the Chinese medicine group was significantly higher than that in the control group,and the overall incidence of complications was significantly lower than that in the control group.Comprehensive rehabilitation of Chinese medicine can significantly reduce the hidden blood loss,edema,and pain during the perioperative period after fracture surgery,promote early functional recovery of patients,accelerate postoperative recovery of hip joint function,and improve the overall prognostic quality of life for the patients.
elderly populationintertrochanteric fracturecomprehensive rehabilitation of Chinese medicinehidden blood losspainedemaprognostic quality of life