首页|中医综合康复在老年转子间骨折术后的应用

中医综合康复在老年转子间骨折术后的应用

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老年转子间骨折的致死率高、预后差.通过研究中医综合康复对老年转子间骨折术后并发症、康复进度,远期预后的影响,旨在明确其在老年转子间骨折术后的临床价值.围手术期康复指标包括初次自主下地时间、引流量、疼痛的视觉模拟量表(VAS)评分、双侧大腿围度差值,远期预后康复评定指标包括髋关节功能的Harris评分、日常生活自理能力(ADL)评分.结果显示中医组的初次下地时间、术后引流总量、术后1周及出院日患肢的VAS、双侧大腿围度差值均显著低于对照组,术后1个月中医组的Harris评分及ADL评分,术后3个月中医组的ADL评分均显著高于对照组,总体并发症发生率显著低于对照组.说明中医综合康复可显著降低骨折术后围手术期的隐性失血、降低患者水肿程度、降低患肢疼痛程度,促进患者的早期功能恢复,具有加快术后髋关节功能恢复、提高预后患者整体生活质量的作用.
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

魏鹏轶、乔钢、邵玮、崔玮佳、冯兆峰、谷亚彤、张瑜

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河北省体育科学研究所,石家庄 050011

老年群体 转子间骨折 中医综合康复 隐性失血 疼痛 水肿 预后生活质量

2024

科技导报
中国科学技术协会

科技导报

CSTPCD北大核心
影响因子:0.559
ISSN:1000-7857
年,卷(期):2024.42(22)