首页|可调负重支具在骨质疏松股骨粗隆间骨折术后康复患者中的应用效果

可调负重支具在骨质疏松股骨粗隆间骨折术后康复患者中的应用效果

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目的:观察可调负重支具在骨质疏松股骨粗隆间骨折术后康复患者中的应用效果.方法:选取 2022 年 1 月至 2023 年 1 月该院收治的 94 例股骨粗隆间骨折术后骨质疏松患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 47 例.对照组实施常规康复训练,观察组在对照组基础上实施可调负重支具训练,比较两组训练前后髋关节功能[髋关节功能评分标准(Harris评分)]评分、患肢负重能力评分、疼痛程度[视觉模拟评分法(VAS)]评分和并发症发生率.结果:训练后,两组畸形、活动度、疼痛、功能及Harris总分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);训练后 1、3 个月,观察组负重能力评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 8.51%(4/47),低于对照组的 29.78%(14/47),差异有统计学意义(P<0.05).结论:在常规康复训练基础上实施可调负重支具训练可提高骨质疏松股骨粗隆间骨折术后康复患者髋关节功能和负重能力评分,以及降低VAS评分和并发症发生率的效果优于单纯常规康复训练.
Application effects of adjustable weight-bearing brace in postoperative rehabilitation patients with osteoporotic femoral intertrochanteric fractures
Objective:To observe application effects of adjustable weight-bearing brace in postoperative rehabilitation patients with osteoporotic femoral intertrochanteric fractures.Methods:A prospective study was conducted on 94 patients with osteoporotic femoral intertrochanteric fractures admitted to the hospital from January 2022 to January 2023.According to the random number table method,they were divided into control group and observation group,47 cases in each group.The control group received routine rehabilitation training,while the observation group received the adjustable weight-bearing brace training on the basis of that of the control group.The hip function(Harris score)score before and after the training,the limb weight-bearing ability score,the pain degree[visual analogue scale(VAS)]score,and the incidence of complications were compared between the two groups.Results:After the training,the levels of deformity,range of motion,pain,function and the total Harris scores of the two groups were higher than those before the training,those in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).1 and 3 months after the training,the weight-bearing ability scores of the affected limb in the observation group were higher than those in the control group,the VAS scores were lower than those in the control group,and the differences were statistically significant(P<0.05).Furthe,the incidence of complications in the observation group was 8.51%(4/47),which was lower than 29.78%(14/47)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine rehabilitation training,the implementation of adjustable weight-bearing brace training can improve the hip function scores and the weight-bearing ability scores of the patients with postoperative rehabilitation of osteoporotic femoral intertrochanteric fractures,and reduce the VAS scores and the incidence of complications.Moreover,it is superior to simple routine rehabilitation training.

Adjustable load-bearing braceOsteoporosisFemoral intertrochanteric fractureHip functionPainComplication

郭娇、贾海丽

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黄河三门峡医院骨科一区,河南 三门峡 472000

可调负重支具 骨质疏松 股骨粗隆间骨折 髋关节功能 疼痛 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(20)