骨科-康复单元一体化的康复治疗对老年髋部骨折术后早期恢复的临床效果分析

Efficacy of the Integration of Rehabilitation in Orthopedic Rehabilitation Unit for Surgical Patients with Elderly Hip Fracture on Early Recovery

目的探讨快速康复理念下骨科-康复单元一体化的康复治疗对老年髋部骨折术后早期恢复的临床效果.方法选取2017年4月—2019年10月在该院骨伤科进行人工股骨头关节置换的老年髋部骨折患者共45例,按照入院尾号单双数分为治疗组与对照组,对照组按照老年髋部骨折术后常规护理,治疗组术后康复科介导康复治疗,观察术后进食时间,首次下床时间,术后3、7 d VAS疼痛评分,平均住院时间,出院时Harris评分,术后并发症等情况.结果观察组术后首次进食时间、术后首次下床时间、术后3 d VAS评分、平均住院时间显著优于对照组,差异有统计学意义(P<0.05),术后7 dVAS评分观察组低于对照组,但差异无统计学意义(P>0.05).出院时Harris评分观察组优于对照组,差异有统计学意义(P<0.05).观察组术后并发症低于对照组,但差异无统计学意义(P>0.05).结论骨科-康复单元一体化的康复治疗在老年髋部骨折术后早期恢复的临床效应显著,开展术后康复的多科室合作对于功能恢复具有积极作用,应予以推广.

Objective With the concept of rapid rehabilitation,to explore the efficacy of the integration of rehabilitation in orthopedic rehabilitation unit for surgical patients with elderly hip fracture on early recovery.Methods A total of 45 elderly patients with hip fracture undergoing artificial femoral head arthroplasty in our hospital from April 2017 to October 2019 were selected and divided into a treatment group and a control group according to the odd and even number of admission tail numbers.The control group was given routine nursing care after hip fracture surgery,and the integration of rehabilitation exercise program in orthopedic rehabilitation was adopted in the treatment group.The time of eating,the time of getting out of bed for the first time,VAS pain score,average hospitalization time,Harris score at discharge and postoperative complications between the two groups were observed.Results The time to eat,the time to get out of bed,VAS score at 3 days and average hospitalization time in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05),and the VAS score at 7 days after operation in the observation group was lower than that in the control group,but the difference was not statistically significant(P>0.05).The Harris score at discharge in the observation group was better than that in the control group,the difference was statistically significant(P<0.05),and the postoperative complications in the observation group were lower than those in the control group,but the difference was not statistically significant(P>0.05).Conclusion Orthopedicsrehabilitation unit integrated rehabilitation therapy has a significant clinical effect in the early recovery of elderly hip fractures after surgery.The cooperation of multiple departments in postoperative rehabilitation has a positive effect on functional recovery and should be promoted.