下肢骨折患者术后应用床上康复操的效果观察

Observation of Effects of Post-operative On-bed Rehabilitation Gymnastics on Patients with Lower Limb Fracture

目的探讨床上康复操对下肢骨折患者术后卧床期间肢体功能康复的效果。方法120例符合条件的下肢骨折患者,按入院先后顺序随机分为康复操组和对照组各60例。康复操组于骨折固定术后24 h由责任护士指导并协助患者做床上康复操;对照组术后常规在肢体疼痛消失后进行康复训练,主要训练受伤局部肌肉和关节。两组患者于手术当日、术后1周、术后2周、术后1个月测量下肢膝关节活动度、膝屈伸肌力、股四头肌周径,观察有无并发症的发生以及患者术后下床时间。结果术后2周和术后1个月,康复操组膝关节活动度和膝屈伸肌力优于对照组(P<0.01),未发生肌肉萎缩等并发症,下床时间提前。结论床上康复操能够促进下肢骨折患者肢体功能康复,预防并发症发生。

Objective To observe the effects of post-operative on-bed rehabilitation gymnastics on patients with lower limb fracture. Methods 120 patients qualified for the inclusion into the research were randomly divided, accordign to the time of the patients＇ hos- pitalization into the rehabilitation gymnastics （RG） group and control group, each with 60 cases. The RG group, with the supervision and assitance from the charge nurse, did on-bed rehabitation gymnastics 24 hours after the fracture was set, while the control group, conventionally, did rehabilitation gyms mainly on injured muscles and joints after the physical pains disappeared after the operation. And then on the day of operation, and 1 week, two weeks and a month after the operation, a measurement was made of the knee mo- tion range of the lower extremities, the knee flexion strength, the circumference of quadriceps, and observations were made of the presence of complications and the ambulation time. Results Two weeks and one month after the operation, the knee motion range of the lower extremities and the knee flexion strength of the RG group were superior than those of the control group （P〈0.01）; among RG group, no complications like musclar atrophy occurred, and the ambulation time was earlier. Conclusion On-bed rehabilitation excercising can facilitate the function rehabilitation of patients with lower extremities bone fracture and prevent the occurrence of complications.