可控制性细微运动对股骨骨折术后愈合的影响

The effect of controllable micro-exercise on femoral fracture healing

目的对股骨骨折患者术后进行可控制性细微运动干预,观察其对骨折愈合的影响。方法将40例股骨骨折患者随机分为干预组和对照组,术后当天即开始对干预组进行可控制性细微运动干预,对照组按常规方法护理和锻炼。在手术前、术后第1天、术后第7天和术后第14天清晨,分别抽患者的静脉血,通过生化测定和放射免疫方法测定两组患者血清中碱性磷酸酶(ALP)和骨钙蛋白(BGP)的水平,来观察其干预效果。结果干预组患者的ALP和BGP平均水平自术后第7天起明显高于对照组,且P≤0.05。结论术后早期可控制性细微运动可以促进骨折愈合。

Objective To study the effect of controllable micro-exercise on femoral fracture healing. Methods Total 40 pa- tients receiving surgery on femur fracture were randomly divided into two groups. Twenty patients in experimental group took micro-movement under the guidance of nurse after operation. Other 20 patients in control group received conventional nursing. Blood ALP and BGP of each patient were detected at the following time：the first day before operation,the first,the seventh and the fourteenth day after operation ,with the help of biochemistry and radioimmunology. Results The experimental group patients have higher blood ALP and BGP lever than those of control group patients since the 7 days after operation. Conclusion The controllable micro-movements could improve fracture healing.