阶段性康复功能训练在股骨颈骨折患者术后的应用

Observation on the effect of staged rehabilitation function training on postoperative patients with femoral neck fracture

目的探讨阶段性康复功能训练对股骨颈骨折患者术后康复的应用效果。方法选取96例手术后的股骨颈骨折患者,根据随机数字表法分为观察组和对照组各48例。对照组患者术后予以常规康复训练,观察组患者在此基础上进行阶段性康复功能训练。比较两组患者干预前后功能康复情况(Barthel指数+Harris髋关节评分)、疼痛程度[视觉模拟疼痛评分(VAS评分)]及心理状态[焦虑自评量表(SAS评分)、抑郁自评量表(SDS评分)]。结果干预前,两组患者Barthel指数、Harris髋关节评分、VAS评分及SAS、SDS评分比较,差异无统计学意义(P>0.05)。干预后,两组患者Barthel指数及Harris髋关节评分均有所提高,但观察组患者均高于对照组(P <0.05);干预后,两组患者VAS评分及SAS、SDS评分均有所下降,但观察组患者评分均明显低于对照组(P <0.05)。结论股骨颈骨折患者术后应用阶段性康复功能训练不仅可以提高患者髋关节功能,降低患者疼痛,还能有效调节患者心理状态。

Objective To investigate the effect of staged rehabilitation function training on postoperative rehabilitation of patients with femoral neck fracture.Methods A total of 96 patients with femoral neck fractures after surgery were selected.According to the random number table method,48 patients were divided into the observation group and the control group.The patients in the control group were given routine rehabilitation training,while patients in the observation group were trained with the stage of rehabilitation.The functional rehabilitation (Barthel index+Harris hip score),pain degree (VAS score) and mental state (SAS,SDS score) were compared between the two groups.Results Before intervention,there were no significant differences in Barthel index,Harris hip score,VAS score and SAS and SDS scores between the two groups(P>0.05).After the intervention,both the Barthel index and the Harris hip score were improved in the two groups,and the patients in the observation group were higher than the control group(P<0.05).After the intervention,the VAS scores and SAS and SDS scores of the two groups decreased.However,the patients in the observation group were significantly lower than the control group(P<0.05).Conclusion The application of staged rehabilitation function training in patients with femoral neck fracture not only can improve hip function,reduce pain,but also effectively adjust the patient′s psychological state.