术后不同生活自理能力的老年髋部骨折患者下地时间比较

Comparative study on ambulation time in elderly patients with hip fracture and different levels in activities of daily living after operation

目的术后半年比较不同生活自理能力的老年髋部骨折患者的术后下地时间。方法采用便利抽样的方法选取老年髋部骨折手术患者141例，其中行髋关节置换63例，内固定术78例，术后半年比较不同生活自理能力患者的术后下地时间。结果关节置换手术患者中，术后半年生活能自理者49例，平均下地时间（41．14±37．20）d；不能自理者14例，平均下地时间（116．71±88．75）d，两组患者下地时间比较，差异有统计学意义（t=3．109，P〈0．01）。内固定手术患者中，术后半年生活能自理者43例，平均下地时间（75．84±39．68）d；不能自理者35例，平均下地时间（110．49±66．50）d，两组下地时间比较，差异有统计学意义（t=2．714，P〈0．01）。结论老年髋部骨折患者术后下地时间越早对其日常生活活动能力的恢复越有利。

Objective To investigate the ambulation time in elderly patients with hip fracture and different levels in self-care ability of daily living half a year after operation. Methods A convenience sampling method was used to select 141 cases of patients with hip fracture, among all the cases, there were 63 cases of hip replacement, and 78 cases of internal fixation. The ambulation time in elderly patients with hip fracture and different levels in self-care ability of daily living half a year after operation were compared. Results Half a year after operation, in the cases of hip replacement, 49 cases can take care of themselves, and the average time of ambulation was （41.14±37.20） d; 14 cases can not take care of themselves and the average time of ambulation was （116.71±88.75） d, the difference in two groups was statistically significant （t=3. 109, P〈0.01）. In patients with internal fixation, 43 cases can take care of themselves half a year after surgery, and the average time of ambulation was （75.84±39. 68） d; 35 cases can not take care of themselves and the average time of ambulation was （ 110. 49 ±66. 50 ） d, the difference was statistically significant （ t = 2. 714, P 〈 0. 01 ）. Conclusions The much earlier of the ambulation time, the much better for the activities of daily living for elderly patients with hip fracture.