老年桡骨远端不稳定骨折术后早期康复干预对腕关节功能恢复的影响

Effect of Early Rehabilitation Intervention on Wrist Function Recovery in Elderly Patients with Unstable Distal Radius Fractures

目的:研究老年桡骨远端不稳定骨折术后早期康复干预对腕关节功能恢复的影响。方法:将2014年3月~2016年2月在我院接受康复治疗的68例老年桡骨远端不稳定骨折患者随机分为试验组和对照组各34例,两组患者均采用手术进行治疗,试验组术后采用早期康复干预,对照组术后采用常规功能训练,评价两组患者的临床疗效。结果:术后2、4个月,试验组的ROM显著优于对照组(P<0.05),术后2、4、6个月,试验组的VAS、FIM评分均显著优于对照组(P<0.05),试验组优良率显著高于对照组(P<0.05)。结论:对于老年桡骨远端不稳定骨折患者,术后早期进行康复,有利于促进患者腕关节运动功能的早日恢复,提高预后。

Objective： To study the effect of early rehabilitation on the recovery of wrist function in elderly patients with unstable distal radius frac- tures. Methods： From March 2014 to February 2016, 68 cases of senile distal radius rehabilitation therapy were divided into experimental group and control group with 34 cases in each group, were treated by surgical treatment, the use of early rehabilitation intervention after surgery in the experi- mental group, the control group with routine function training after the surgery, to evaluate the clinical efficacy of the two groups. Results： after oper- ation 2 months,4 months,the experimental group ROM was significantly higher than control group （P〈0.05）, 2,4,6 months after operation, the experi- mental group VAS, FIM score were significantly better than the control group （P〈0.05）, excellent rate of experimental group was significantly higher than the control group （P〈0.05）.Conelusion： For elderly patients with unstable fractures of the distal radius, early postoperative rehabilitation is help- ful to promote the early recovery of the wrist joint motor function and improve the prognosis of the patients.