早期康复训练对股骨颈骨折患者术后髋关节功能恢复和并发症的影响

Effect of early rehabilitation training on hip joint function recovery and complications in patients with femoral neck fracture

目的 探讨早期康复训练对股骨颈骨折患者术后髋关节功能恢复和并发症的影响。方法 选取2015年1月至2017年12月在我院接受骨折内固定术治疗的80例股骨颈骨折患者为研究对象,随机将其等分为对照组和观察组,对照组行常规围手术期护理,观察组在对照组基础上开展早期康复训练。比较两组患者髋关节功能、并发症发生率、自我护理能力、髋关节活动度。结果 观察组髋关节功能明显优于对照组(P <0. 05)。观察组术后并发症发生率明显低于对照组(P <0. 05)。护理干预后两组患者心理、躯体活动、治疗维度自我护理能力均明显升高,但观察组升高幅度更大(P <0. 05),两组饮食维度均明显升高,但护理干预前后差异均无统计学意义(P> 0. 05)。干预后两组患者髋关节活动度均明显增大,但观察组增大幅度较对照组更明显(P <0. 05)。结论 早期康复训练可明显提高股骨颈骨折患者髋关节功能,降低并发症发生率,提高自我护理能力,增加髋关节活动度。

Objective To explore the effect of early rehabilitation training on hip joint function recovery and complications in patients with femoral neck fracture.Methods To select 80 patients with femoral neck fracture who underwent fracture internal fixation in our hospital from January 2015 to December 2017 as the study subjects,and they were divided into control group and observation group with the same number of patients randomly.The control group was given routine perioperative nursing,while the observation group carried out early rehabilitation training on the basis of the control group.Hip function,complication rate,self-care ability,and hip mobility of patients in the two groups were compared.Results The hip joint function in the observation group was better than that in the control group(P<0.05).The incidence of complications in the study group was significantly lower than that in the control group(P<0.05).After nursing intervention,the psychological,physical activity and therapeutic dimension self-care ability of the two groups were significantly increased,but the increase of the observation group was greater(P<0.05).The condition in dietary dimensions of the two groups were significantly increased,but there was no significant statistical difference before and after the nursing intervention(P>0.05).After the intervention,the hip joint mobility of the two groups increased significantly,but the increase of the observation group was more obvious than that of the control group(P<0.05).Conclusion Early rehabilitation training can improve hip joint function in patients with femoral neck fracture significantly.Furthermore,it can reduce the incidence of complications,and improve self-care ability of the patients.In addition,the hip joint mobility also can be increased by such kind of treatment.