早期强化功能锻炼在老年股骨粗隆间骨折术后的应用效果

Application effect of early intensive functional exercise in elderly patients after femoral intertrochanteric fracture surgery

目的观察早期强化功能锻炼在老年股骨粗隆间骨折术后的应用效果。方法选取2017年4月~2018年9月于都县人民医院骨科收治的50例老年股骨粗隆间骨折患者作为研究对象,按照随机数字表法将其分为对照组(25例)与观察组(25例)。对照组患者采用常规康复,观察组患者采用早期强化功能锻炼。比较两组患者的康复效果及干预前后髋关节功能量表(Harris)、日常生活能力(Barthel指数)、视觉模拟量表(VAS)、生活质量(GQOL-74)评分。结果观察组患者的康复总有效率高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的Harris评分高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的VAS评分低于对照组,差异有统计学意义(P<0.05)。结论在老年股骨粗隆间骨折术后进行早期强化功能锻炼,能提高患者康复效果,促进功能恢复,减轻患者疼痛感,提高日常生活能力及生活质量,效果较好,值得借鉴。

Objective To observe the application effect of early intensive functional exercise in elderly patients after femoral intertrochanteric fracture surgery.Methods A total of 50 elderly patients with femoral intertrochanteric fractures treated in Orthopaedics Department of Yudu County People′s Hospital from April 2017 to September 2018 were selected as the research subjects.According to the random number table method,they were divided into the control group(25 cases)and the observation group(25 cases).The control group received routine rehabilitation,and the observation group received early intensive functional exercise.The rehabilitation effect,hip function scale(Harris),daily living ability(Barthel index),visual analogue scale(VAS),and life quality(GQOL-74)scores before and after intervention were compared between the two groups.Results The total effective rate of rehabilitation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The Harris score of patients in the observation group after intervention was higher than that in the control group,and the difference was statistically significant(P<0.05).The Barthel index score after intervention in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The life quality score of patients in the observation group after intervention was higher than that in the control group,and the difference was statistically significant(P<0.05).The VAS score of patients in the observation group after intervention was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Early intensive functional exercise in the elderly after femoral intertrochanteric fracture can improve the rehabilitation effect of patients,promote functional recovery,reduce patients′pain,improve their daily living ability and quality of life,with good effect,which is worthy of reference.