渐进性抗阻运动训练在老年股骨粗隆间骨折内固定术后患者中的应用效果

Application effect of progressive resistance exercise training in elderly patients with intertrochanteric fracture after internal fixation

目的探讨渐进性抗阻运动训练对老年股骨粗隆间骨折内固定术后髋关节功能的影响。方法选取2018年1月—2020年1月江苏省泰州市人民医院收治的98例老年股骨粗隆间骨折患者为研究对象,根据随机数字表法将其分为观察组和对照组,每组各49例。两组均进行股骨粗隆间骨折内固定术治疗。对照组术后采取常规的康复训练干预,观察组术后采取渐进性抗阻运动训练干预。对两组手术恢复指标、并发症发生率、Harris髋关节功能评分、髋关节肌群肌力、生活质量评分进行统计比较。结果观察组开始下床活动时间、住院时间、骨折愈合时间短于对照组,差异均有统计学意义(均P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。干预后两组髋关节肌力水平、Harris髋关节功能评分及生活质量评分均高于干预前,且观察组高于对照组,差异均有统计学意义(均P<0.05)。结论老年股骨粗隆间骨折内固定术后应用渐进性抗阻运动训练能够获得更好的康复效果,促进患者的骨折愈合,提高患者的髋关节功能,增加患者关节肌肌力,改善患者生活质量,有较高的临床应用价值。

Objective To investigate the effect of progressive resistance exercise training on hip joint function after internal fixation of intertrochanteric fracture in elderly patients.Methods A total of 98 elderly patients with intertrochanteric fracture treated in Jiangsu Taizhou People’s Hospital from January 2018 to January 2020 were selected as the research subjects.According to random number table method,they were divided into observation group and control group,with 49 cases in each group.Intertrochanteric fracture internal fixation was performed in both groups.The control group received routine rehabilitation training intervention,and the observation group received progressive resistance exercise training intervention.The operative recovery index,complication rate,Harris hip function score,hip muscle strength and quality of life score were statistically compared between the two groups.Results The time of getting out of bed,hospital stay and fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the level of hip muscle strength,Harris hip function score and quality of life score in both groups were higher than before,and the observation group was higher than the control group,the differences were statistically significant(all P<0.05).Conclusion The application of progressive resistance exercise training after internal fixation of senile intertrochanteric fracture can obtain better rehabilitation effect,promote fracture healing,improve hip function,increase joint muscle strength and improve the quality of life of patients,which has high clinical application value.