个性化延伸服务在股骨颈骨折患者中的应用价值

Application value of personalized extended service in patients with femoral neck fracture

目的 探讨个性化延伸服务在股骨颈骨折患者中的应用价值。方法 研究对象为南方医科大学顺德医院于2021年2月至2022年2月诊治的110例股骨颈骨折患者,以随机数字表法将其分为2组,各55例。对照组和观察组分别接受常规院外指导和个性化延伸服务。对比2组的髋关节活动范围等指标。结果 出院6个月后,2组的髋关节内旋、外旋、内收、外展、前屈和后伸角度以及联合前倾角均大于出院时(P均<0.05),且观察组除联合前倾角外,上述其余髋关节活动角度均大于对照组(P均<0.05)。出院6个月后,观察组的肌力级别优于对照组(P<0.05)。出院3个月和6个月后,组内日常生活活动能力量表(Barthel指数)评分经比较发现,2组均高于出院时(P均<0.05),且观察组均高于同期对照组(P均<0.05)。较对照组的骨骼愈合时间而言,观察组的更短(P<0.05)。观察组比对照组的并发症总发生率更低(P<0.05)。结论 将个性化延伸服务应用在股骨颈骨折患者术后康复期,可提高患者的髋关节活动度、下肢肌力和日常生活能力,促进骨折愈合,降低并发症发生率。

Objective To explore the application value of personalized extended service in patients with femoral neck fracture.Methods The research subjects were 110 patients with femoral neck fracture treated at Shunde Hospital of Southern Medical University from February 2021 to February 2022.They were divided into two groups using a random number table,each with 55 cases.The control group and the observation group received routine out-of-hospital guidance and personalized extended service,respectively.The hip range of motion and other indicators were compared between the two groups.Results At 6 months after discharge,the hip range of motion values of internal rotation,external rotation,adduction,abduction,flexion,and extension,as well as the combined anteversion value were all greater than those at discharge in both groups(all P<0.05).In addition,except for the combined anteversion value,the hip range of motion values in the observation group were all greater than those in the control group(all P<0.05).At 6 months after discharge,the muscle strength level of the observation group was better than that of the control group(P<0.05).At 3 and 6 months after discharge,it was found that the Barthel Index scores of both groups were higher than those at discharge(all P<0.05),and the observation group had higher scores than the control group(both P<0.05).Compared with the control group,the observation group had shorter fracture healing time(P<0.05).The observation group had a lower total incidence of complications than the control group(P<0.05).Conclusion The application of personalized extended service in patients with femoral neck fracture during the postoperative rehabilitation period can improve their hip range of motion,lower limb muscle strength,and activities of daily living,promote the fracture healing,and reduce the incidence of complications.