间歇抬臀对骨科患者术后康复效果的影响

Effect of Intermittent Hip Lift on Postoperative Rehabilitation of Orthopaedic Patients

目的:探讨间歇抬臀在骨科患者术后康复效果的影响。方法:选取我院2019年1月-2020年12月收治的60例下肢骨折患者为研究对象,所有患者均行手术治疗,并随机分为对照组与观察组,各30例。观察组患者在常规护理基础上进行间歇抬臀运动,对照组行常规护理,对比2组患者的住院时间、首次排便时间与骨折愈合时间相关预后指标,护理前后独立性评定量表(FIM)评分与疼痛视觉模拟量表(VAS)评分以及术后深静脉血栓、肺部感染、腹胀、压疮等发生情况。结果:观察组住院、首次排便以及骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05);护理前,2组患者FIM评分与VAS评分对比,组间差异无统计学意义(P>0.05),护理后,2组患者FIM评分均较护理前升高,VAS评分均较护理前降低,且观察组FIM评分高于对照组,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:骨折患者术后应用间歇抬臀运动干预,能够促进患者骨折愈合,减少术后并发症发生率,减轻患者疼痛感,提升患者独立生活能力。

Objective:To explore the effect of intermittent hip raising on postoperative rehabilitation of orthopedic patients.Methods:60 patients with lower limb fractures admitted to our hospital from January 2019 to December 2020 were selected as the research objects.All patients underwent surgical treatment and were randomly divided into a control group and an observation group,with 30 cases in each group.Patients in the observation group were given intermittent hip raising exercise on the basis of routine nursing,while patients in the control group were given routine nursing.The hospitalization time,first defecation time and fracture healing time related prognostic indicators were compared between the two groups.The scores of Functional Independence Measure(FIM)and Visual Analogue Scale(VAS)before and after nursing,and the occurrence of deep vein thrombosis,pulmonary infection,abdominal distension and pressure ulcers after operation were also observed.Results:The hospitalization time,first defecation time,and fracture healing time in the observation group were shorter than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Before nursing,there was no significant difference in FIM and VAS scores between the two groups(P>0.05).After nursing,FIM scores of the two groups were higher than those before nursing,and VAS scores were lower than those before nursing,and FIM score of the observation group was higher than that of the control group,and VAS score of the observation group was lower than that of the control group.The difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of intermittent hip raising exercise in fracture patients after operation can promote fracture healing,reduce the incidence of postoperative complications,relieve the pain of patients,and improve the independent living ability of patients.