军训致股骨中下1/3完全性应力骨折的康复护理研究

Nursing Care during Rehabilitation of Mid-distal 1/3 Femur Fracture Caused by Complete Stress in Military Training

目的 探讨军训所致股骨中下 1/ 3应力骨折膝关节功能恢复程度与功能锻炼起始时间的相关性及其心理护理特点。方法 总结分析 5 3例患者 ,按其膝关节屈伸功能锻炼起始时间分为A组 (2周内 )、B组 (2～ 6周 )、C组 (6周以上 )三组。结果 5 3例均骨性愈合 ,不同程度地恢复下肢负重及膝关节功能 ;按改良Kolmert标准评定 ,膝关节活动度的恢复 ,A组优于B组、B组优于C组。结论 (1)在坚强固定的基础上 ,开始膝关节屈伸功能锻炼越早、其关节活动度恢复越好 ;(2 )

To explore the correlation between the functional rehabilitation of the knee and the starting time of functional exercise and psychological nursing in patients with complete stress fracture of mid distal femur during military training.Methods Based on the starting time of functional exercise, 53 cases were divided into three groups: A (<2w), B(2 6w) and C(>6w).Results The results of follow up showed that fracture healing was satisfactory, showed various degrees of functional rehabilitation of knee in all 53 patients. According to the modified Kolmert's criteria, the functional rehabilitation of knee of A group was superior to that of B group (P<0.05), and that of B Group better than that of C group (P<0.05).Conclusion (1) On the precondition of strong fixation, the earlier the functional exercise begins, the better the functional rehabilitation of knee is;(2) pre and post operative psychological nursing is of vital importance in helping recovering function.