[1]王 刚),刘宏建),李振伟),等.股骨粗隆间骨折老年患者PFNA内固定术后渐进抗阻运动训练的康复效果[J].郑州大学学报(医学版),2019,(04):615-618.[doi:10.13705/j.issn.1671-6825.2018.12.115]
 WANG Gang),LI Hongjian),LI Zhenwei),et al.Role of progressive resistance exercise in the rehabilitation of femoral intertrochanteric fracture after operation[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(04):615-618.[doi:10.13705/j.issn.1671-6825.2018.12.115]
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股骨粗隆间骨折老年患者PFNA内固定术后渐进抗阻运动训练的康复效果()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2019年04期
页码:
615-618
栏目:
应用研究
出版日期:
2019-07-20

文章信息/Info

Title:
Role of progressive resistance exercise in the rehabilitation of femoral intertrochanteric fracture after operation
作者:
王 刚1)刘宏建2)李振伟2)马炳全1)张 彤1)于甲锋1)刘 杰1)李 顺1)
1)郑州大学第一附属医院康复医学科 郑州 450052;2)郑州大学第一附属医院骨科 郑州 450052
Author(s):
WANG Gang1)LI Hongjian2)LI Zhenwei2)MA Bingquan1)ZHANG Tong1)YU Jiafeng1)LIU Jie1)LI Shun1)
1)Department of Rehabilitation,the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052;2)Department of Orthopaedics,the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
股骨粗隆间骨折 PFNA内固定术 渐进抗阻运动 康复
Keywords:
femoral intertrochanteric fracture PFNA internal fixation progressive resistant exercise rehabilitation
分类号:
R683.4
DOI:
10.13705/j.issn.1671-6825.2018.12.115
摘要:
目的:探讨渐进抗阻运动训练对股骨粗隆间骨折患者行股骨近端防旋髓内钉(PFNA)内固定手术后康复治疗的影响。方法:106例股骨粗隆间骨折患者分为观察组和对照组,每组53例,均接受PFNA内固定术治疗。对照组予以常规术后康复训练,观察组予以患侧膝关节屈曲、伸直渐进抗阻运动训练和常规康复训练,比较两组康复效果。结果:观察组下床活动时间、骨折愈合时间、住院时间均明显优于对照组(P<0.05)。术后康复训练后,观察组的Harris评分、SF-36评分改善优于对照组(P<0.05)。观察组术后发生1例切口感染,2例内固定松动,1例下肢静脉血栓; 对照组术后发生3例切口感染,2例压疮,3例肌肉肌腱软组织粘连,2例内固定松动,3例下肢静脉血栓; 观察组术后并发症的发生率为7.5%,对照组为25.0%,观察组高于对照组(P=0.017)。训练后,两组患者的膝关节屈曲伸直肌群肌力、改良Barthel指数明显升高,且观察组改善情况好于对照组(P<0.05)。结论:渐进抗阻运动训练能够改善股骨粗隆间骨折患者PFNA内固定术后的髋关节功能,增加肌力,减少骨折并发症发生率,缩短康复时间。
Abstract:
Aim:To explore the role of progressive resistant exercise in the treatment of femoral intertrochanteric fracture with PFNA internal fixation.Methods:A total of 106 cases of intertrochanteric fracture of femur were randomly allocated into observation group and control group, 53 cases in the observation group were treated with PFNA internal fixation, and those in the control group was given routine rehabilitation training. The observation group was given progressive resistant exercise and routine rehabilitation training,and the rehabilitation effects of the two groups were compared.Results:The time of getting out of bed, healing time of fracture and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05). After training, the improvements of the scores of Harris and SF-36 in the observation group were better than those in the control group(P<0.05). In the observation group, there were 1 case of incision infection, 2 cases of internal fixation loosening and 1 case of lower limb venous thrombosis; in the control group, there were 3 cases of incision infection, 2 cases of bedsore, 3 cases of muscle and tendon soft tissue adhesion, 2 cases of internal fixation loosening and 3 cases of lower limb venous thrombosis; the incidence of postoperative complications in the observation group was 7.5%, in the control group was 25.0%, and there was significant difference(P=0.017). After training, the flexion and extensor muscle strength of knee joint and modified Barthel index in the two groups were significantly higher,and those of the observation group were better(P<0.05).Conclusion:Progressive resistant exercise is helpful to improve hip joint function, increase muscle strength, reduce complications and shorten rehabilitation time in patients with femoral intertrochanteric fracture after PFNA internal fixation.

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[1]李克文,张国秋.DHS内固定治疗股骨粗隆间骨折疗效[J].郑州大学学报(医学版),2011,(05):809.

备注/Memo

备注/Memo:
【基金项目】河南省高等学校重点科研项目计划(16A320017,18A320039); 河南省医学科技攻关计划项目(201602022,201702049)
【作者简介】刘宏建,通信作者,男,1968年4月生,博士,主任医师,研究方向:骨科疾病,E-mail:hongjianmd@126.com
更新日期/Last Update: 2019-07-20