摘要
目的探究老年女性髋部骨折术后采用渐进式康复训练对其预后的影响。方法选取2020年4月—2021年5月天津医科大学附属宝坻医院收治的86例接受康复治疗的老年女性髋部骨折术后患者作为研究对象,通过随机数字表法将患者分为对照组和观察组各43例。对照组患者接受常规护理和康复训练,观察组患者采用以渐进式模式为指导的护理策略。比较两组患者骨折愈合时间、术后离床时间、疼痛缓解时间、住院时间、并发症发生率、髋关节功能评分、生活能力评分、髋关节疼痛评分、死亡率及髋关节再次骨折率。结果观察组骨折愈合时间、术后离床时间、疼痛缓解时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组Harris髋关节评分为(85.14±8.37)分,Barthel指数为(83.27±9.88)分,高于对照组的(70.11±9.12)分、(72.29±9.61)分,差异均有统计学意义(P<0.05)。护理前和护理1个月,两组VAS评分比较差异无统计学意义(P>0.05);护理后3个月,两组VAS评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为2.33%,低于对照组的18.60%,差异有统计学意义(χ^(2)=4.468,P<0.05)。观察组死亡率0.00%,低于对照组的2.33%,差异无统计学意义(P>0.05)。观察组髋关节再次骨折率为0.00%,低于对照组的16.28%,差异有统计学意义(χ^(2)=4.328,P<0.05)。结论以渐进式模式为指导的康复训练对老年女性髋部骨折术后患者有一定的效果,能够缩短其术后骨折愈合时间,减轻术后的疼痛和不适感,有助于促进患肢尽早恢复,且并发症发生率较低,具有一定的安全性,值得临床推广应用。
Objective To investigate the impact of progressive rehabilitation training on the prognosis of elderly women with hip fracture after surgery.Methods From April 2020 to May 2021,86 elderly female postoperative hip fracture patients undergoing rehabilitation treatment from Baodi Hospital Affiliated to Tianjin Medical University were selected as study subjects.By using the random number table method,these patients were divided into control group and observation group with 43 cases in each group.The patients of the control group received conventional nursing and rehabilitation training,while the patients in the observation group were given a nursing strategy guided by a progressive model.The fracture healing time,postoperative bed-rest time,pain relief time,hospitalization time,incidence of complication,hip joint function score,life ability score,hip joint pain score,mortality rate and hip joint re-fracture rate of the two groups were compared.Results In the observation group,the fracture healing period,the time of moving out of bed after surgery,time to pain relief,and length of hospitalization were significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).The Harris hip score was(85.14±8.37)points and the Barthel index was(83.27±9.88)points in the observation group,which were higher than those of the control group with(70.11±9.12)points and(72.29±9.61)points,and the differences were statistically significant(P<0.05).Before nursing and at 1 month after nursing,there were no significant differences in VAS scores between the two groups(P>0.05);at 3 months after nursing,VAS scores in two groups were lower than before nursing,and the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.33%,which was lower than 18.60%of the control group,and the difference was statistically significant(2=4.468,P<0.05).The mortality rate of observation group was 0.00%,which was lower than 2.33%of control group,and the difference was not statistically significant(P>0.05).The re-fracture rate of hip joint in the observation group was 0.00%,which was lower than 16.28%in the control group,and the difference was statistically significant(2=4.328,P<0.05).Conclusion Rehabilitation training guided by a progressive mode had certain effects on elderly female hip fracture patients,which could shorten their postoperative fracture healing time,reduce postoperative pain and discomfort,and help promote the early recovery of the affected limb,and the complication rate was lower,with a certain degree of safety,which was worthy of clinical promotion and application.
作者
李泽泓
银广红
吴丽
LI Ze-hong;YIN Guang-hong;WU Li(Department of Orthopaedics,Baodi Hospital Affiliated to Tianjin Medical University,Tianjin 301800,China)
出处
《中国城乡企业卫生》
2025年第8期9-12,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
渐进式模式
康复训练
老年
髋部骨折
预后
Progressive mode
Rehabilitation training
Elderly
Hip fracture
Prognosis
