| 王霞,袁红,高丽萍.系统化快速康复训练在老年股骨颈骨折患者术后的应用效果[J].中国医药导报,2024,21(1):181-184 |
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| 系统化快速康复训练在老年股骨颈骨折患者术后的应用效果 |
| Application effect of systematic rapid rehabilitation training in elderly patients with femoral neck fracture after operation |
| 收稿日期：2023-04-07 |
| DOI：10.20047/j.issn1673-7210.2024.01.39 |
| 关键词: 系统化快速康复训练 老年股骨颈骨折 疼痛程度 行动功能 |
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| 基金项目:江苏省高层次卫生人才“六个一”拔尖人才项目（LGY2020052） |
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| 摘要:目的 探究系统化快速康复训练在老年股骨颈骨折患者术后的应用效果。 方法 选取江苏省南通市第三人民医院2019年1月至2022年1月收治的老年股骨颈骨折患者94例，应用奇偶分组法将其分为对照组和观察组，各47例。对照组行常规训练干预，观察组在对照组的基础上加用系统化快速康复训练。比较两组疼痛情况、行动功能、生活质量及髋关节功能。 结果 整体分析发现：两组疼痛组间、时间点及交互作用比较差异均有统计学意义（P＜0.05）。进一步两两比较，组内比较：两组组内各时间点疼痛评分比较，差异均有统计学意义（P＜0.05）；组间比较：观察组术后各时间点疼痛评分均低于对照组，差异有统计学意义（P＜0.05）。干预后，两组行动功能评分及髋关节评分均高于干预前，且观察组高于对照组，差异有统计学意义（P＜0.05）。干预后，两组生活质量评分均高于干预前，且观察组高于对照组，差异有统计学意义（P＜0.05）。 结论 系统化快速康复训练能够提高老年股骨颈骨折术后患者的行动功能及生活质量，降低患者的疼痛水平，具有重要的应用意义。 |
| Abstract:Objective To explore the application effect of systematic rapid rehabilitation training in elderly patients with femoral neck fracture after operation. Methods A total of 94 elderly patients with femoral neck fracture admitted to the Third People’s Hospital of Nantong, Jiangsu Province from January 2019 to January 2022 were selected. The patients were divided into control group and observation group, with 47 cases in each group. The control group received routine training intervention, and the observation group received systematic rapid rehabilitation training on the basis of the control group. Postoperative pain, mobility function, quality of life, and hip function were compared between the two groups. Results The overall analysis showed that there were significant differences between the two groups in pain comparison, time point comparison and interaction (P＜0.05), further pairwise comparison and intra-group comparison: the pain scores of the two groups at each time point in the group were compared, and the differences were statistically significant (P＜0.05). Comparison between groups: the pain scores of the observation group were lower than those of the control group at all time points after operation, the differences were statistically significant (P＜0.05). After intervention, the action function scores and hip function scores of both groups were higher than those before intervention, and those of the observation group were higher than the control group, the differences were statistically significant (P＜0.05). After intervention, the quality of life scores of both groups were higher than those before intervention, and the observation group were higher than those of the control group, the differences were statistically significant (P＜0.05). Conclusion Systematic rapid rehabilitation training can improve the mobility function and quality of life of elderly patients after femoral neck fracture surgery, and reduce the level of pain in patients, which has important application significance. |
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