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路微波,胡永善,徐丽丽,孙宏伟,张海林.老年患者股骨粗隆间骨折术后综合康复治疗作用的观察[J].中国康复医学杂志,2008,23(8):718~719
老年患者股骨粗隆间骨折术后综合康复治疗作用的观察    点此下载全文
路微波  胡永善  徐丽丽  孙宏伟  张海林
上海市杨浦区老年医院康复医学科,200090
基金项目:
DOI:
摘要点击次数: 2002
全文下载次数: 3284
摘要:
      目的:探讨综合康复治疗对老年患者股骨粗隆间骨折术后的疗效。方法:选择2002年12月—2007年12月我院收治的股骨粗隆间骨折老年患者100例进行回顾性分析,分为两组:对照组术后接受常规治疗,康复治疗组在接受术后常规治疗的同时给予综合康复治疗。分别在术后第6周、12周观察两组间疼痛程度、Singh指数、下床时间、骨折愈合等情况的差异。结果:与对照组相比,康复治疗组骨痛程度轻(VAS评分对照组为2.74±0.45,4.12±0.23),下床早(平均下床时间38d,对照组为65d),并发症少(0例,对照组为7例),Singh指数差异有显著性(P<0.05)。结论:综合康复治疗可有效地预防老年患者股骨粗隆间骨折术后的骨质疏松的进一步发展,促进功能恢复。
关键词:康复  老年  骨折术后  骨质疏松
The effects of rehabilitation treatment for aged patients after intertrochanteric fracture operation    Download Fulltext
Department of Rehabilitation, Shanghai Yangpu Geriatric Hospital, 200090
Fund Project:
Abstract:
      Objective:To investigate the effects of comprehensive rehabilitation treatment for aged patients after intertrochanteric fracture operation. Method: One hundred operated cases suffered from intertrochanteric fracture were selected .and a retrospective data study was done.All the patients were divided into two groups:rehabilitation treatment group and control group. The control group received conventional post-operation treatment and the rehabilitation treatment group had comprehensive rehabilitation treatment additionally. The VAS score, Singh index, bed rest duration and incidence of complication were evaluated 6 and 12 weeks after operation. Result:Compared with control group, the patients in rehabilitation group had milder pain(VAS 2.74±0.45 vs 4.12±0.23), shorter bed rest duration(38d vs 65d), less complication (0 patient vs 7 patients),less severe osteoporosis(P<0.05). Conclusion: Comprehensive rehabilitation treatment can improve the function recovery of aged patients and protect the deterioration of osteoporosis after intertrochanteric fracture operation.
Keywords:rehabilitation  aged  post fracture operation  osteoporosis
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