早期康复介入对下肢长骨粉碎性骨折术后功能恢复的影响分析

发布时间：2018-04-11 06:21

本文选题：早期运动康复 + 下肢长骨粉碎性骨折　；参考：《中国康复医学杂志》2016年01期

【摘要】：目的:探讨早期康复介入对下肢长骨粉碎性骨折患者下肢功能恢复、关节活动度的影响作用。方法:收集南昌大学第二附属医院骨科手术治疗后的90例下肢长骨粉碎性骨折患者为研究对象,根据采用康复措施的时间、方法不同分为早期康复组和常规组,每组45例,早期康复组于术后第1—7天在康复医师指导下进行早期康复训练,常规组患者于术后1个月进行常规康复训练,比较两组患者下肢功能恢复情况、关节活动度。结果:早期康复组术后下床活动时间、骨折愈合时间均低于常规组,但两组差异不显著(P0.05);早期康复组术后第3个月、6个月、末次随访时的膝关节功能Lysholm评分均高于常规组(P0.05);两组患者术后第6个月、末次随访时Lysholm评分高于第3个月(P0.05);末次随访时早期康复组美国纽约特种外科医院(HSS)功能评价优良率为91.11%,高于常规组的73.33%(P0.05);早期康复组下肢肿胀率为6.67%、疼痛发生率为8.89%,分别低于常规组的24.44%、31.11%(P0.05);早期康复组平均伸曲度数为108.5°±12.4°,高于常规组的99.1°±13.6°(P0.05)。结论:早期运动康复方案对下肢长骨粉碎性骨折患者下肢功能恢复、关节活动恢复具有积极意义。
[Abstract]:Objective: to investigate the effect of early rehabilitation intervention on lower extremity functional recovery and joint motion in patients with comminuted fracture of long bone of lower extremity.Methods: ninety patients with comminuted fracture of long bone of lower extremity after operation in Department of Orthopaedics, second affiliated Hospital of Nanchang University were collected. According to the time of rehabilitation, the patients were divided into early rehabilitation group and routine group with 45 cases in each group.The early rehabilitation group received early rehabilitation training under the guidance of the rehabilitation physician on the 1st and 7th days after operation. The patients in the routine group received routine rehabilitation training one month after operation. The recovery of lower extremity function and the degree of joint movement were compared between the two groups.Results: the time of getting out of bed and healing time of fracture in the early rehabilitation group were lower than those in the routine group, but there was no significant difference between the two groups (P 0.05).The Lysholm score of knee joint function in the last follow-up was higher than that in the routine group (P 0.05).At the last follow-up, the Lysholm score was higher than that in the third month (P0.05), the excellent and good rate of the early rehabilitation group was 91.11g, higher than that of the routine group (73.33P0.05), the swelling rate of lower extremity was 6.67 and the incidence of pain was 6.67 in the early rehabilitation group.The average extension degree of the early rehabilitation group was 108.5 掳卤12.4 掳, which was higher than that of the routine group (99.1 掳卤13.6 掳P0.05).Conclusion: the early exercise rehabilitation program has positive significance for the recovery of lower extremity function and joint movement in patients with comminuted fracture of long bone of lower extremity.
【作者单位】：井冈山大学体育学院;井冈山大学临床医学院;南昌大学第二附属医院骨一科;
【分类号】：R687.3;R493

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