【摘要】 目的探讨渐进式功能锻炼对老年髋部骨折患者术后肢体功能恢复的效果。方法将68例老年髋部骨折患者按入住病房分为干预组和对照组各34例。干预组于术后第1天至出院后3个月给予渐进式功能锻炼方案,对照组接受常规护理和门诊随访。比较两组骨折前、出院时、出院后1个月、出院后3个月的Harris评分。结果干预后,干预组Harris髋关节总评分和疼痛维度、功能维度及关节活动度维度评分显著高于对照组(P<0.05,P<0.01);全髋置换术患者术后髋关节功能预后水平高于内固定手术患者(P<0.01);不同组别和不同手术方式之间在髋关节总评分和各维度评分方面无交互作用(P>0.05)。结论渐进式功能锻炼可有效促进老年髋部骨折患者术后髋关节功能恢复。更多还原

【Abstract】 Objective To study the effect of progressive functional exercises on limb function of older patients after hip fracture.Methods A total of 68 older patients with hip fracture were enrolled in and randomized into an intervention group and a control group equally.Patients in the intervention group were given progressive functional exercises on the day after surgery to 3 months after discharge,while their counterparts in the control group were subject to routine care.Harris Hip Score was assessed on the day of discharge,and in the 1st and 3rd month after discharge.Results After intervention,the total score,the score of the pain,function and ROM subscale of Harris Hip Score were significantly higher in the intervention group than those in the control group(P<0.05,P<0.01).Patients received total hip arthroplasty showed a better recovery of hip function than those received internal fixation operation(P<0.01).There was no significant interactive effect on total Harris Hip Score and each subscale score between different groups and different operations(P>0.05).Conclusion Progressive functional exercises can effectively promote the reco-very of limb function of older patients after hip fracture.更多还原