【摘要】：目的探討康復(fù)早期介入對(duì)老年髖部骨折肺部感染的影響。方法選擇2012年6月-2016年6月就診的髖部骨折患者864例,隨機(jī)分為研究組和對(duì)照組,各432例,兩組均給予基礎(chǔ)治療,對(duì)照組給予常規(guī)骨科康復(fù)訓(xùn)練,研究組采用康復(fù)早期介入,觀察患者術(shù)后2周并發(fā)癥發(fā)生情況,對(duì)肺部感染患者的痰、尿、血等進(jìn)行細(xì)菌培養(yǎng)和鑒定,對(duì)術(shù)后2周、1個(gè)月、3個(gè)月、6個(gè)月患者的髖關(guān)節(jié)功能及活動(dòng)能力進(jìn)行評(píng)定,對(duì)兩組患者的骨愈合程度進(jìn)行判定。結(jié)果研究組肺部感染12例,感染率2.78%,顯著低于對(duì)照組37例感染率8.56%(P0.05),研究組患者治療后2周、1個(gè)月、3個(gè)月、6個(gè)月髖關(guān)節(jié)功能評(píng)分分別為(54.23±6.54)分、(67.33±5.41)分、(81.04±5.65)分、(92.21±5.48)分,均高于對(duì)照組(40.84±5.44)分、(45.83±4.95)分、(60.40±6.40)分、(73.83±6.95)分,差異有統(tǒng)計(jì)學(xué)意義(P0.05);共檢測(cè)出104株病原菌,其中革蘭陰性菌59株占56.73%,革蘭陽性菌39株占37.50%,真菌6株占5.77%;治療前,兩組患者生活活動(dòng)能力比較差異無統(tǒng)計(jì)學(xué)意義,干預(yù)后兩組患者生活活動(dòng)能力評(píng)分均顯著較治療前升高,差異有統(tǒng)計(jì)學(xué)意義(P0.05),研究組患者治療有效率為97.69%顯著高于對(duì)照77.31%(P0.05)。結(jié)論康復(fù)早期介入能夠顯著降低老年髖部骨折患者肺部感染發(fā)生率,提高髖關(guān)節(jié)功能和生活活動(dòng)能力,提高治療有效率。
[Abstract]:Objective to investigate the effect of early rehabilitation intervention on pulmonary infection of hip fracture in elderly patients. Methods from June 2012 to June 2016, 864 patients with hip fracture were randomly divided into two groups: the study group and the control group, 432 cases in each group. Both groups were given basic treatment, the control group received routine orthopedic rehabilitation training, the study group was treated with early rehabilitation intervention. The complications were observed 2 weeks after operation, the sputum, urine and blood of the patients with pulmonary infection were cultured and identified, and the hip function and mobility were evaluated at 2 weeks, 1 month, 3 months and 6 months after operation. The degree of bone healing was determined in both groups. Results there were 12 cases of pulmonary infection in the study group, the infection rate was 2.78%, which was significantly lower than that in the control group (8.56%, P0.05). The scores of hip function in the study group were (54.23 鹵6.54), (67.33 鹵5.41), (81.04 鹵5.65), (92.21 鹵5.48) after 2 weeks, 1 month, 3 months and 6 months, respectively. It was significantly higher than that in the control group (40.84 鹵5.44), (45.83 鹵4.95), (60.40 鹵6.40), (73.83 鹵6.95), the difference was statistically significant (P0.05), there were 104 pathogenic bacteria detected, of which 59 were gram-negative bacteria, 39 Gram-positive bacteria were 37.50, and 6 fungi were 5.77B. There was no significant difference in the activity of life between the two groups. After intervention, the scores of activity of life in the two groups were significantly higher than those before treatment (P0.05). The effective rate of treatment was 97.69% in the study group and 77.31% in the control group (P0.05). Conclusion early intervention of rehabilitation can significantly reduce the incidence of pulmonary infection in elderly patients with hip fracture, improve hip function and living ability, and improve the effective rate of treatment.
【作者單位】： 杭州市中醫(yī)院骨傷科;
【分類號(hào)】：R683
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本文編號(hào)：2226590