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骨质疏松性髋部骨折术后的早期综合康复治疗
引用本文:黄仕龙,许涛,徐飞,董永辉,郭风劲,陈安民.骨质疏松性髋部骨折术后的早期综合康复治疗[J].中国康复,2011,26(4):273-275.
作者姓名:黄仕龙  许涛  徐飞  董永辉  郭风劲  陈安民
作者单位:1. 华中科技大学同济医学院附属同济医院骨科,武汉,430030
2. 华中科技大学同济医学院附属同济医院康复科,武汉,430030
摘    要:目的:观察骨质疏松性髋部骨折术后早期综合康复治疗促进患者功能恢复的临床疗效。方法:骨质疏松性髋部骨折患者47例,随机分为康复组24例和对照组23例。康复组患者术后早期配合综合康复治疗,包括关节被动训练、手法治疗、功能训练及部分负重训练;对照组患者经外科处理后自行患肢锻炼。于术后6个月对2组患者患侧肌力、患髋ROM检测和Harris评分,并比较术前及术后6个月髋部骨矿密度(BMD)。结果:术后6个月随访,康复组患者患侧肌力,髋外展和屈曲ROM及Harris评分均明显高于对照组(P〈0.05,0.01);患髋BMD,康复组亦明显高于术前及对照组,对照组术前及术后6个月比较,差异无统计学意义。结论:早期有计划的康复治疗,对髋部骨折术后患者下肢功能的恢复有明显促进作用,且能预防BMD进一步下降。

关 键 词:骨质疏松  骨折  康复治疗  关节功能

Clinical Observation of Early Rehabilitation Therapy for Osteoporotic Hip Fracture
HUANG Shi-long,XU Tao,XU Fei,et al..Clinical Observation of Early Rehabilitation Therapy for Osteoporotic Hip Fracture[J].Chinese Journal of Rehabilitation,2011,26(4):273-275.
Authors:HUANG Shi-long  XU Tao  XU Fei  
Institution:HUANG Shi-long,XU Tao,XU Fei,et al.Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China
Abstract:Objective:To investigate the clinical effects of early rehabilitation therapy for osteoporotic hip fracture and to promote the functional recovery.Methods:Forty-seven cases of osteoporotic hip fracture were divided into control group receiving the regular treatment,or experimental group receiving the early rehabilitation training after the surgical therapy.The bone mineral density(BMD),muscle strength and range of motion(ROM) were compared at the beginning and 6th month after training.Results:During a follo...
Keywords:osteoporosis  fracture  rehabilitation therapy  joint function  
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