假体置换术配合康复训练对老年髋部骨折合并糖尿病术后肢体功能恢复的影响

目的：探讨研究假体置换术配合康复训练对老年髋部骨折合并糖尿病术后肢体功能恢复的影响。方法选取该院于2014年5月至2015年5月收治的82例老年髋部骨折合并糖尿病患者利用随机综合序贯法分为研究组和对照组，各41例。所有患者均行假体置换术，研究组在此基础上给予康复训练。术后随访6个月，观察两组肢体功能恢复情况。结果研究组术后下地、扶拐行走、独立行走以及负重时间均较对照组显著缩短（ P＜0．05），且末次随访FBG水平前者较后者显著降低（ P＜0．05）；两组术后3个月和术后6个月肢体功能恢复情况比较均具有显著差异（ P＜0．05），且研究组优良率分别为51．22％和90．24％，均较对照组的26．83％和48．78％显著升高（ P＜0．05）；研究组各项数据本组内比较差异显著（ P＜0．05），对照组本组内肢体功能恢复情况等级比较差异显著（ P＜0．05），但优良率无显著差异（ P＞0．05）；研究组并发症发生率（4．88％）较对照组（29．27％）显著降低（P＜0．05）。结论假体置换术配合康复训练可以显著缩短老年髋部骨折合并糖尿病术后康复进程，减少并发症，改善肢体功能恢复情况。

Effect of prosthesis replacement combined with rehabilitation training on the recovery of limb function of elderly patients with hip fracture combined with diabetes mellitus

Objective To explore and study the effect of prosthesis replacement combined with rehabilitation training on the re‐covery of limb function of elderly patients with hip fracture combined with diabetes mellitus .Methods 82 cases of elderly patients with hip fracture combined with diabetes mellitus in our hospital from May 2014 to May 2015 were devided into study group and control group according to the stochastic sequential method ,with 41 cases in each group .All the patients were carried out prosthesis replacement surgery ,and the study group were given rehabilitation training based on it .The recovery of limb function of patients in the two groups was observed at 3 months and 6 months after operation .Results The time of getting out of bed ,rotary walking ,in‐dependent ambulation and loading in the study group were shorter than those in the control group (P<0 .05) ,and the FBG level at the last time of the follow -up of the formmer was significantly lower than that of the former (P<0 .05) .The functional recovery of limb function at 3 months and 6 months after operation in the two groups were significantly different (P<0 .05) ,and the excellent and good rates of the study group were respectively 51 .22% and 90 .24% ,which were significantly higher than those of 26 .83%and 48 .78% of the control group(P<0 .05) .The datas of the study group were significantly different between the same group (P<0 .05) ,and the functional recovery of limb function in the control group was significantly different (P<0 .05) ,but the difference of the excellent and good rates was not significant (P>0 .05) .The incidence of complications in study group (4 .88% )was significantly lower than that in control group(29 .27% )(P< 0 .05) .Conclusion Prosthesis replacement combined with rehabilitation training can significantly shorten the recovery process ,reduce the complications and improve the recovery of limb function in elderly patients with hip fracture combined with diabetes .