运动疗法在股骨骨折术后的早期应用及临床疗效观察.doc

运动疗法在股骨骨折术后的早期应用及临床疗效观察 王琼 刘迎春 黄嘉(通讯作者) (重庆市黔江中心医院 重庆黔江409099) 【摘要】目的：探讨早期应用运动疗法对股骨骨折内固定术后患者的影响。 方法：选择78例股骨骨折患者，并行股骨干骨折切开复位内固定术。随机分为 治疗组和对照组。治疗组早期应用运动疗法，对照组中晚期运用运动疗法，记录 两组患者肿胀开始消退时间，测定术后8周膝关节活动范围及骨折愈合情况。结 果：治疗组患者的肿胀开始消退时间(3.87&plusmn;0.214天)为较对照组 (6.29&plusmn;0.203天)明显提前，差异具有统计学意义(PV0.05)。治疗组在 术后 8 周 ROM 为(91.66&plusmn;11.443&deg;),较对照组 (43.92&plusmn;7.638&deg;)显著提高,差异具有统计学意义(PV0.05)。治疗 组骨折愈合程度为(7.697&plusmn;2.0416)较对照组(6.711&plusmn;0.3593)明 显改善，差异具有统计学意义(P<0.05)o结论：早期运动疗法可缩短股骨干骨 折患者患肢肿胀开始消退时间，促进术后患侧膝关节功能恢复，对骨折愈合具有 促进作用。 【关键词】早期 运动疗法 骨折 内固定 【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752 (2014) 11-0129-03 [Abstract] Objective: To investigate the effect of early application of exercise therapy on patients with femoral fractures after internal fixation. Methods: 78 cases of patients with fracture of femur were randomly divided into treatment group and con trol group. Femoral shaft fracture with ope n reducti on and in ter nal fixatio n were performed for these patients. Treatment group received exercise therapy at early stage, while control group received it at late stage? The time of swelling began to subside was recorded. After 8 weeks post-operation, range of motion (ROM) of knee joint was measured and fracture healing was evaluated? Results: The time of swelling began to subside in treatment group (3.87&plusmn;0.214 days) was sign讦icantly ahead of schedule compared with the control group (6.29&plusmn;0.203 days), the difference was statistically sign讦icant (P<0.05). The (ROM) in treatment group (91.66&plusm n;11.443&deg;) was sign ificantly in crease compare with control group(43.92&plusmn;7.638&deg;) after 8 weeks post-operation, the difference was statistically sign讦icant (P<0.05). The degree of fracture healing in treatment group (7.697&plusmn;2?0426) improved obviously than control group (6.711 &plusmn;0.3593), the difference was statistically significant (P<0.05). Conclusion: Early exercise therapy can shorten the time of swelling began to subside in patients w