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分析微型营养护理加八段锦康复运动对老年脊柱或髋部骨折患者骨折愈合、活动能力和营养状况的影响。

Analysis of the effect of mini-nutrition nursing plus Baduanjin rehabilitation exercise on fracture healing, mobility and nutritional status of elderly patients with vertebral or hip fractures.

机构信息

Department of Joint Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, China.

出版信息

Biotechnol Genet Eng Rev. 2024 Nov;40(3):2508-2519. doi: 10.1080/02648725.2023.2200302. Epub 2023 Apr 10.

Abstract

Hip fractures (VOHF) are a type of bone fracture that occurs in the hip bone, typically affecting older adults. Recovery from hip fractures in older adults can be challenging due to factors such as decreased mobility, weakened bones, and other health issues. This paper intends to determine the effect of mini-nutrition nursing plus Baduanjin rehabilitation exercise on postoperative rehabilitation of elderly patients with vertebral or hip fractures (VOHF). 106 senile VOHF patients were chosen for the study between May 2020 and May 2022. The research group (RG) consisted of 60 patients who received mini-nutrition nursing + Baduanjin rehabilitation exercise, while the control group (CG) had 46 patients who received mini-nutrition nursing + routine rehabilitation training. The study compared the fracture healing effect, MAMC, CC, and MNA-SF scores. The rehabilitation status of patients was evaluated using FMA, BI, BBS, and VAS. Adverse reactions during hospitalization and SF-36 scores were also recorded. Better fracture healing efficacy and higher MAMC, CC, and MNA-SF scores were determined in RG versus CG ( < 0.05). Elevated FMA, BI and BBS scores were observed in both groups after rehabilitation training, with more evident elevations in RG; while the VAS score reduced markedly and was lower in RG compared with CG ( < 0.05). In addition, RG was observed with fewer adverse reactions and higher SF-36 scores ( < 0.05). Mini-nutrition nursing + Baduanjin rehabilitation exercise can effectively accelerate the postoperative rehabilitation of elderly patients with VOHF, improve mobility, and enhance their quality of life.

摘要

髋部骨折(VOHF)是一种发生在髋骨的骨折类型,通常影响老年人。老年人髋部骨折的康复可能具有挑战性,因为移动能力下降、骨骼脆弱和其他健康问题等因素。本文旨在确定迷你营养护理加八段锦康复运动对老年椎体或髋部骨折(VOHF)患者术后康复的影响。2020 年 5 月至 2022 年 5 月,选择了 106 例老年 VOHF 患者进行研究。研究组(RG)由 60 例接受迷你营养护理+八段锦康复运动的患者组成,对照组(CG)由 46 例接受迷你营养护理+常规康复训练的患者组成。研究比较了骨折愈合效果、MAMC、CC 和 MNA-SF 评分。使用 FMA、BI、BBS 和 VAS 评估患者的康复状况。还记录了住院期间的不良反应和 SF-36 评分。RG 的骨折愈合效果、MAMC、CC 和 MNA-SF 评分均优于 CG(<0.05)。康复训练后,两组的 FMA、BI 和 BBS 评分均升高,RG 升高更为明显;而 VAS 评分明显降低,RG 低于 CG(<0.05)。此外,RG 的不良反应发生率较低,SF-36 评分较高(<0.05)。迷你营养护理+八段锦康复运动能有效加速老年 VOHF 患者术后康复,提高活动能力,改善生活质量。

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