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综合康复训练对老年下肢骨折患者术后的疗效

Efficacy of comprehensive rehabilitation training for elderly patients with lower limb fractures after surgery.

作者信息

Zhong Yuxin, Liu Hongchao, Li Anqiang

机构信息

Yuxin Zhong, Emergency Trauma Center, Dongguan Chang'an Hospital, Dongguan, Guangdong Province 523850, P.R. China.

Hongchao Liu, Emergency Trauma Center, Dongguan Chang'an Hospital, Dongguan, Guangdong Province 523850, P.R. China.

出版信息

Pak J Med Sci. 2025 Jul;41(7):2046-2051. doi: 10.12669/pjms.41.7.12125.

Abstract

OBJECTIVE

Exploring the efficacy of comprehensive rehabilitation training (CRT) for elderly patients with lower limb fractures (LLF) after surgery.

METHODS

This is a single center retrospective cohort study included clinical data of 120 elderly patients with LLF who underwent surgical treatment at Dongguan Chang'an Hospital from February 2021 to August 2023. Of them, 58 patients received routine rehabilitation training (control group) and 62 patients received CRT (observation group). Range of motion of lower limb joints, activities of daily living (ADLs), pain intensity, and incidence of complications were compared between the two groups.

RESULTS

After surgery, curvature, straightness, and degree of flexion and extension of the lower limb joints in both groups significantly increased, and was significantly greater in the observation group (<0.05). Modified Barthel Index (MBI) scores of both groups significantly increased after surgery, and was significantly higher in the observation group (<0.05). Post-surgery visual analog scale (VAS) scores of both groups significantly decreased, and were significantly lower in the observation group (<0.05). The incidence of complications was significantly lower in the observation group than in the control group (<0.05).

CONCLUSIONS

Implementing CRT for elderly patients with LLF can increase the range of motion of the lower limb joints, improve ADLs, alleviate pain levels, and reduce the risk of complications.

摘要

目的

探讨综合康复训练(CRT)对老年下肢骨折(LLF)患者术后的疗效。

方法

这是一项单中心回顾性队列研究,纳入了2021年2月至2023年8月在东莞长安医院接受手术治疗的120例老年LLF患者的临床资料。其中,58例患者接受常规康复训练(对照组),62例患者接受CRT(观察组)。比较两组患者下肢关节活动度、日常生活活动能力(ADL)、疼痛强度及并发症发生率。

结果

术后,两组患者下肢关节的弯曲度、伸直度及屈伸程度均显著增加,且观察组增加更显著(<0.05)。两组患者术后改良Barthel指数(MBI)评分均显著增加,且观察组更高(<0.05)。两组患者术后视觉模拟量表(VAS)评分均显著降低,且观察组更低(<0.05)。观察组并发症发生率显著低于对照组(<0.05)。

结论

对老年LLF患者实施CRT可增加下肢关节活动度,改善ADL,减轻疼痛程度,并降低并发症风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f490/12302108/3a1d20cc55e4/PJMS-41-2046-g001.jpg

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