延伸服务对老年骨质疏松性髋部骨折患者术后康复的影响
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Extended services for post-operative rehabilitation of patients with osteoporotic hip fracture
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    摘要:

    目的 探讨延伸护理服务对老年骨质疏松性髋部骨折患者术后疗效的影响。方法 将80例老年骨质疏松性髋部骨折患者随机分为试验组(n = 40)和对照组(n = 40); 两组患者行单侧人工髋关节置换、康复、抗骨质疏松治疗和护理一体化服务。试验组在出院后加入骨质疏松俱乐部, 接受系统、规范的延伸服务。观察两组患者术后12个月髋关节功能的恢复(Harris评分)和骨密度改善的情况。结果 实验组患者髋关节功能恢复程度明显高于对照组(P<0.01), 12个月后两组骨密度均较治疗前明显提高(P<0.05), 两组间L2~L4骨密度有差异(P<0.05)。结论 对老年骨质疏松性髋部骨折术后患者的延伸服务可促进髋关节功能的恢复和骨密度的改善。

    Abstract:

    Objective To investigate the results of extended services for the post-operative rehabilitation of patients with osteoporotic hip fracture. Methods A total of 80 patients with osteoporotic hip fracture were randomly divided into experimental group (n = 40) and control group (n = 40). All patients underwent integrated services, including unilateral total hip replacement, rehabilitation, anti-osteoporosis chemotherapy and nursing care. Patients in experimental group joined osteoporosis club and accepted standard extended services after operation. Functional recovery of the hip and bone density improvement were observed after 12 months. Results There was a significant improvement in functional recovery in experimental group than in control group (Harris score, P<0.05). The bone mineral density was improved in both groups postoperatively (P<0.05). The L2-L4 bone mineral density between the two groups was different significantly (P<0.05). Conclusions Extended services for the post-operative rehabilitation of patients with osteoporotic hip fracture can promote the functional recovery of the hip and improve bone mineral density.

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刘海容, 于 梅, 马远征, 等.延伸服务对老年骨质疏松性髋部骨折患者术后康复的影响[J].中华老年多器官疾病杂志,2011,10(5):405~407

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