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目的探讨自助式下肢训练带在促进股骨隆间骨折患者术后恢复的临床效果。方法将收治的180例股骨粗隆间骨折患者随机分为对照组和观察组各90例,前者由责任护士指导功能锻炼,后者采用自助式康复训练。比较2组患者膝关节恢复、肌力恢复、临床满意度及依从性。结果观察组膝关节功能恢复有效率高于对照组;观察组术后4d、7d和出院前1d的屈膝、屈髋和足背伸跖屈及股四头肌舒缩的完成率均高于对照组;术后肌力恢复情况好于对照组;观察组各项依从性评分及满意率均高于对照组,并发症发生率低于对照组。结论采用自助式下肢训练带进行训练,可以显著加速股骨粗隆间骨折患者的术后恢复过程。
Objective To investigate the clinical effect of self-help lower limb training band in promoting postoperative recovery of patients with fractures of femur. Methods 180 patients with intertrochanteric fractures were randomly divided into control group and observation group of 90 cases, the former instructed by the responsible nurses exercise, the latter using self-help rehabilitation training. The knee joint recovery, muscle strength recovery, clinical satisfaction and compliance were compared between the two groups. Results The knee joint function recovery rate in the observation group was higher than that in the control group. The completion rates of knee flexion, flexor hip flexion and plantar flexion of the dorsiflexion and quadriceps femoris in the observation group at 4 d, 7 d and 1 d after discharge were higher than those in the control group Group; postoperative recovery of muscle strength better than the control group; observation group compliance scores and satisfaction rates were higher than the control group, the complication rate was lower than the control group. Conclusion The self-help lower extremity training band can significantly improve the postoperative recovery of femoral intertrochanteric fractures.