综合康复治疗体系对54例地震致下肢骨折患者功能康复的影响
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摘要
目的:探讨综合康复治疗体系对54例地震致下肢骨折患者功能恢复的影响。方法:采用综合康复治疗方法治疗"5.12"汶川大地震所致54例下肢骨折患者,临床观察患者伤口的愈合情况和骨折的复位情况,有无骨折并发症,分析比较治疗前后患者下肢功能恢复情况及日常生活活动能力的改善。结果:康复治疗后关节活动度明显改善,由入院时的平均218.61°增加至出院时的237.5°(P<0.001)。Barthel指数由入院时的平均55.4增加至出院时的70.8(P<0.001),日常生活活动能力有较大幅度提高。结论:综合康复治疗体系对于地震伤致下肢骨折患者的功能恢复至关重要,一套完善的体系应包括:①康复治疗早期介入,功能锻炼长期坚持;②发挥大型综合性医院的优势,多学科交叉,多部门合作;③功能康复和心理康复并重;④专业人士与社会团体共同参与。
Objective:To investigate the effect of comprehensive rehabilitation system on the treatment of 54 earthquake patients with lower limb fracture.Methods: Fifty-four patients with lower limb fracture who were injuried in the Wenchuan earthquake were adopted in this study.All of the patients were treated with comprehensive rehabilitation system.The healing of the wound,the reduction of the fracture and the occurrence of fracture complication were observed clinically.At the same time,the lower limb function and the activity of daily living were recorded before and after the treatment.Results: After the thorough rehabilitation intervention,the limb function improved significantly,the range of motion improved from 218.61° at the admitted time to 237.5° at the discharged time(P<0.001).The Barthel index improved from 55.4 at the admitted time to 70.8 at the discharged time(P<0.001).Conclusion: Comprehensive rehabilitation system is critical for the functional recovery of lower limb fracture who were injuried in WenChuan earthquake.The consummate system should include: ①early intervention of rehabilitation and persistence in functional exercise;②exertion of the advantages of large comprehensive hospital and collaboration among multiple departments;③equal attention to functional recovery and psychological recovery;④close collaboration between medical staff and social community.
Objective:To investigate the effect of comprehensive rehabilitation system on the treatment of 54 earthquake patients with lower limb fracture.Methods: Fifty-four patients with lower limb fracture who were injuried in the Wenchuan earthquake were adopted in this study.All of the patients were treated with comprehensive rehabilitation system.The healing of the wound,the reduction of the fracture and the occurrence of fracture complication were observed clinically.At the same time,the lower limb function and the activity of daily living were recorded before and after the treatment.Results: After the thorough rehabilitation intervention,the limb function improved significantly,the range of motion improved from 218.61° at the admitted time to 237.5° at the discharged time(P<0.001).The Barthel index improved from 55.4 at the admitted time to 70.8 at the discharged time(P<0.001).Conclusion: Comprehensive rehabilitation system is critical for the functional recovery of lower limb fracture who were injuried in WenChuan earthquake.The consummate system should include: ①early intervention of rehabilitation and persistence in functional exercise;②exertion of the advantages of large comprehensive hospital and collaboration among multiple departments;③equal attention to functional recovery and psychological recovery;④close collaboration between medical staff and social community.
引文
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[3]张继红,杨晓媛,崔渝敏,等.200例地震致骨折伤员身心状况分析[J].护理学报,2008,15(10):89-91.
[4]祁长凤,刘松怀,张拉艳,等.地震伤残者的心理康复[J].中国康复理论与实践,2008,14(7):680-682.
[5]余秀君,何成奇,丁明甫,等.华西医院地震伤员康复医疗的应急体系[J].中国康复医学杂志,2008,23(7):585-586.
[6]MAHONEY F I,BARTHEL D W.Functional evaluation:the Bar-thel index[J].Md State Med J,1965,14:61-65.
[2]BOZKURT M,OCGUDER A,TURKTAS U,et al.The evalua-tion of trauma patients in Turkish Red Crescent Field Hospital fol-lowing the Pakistan earthquake in 2005[J].Injury,2007,38(3):290-297.
[3]张继红,杨晓媛,崔渝敏,等.200例地震致骨折伤员身心状况分析[J].护理学报,2008,15(10):89-91.
[4]祁长凤,刘松怀,张拉艳,等.地震伤残者的心理康复[J].中国康复理论与实践,2008,14(7):680-682.
[5]余秀君,何成奇,丁明甫,等.华西医院地震伤员康复医疗的应急体系[J].中国康复医学杂志,2008,23(7):585-586.
[6]MAHONEY F I,BARTHEL D W.Functional evaluation:the Bar-thel index[J].Md State Med J,1965,14:61-65.
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