文章摘要
金培勇,陈洁莹,任蕾,张丽,张仁清,陈珏茹,夏锦明,胡军.改良定式易筋经对髋部骨折术后老年患者居家康复髋关节功能的影响[J].中国康复,2020,35(9):476-479
改良定式易筋经对髋部骨折术后老年患者居家康复髋关节功能的影响
Modified fixed Yijinjing efficacy on hip joint function of postoperative elderly patients with hip fracture in the household rehabilitation
  
DOI:
中文关键词: 改良定式易筋经  髋部骨折术后  老年人  居家康复
英文关键词: modified fixed Yijinjing  hip fracture postoperation  elderly  household rehabilitation
基金项目:
作者单位
金培勇 1.上海市第四康复医院上海 2000402.上海中医药大学康复医学院上海201203 
陈洁莹 上海市静安区江宁路街道社区卫生服务中心上海 200040 
任蕾 上海市第四康复医院上海 200040 
张丽 上海中医药大学康复医学院上海201203 
张仁清 上海市第四康复医院上海 200040 
陈珏茹 上海市第四康复医院上海 200040 
夏锦明 上海市第四康复医院上海 200040 
胡军 上海中医药大学康复医学院上海201203 
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中文摘要:
  目的:观察改良定式易筋经对髋部骨折术后老年患者居家康复髋关节功能的影响,为其在临床和居家康复中的指导应用提供依据。方法:髋部骨折术后患者,住院康复治疗1个月后,回归家庭的老年患者68例,随机分为对照组和干预组各34例,对照组进行常规居家康复训练,主要是关节活动力度、肌力、平衡以及日常生活活动的自我功能锻炼;干预组在对照组基础上加用改良定式易筋经。在干预前后对2组患者的髋关节功能(Harris评分)、日常生活活动能力(Barthel指数)、老年抑郁量表(GDS)进行随访评价。结果:干预3个月后,2组Harris及Bathel评分均明显高于干预前(均P<0.05);且干预组明显高于对照组(P<0.05);干预组GDS评分明显低于干预前及对照组(P<0.05),对照组GDS评分干预前后比较差异无统计学意义。结论:改良定式易筋经在居家康复的开展,可改善髋部骨折术后老年患者髋关节的功能和日常生活自理能力,对抑郁情绪的调整也有一定的积极作用。
英文摘要:
  Objective: To observe the effect of modified fixed Yijinjing exercises for postoperative elderly patients with hip fracture in the household rehabilitation, and provide evidence for guidance in clinical and household rehabilitation. Methods: Postoperative elderly patients with hip fracture were subjedted to rehabilitative treatment in hospital for one month. Thereafter, 68 elderly patients who returned home were divided into control group and treatment group,34 patiens in each group. The patients in control group were given the routine house rehabilitation training, including range of motion (ROM), muscle strength, balance and activity of daily life (ADL). The treatment group was gived the conventional household rehabilitation plus modified fixed type Yijinjing.Both groups of patients were evaluated with hip function scale (Harris), activities of daily living (Barthel index), geriatric depression scale (GDS) in the pre intervention period and after 3 months of intervention. Result:After 3 months of treatment,Harris and Bathel scores in both groups were significantly higher than those before treatment (All P<0.05), and those in the treatment group were significantly higher than in the control group (P<0.05). The GDS score in the intervention group was significantly lower than that in the control group before and after the treatment(P<0.05), and there was no statistically significant difference between the two groups before and after the treatment.Conclusion: The modified fixed type Yijinjing can improve the patient’s hip joint function, daily living ability and depression when postoperative elderly patients with hip fracture undergoes the household rehabilitation.
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