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目的:探讨老年股骨粗隆间骨折PFNA术后的康复训练对髋关节的功能恢复情况的影响。方法:对我科2015年1月-2015年6月收治的56例老年股骨粗隆间骨折行PFNA手术的患者进行规范化的康复训练及指导。结果:56例病人均在术后3周内已扶双拐或助行器下床做患肢不负重行走,术后2个月均已能扶双拐或助行器逐渐负重行走,术后5个月已弃拐或助行器行走,髋关节功能恢复良好,均无并发症发生。结论:正确有效的康复训练,可预防切口延期愈合、关节僵硬、深静脉血栓形成、肺部感染、便秘、压疮等并发症的发生,利于患者髋关节功能恢复,提高了患者的生活质量。
Objective: To investigate the effect of rehabilitation training of elderly femoral intertrochanteric fracture PFNA on functional recovery of hip joint. Methods: A total of 56 elderly patients with intertrochanteric fractures treated with PFNA from January 2015 to June 2015 were enrolled in the standardized rehabilitation training and guidance. Results: All the 56 patients had been assisted by crutches or aids to get the affected limbs to walk without weight within 3 weeks after operation. After 2 months, the patients were able to walk with both crutches and walking aids, 5 months have abandoned Abduction or walking aid, hip function recovered well, no complications. Conclusion: Correct and effective rehabilitation training can prevent postoperative incision delayed healing, joint stiffness, deep venous thrombosis, pulmonary infection, constipation, pressure ulcers and other complications, which will benefit the recovery of hip joint function and improve the quality of life of patients.