股骨粗隆间骨折锁定钢板断裂的综合康复训练应用价值分析.docVIP

股骨粗隆间骨折锁定钢板断裂的综合康复训练应用价值分析 　　摘要：目的 研究并分析治疗股骨粗隆间骨折患者时使用锁定加压钢板内固定联合综合康复训练后对钢板断裂的干预情况。方法 收集股骨粗隆间骨折患者共91例，根据患者入院日期的单双号数分为45例对照组和46例观察组，对照组患者接受锁定加压钢板内固定治疗，观察组在此基础上进行综合康复训练。结果 观察组患者治疗后的钢板断裂发生率、钢板断钉发生率、钢板松动发生率均明显低于对照组，P均0.05。结论 在股骨粗隆间骨折患者的治疗过程中，联合锁定加压钢板内固定术和综合康复训练，能够有效降低术后锁定钢板的异常率，有利于促进患者康复。 　　关键词：股骨粗隆间骨折；锁定加压钢板内固定；综合康复训练；钢板断裂；应用价值 　　Abstract：Objective To study and analyze the intervention of locking compression plate fixation combined with comprehensive rehabilitation training in the treatment of femoral intertrochanteric fracture.Methods To collect femoral intertrochanteric fractures in patients with a total of 91 cases，according to the odd and even numbers of patients admitted to date the number of 45 cases of control group and 46 patients in the observation group，patients in the control group treated with locking compression plate internal fixation for the treatment，observation group on the basis of comprehensive rehabilitation training.Results In the observation group after treatment，the incidence of steel plate fracture，the incidence rate of steel plate breakage，loosening of the plate were significantly lower than that of the control group，P were0.05.Conclusion The femoral intertrochanteric fracture patients in the treatment process，joint locking compression plate internal fixation and comprehensive rehabilitation training，can effectively reduce the postoperative locking plate in the abnormal rate of，is conducive to promoting the rehabilitation of patients. 　　Key words：Femoral intertrochanteric fracture；Locking compression plate internal fixation；Comprehensive rehabilitation training；steel plate fracture；Application value 　　随着我国老龄化社会进程的加快，中老年骨折患者的数量也呈现出逐年上升的趋势，其中股骨粗隆间骨折是临床上常见的骨折病症之一，并发症的发生率和致死率均较高[1]。研究发现，导致中老年人群容易出现股骨粗隆间骨折的主要因素是股骨粗隆部位的骨密度不断下降，其发生骨折的风险就不断增大[2]。对于股骨粗隆间骨折患者而言，保守治疗会提高患者的并发症发生率，而手术治疗的效果则更为显著[3]。在本次研究中，对接受锁定加压钢板内固定治疗的股骨粗隆间骨折患者采用了综合康复训练，旨在探讨联合治疗对术后钢板断裂的干预价值，现报道如下。 　　1 资料与方法 　　1.1一般资料 选取2010年1月～2014年12月，我院收治的股骨粗隆间骨折患者共91例，根据患者入院日期的单双号数分为45例对照组和46