基层医院建立骨科-康复科治疗单元模式的临床实践探讨-海南医学.PDF

Vol.23 No.15 August 2012 HAINAN MEDICAL JOURNAL doi:10.3969/j.issn.1003-6350.2012.15.008 ·论 著· 基层医院建立骨科-康复科治疗单元模式的临床实践探讨 杨 勇，陈 伟，宋小强，胡 兵，曾本强，林桂君，孙 嘉，唐 风 （成都市温江区人民医院骨科，四川 成都 611130） 【摘要】 目的 探讨在基层医院建立骨科-康复科治疗单元的可行性及优越性，观察组织化医疗模式的临 床效果。方法 2005 年10 月至2010 年12 月，将200 例胫骨干骨折患者随机分为试验组(100 例)和对照组(100 例) 。试验组按照自行设计的骨科-康复科治疗单元模式进行治疗，对照组按照传统方法治疗，分别于手术前、手 术后14 d、90 d 及1 年对两组患者关节功能及疗效进行对比分析。结果 试验组治疗后膝、踝关节功能按 Johner-Wruhs 方法评价，优75 例，良21 例，中2 例，差2 例，优良率为96% 。对照组100例，优57 例，良24 例，中10 例，差9 例，优良率为81% ，试验组优良率明显高于对照组。结论 采用骨科-康复科治疗单元模式能明显改善患 者预后，提高患者的生活质量, 是适合我国基层医院骨科、康复科发展的治疗模式，具有可行性及优越性。 【关键词】 胫骨骨折；骨折；医院；医师诊疗模式 【中图分类号】R68 【文献标识码】A 【文章编号】 1003—6350（2012 ）15—019—04 Clinical study on setting up Orthopedics and Rehabilitation unit model in grass roots hospitals. YANGYong, CHEN Wei, SONG Xiao-qiang, HU Bing, ZENG Ben-qiang, LIN Gui-jun, SUN Jia, TANG Feng. Department of Orthopedics,PeoplesHospitalofWenjiangCity,Chengdu,611130,Sichuan,CHINA 【Abstract 】 Objective To explore the feasibility and advantages of setting up Orthopedics- rehabilitation unit model in grass roots hospitals, and observe the clinical curative effects of organized treatment model. Methods Two hundred patients with tibial shaft fractures from October 2005 to December 2010 were randomly divided into the study group (n=100) and the control group (n=100). The study group was treated with orthopedics-rehabilitation unit model, while the control group were treated with traditional method. Before surgery, 14 days, 90 days and one year af- ter surgery, the joint function and efficacy were analyzed between the two groups. Results After treatment, the func- tion of knee and ankle were e