下肢可调负重支具训练联合渐进性抗阻运动训练对股骨粗隆间骨折术后患者康复效果、髋关节功能和生活质量的影响

摘要 目的：探讨下肢可调负重支具训练联合渐进性抗阻运动训练在股骨粗隆间骨折术后患者中的应用效果。方法：按照随机数字表法将我院2020年3月~2021年6月间收治的93例股骨粗隆间骨折术后患者分为对照组（n=46，接受常规训练、渐进性抗阻运动训练）和研究组（n=47，接受常规训练、渐进性抗阻运动训练联合下肢可调负重支具训练）。观察并对比两组患者的临床指标、髋关节功能、疼痛情况、生活质量和并发症发生率。结果：与对照组相比，研究组的骨折愈合时间、住院天数、首次下床活动时间明显缩短（P<0.05）。干预1个月后、干预3个月后、干预6个月后，两组Harris髋关节功能评分依次升高，视觉疼痛模拟评分（VAS）依次下降（P<0.05），干预1个月后、干预3个月后、干预6个月后，研究组Harris髋关节功能评分高于对照组，VAS评分低于对照组（P<0.05）。干预6个月后，两组简明健康调查量表（SF-36）各维度评分均升高，且研究组高于对照组（P<0.05）。两组并发症发生率组间对比，差异不显著（P>0.05）。结论：股骨粗隆间骨折术后患者采用下肢可调负重支具训练联合渐进性抗阻运动训练，可促进髋关节功能恢复，减轻疼痛症状，提高生活质量。

Effect of Lower Limb Adjustable Weight Support Training Combined with Progressive Resistance Exercise Training on Rehabilitation Effect, Hip Joint Function and Quality of Life of Patients with Intertrochanteric Fracture of Femur after Operation

ABSTRACT Objective: To investigate the effect of lower limb adjustable weight support training combined with progressive resistance exercise training in patients with intertrochanteric fracture of femur after operation. Methods: 93 patients with intertrochanteric fracture after operation in our hospital from March 2020 to June 2021 were divided into control group (n=46, receiving conventional training and progressive resistance exercise training) and study group (n=47, receiving conventional training, progressive resistance exercise training combined with lower limb adjustable weight support training) according to the random number table method. Clinical indicators, hip function, pain condition, quality of life and incidence of complications were observed and compared between the two groups. Results: Compared with the control group, the fracture healing time, the length of hospital stay and the time of first ambulation in the study group were significantly shorter (P<0.05). 1 month after intervention, 3 months after intervention and 6 months after intervention, Harris hip function score increased in turn in both groups, and visual pain simulation score (VAS) decreased in turn (P<0.05). 1 month after intervention, 3 months after intervention and 6 months after intervention, Harris hip function score in the study group was higher than that in the control group, and the VAS score was lower than that in the control group (P<0.05). 6 months after intervention, the scores of all dimensions of the Short-Form-36 Health Survey (SF-36) in the two groups were increased, and the study group was higher than the control group (P<0.05). There was no significant difference in complication rate between two groups (P>0.05). Conclusion: Patients with intertrochanteric fracture after operation are treated with adjustable weight support training combined with progressive resistance exercise training can promote hip function recovery, reduce pain symptoms, and improve the quality of life.