目的 研究康复团队治疗老年髋部骨折患者的有效性。
方法 将2008年9月－2010年8月入住且行手术治疗的194例老年髋部骨折患者随机分为团队康复组92例和传统康复组102例，分别采用由康复治疗师、骨科医师、内科医师及护士共同完成的团队康复治疗和仅由康复治疗师完成的传统康复治疗。比较两组患者术后功能、并发症发生率、病死率、住院时间、再次住院率。
结果 团队康复组和传统康复组患者住院时间分别为（28.7±4.1）、（34.7±5.8）d，出院时Harris评分分别为（83.5±9.4）、（78.2±12.1）分，出院后3个月评分分别为（87.5±7.4）、（80.2±10.4）分，差异均有统计学意义（P＜0.05）。两组住院期间病死率及并发症发生率差异无统计学意义（P＞0.05）。
结论 康复团队治疗老年髋部骨折，可提高术后功能、缩短住院时间。
Citation：
马利群, 张慧伟, 刘凯, 王永才, 闫冰, 王红川, 蒋俊威. 康复团队治疗老年髋部骨折患者的疗效观察. West China Medical Journal, 2014, 29(11): 2105-2106. doi: 10.7507/1002-0179.20140633
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. Roche JJ, Wenn RT, Sahota O, et al. Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people:prospective observational cohort study[J]. BMJ, 2005, 331(7529):1374.
- 2. Dettoni F, Peveraro A, Dettoni A, et al. Epidemiology of hip fractures in northwestern Italy:a multicentric regional study on incidence of hip fractures and their outcome at 3-year follow-up[J]. Musculoskelet Surg, 2012, 96(1):41-46.
- 3. Fisher AA, Davis MW, Rubenach SE, et al. Outcomes for older patients with hip fractures:the impact of orthopedic and geriatric medicine cocare[J]. J Orthop Trauma, 2006, 20(3):172-178.
- 4. Gregersen M, Mørch MM, Hougaard K, et al. Geriatric intervention in elderly patients with hip fracture in an orthopedic ward[J]. J Inj Violence Res, 2012, 4(2):45-51.
- 5. 张祝英. 护理随访对髋部骨折患者术后康复效果影响[J]. 现代医院, 2011, 11(4):155-156.
- 6. 朱天岳. 不应该将人工股骨头置换的适应证扩大到股骨粗隆间骨折[J]. 临床骨科杂志, 1999, 2(1):82.
- 7. 薛华明, 杨安礼, 蔡珉巍, 等. 成人股骨粗隆间骨折髋关节功能恢复多因素分析[J]. 中国矫形外科杂志, 2007, 15(4):265-267.
- 8. 罗春强, 邱卫华, 红艳. 髋部老年性骨折围手术期的综合治疗[J]. 中国实用医药, 2014, 9(3):92-93.
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