摘要
目的:探讨生物反馈疗法联合常规康复训练对老年女性股骨颈骨折患者的影响。方法:选取2017年8月—2022年5月湖北航天医院收治的126例老年女性股骨颈骨折患者,使用随机数表法将其分为观察组及对照组,各63例。对照组接受常规康复训练,观察组在对照组基础上加用生物反馈疗法,比较两组的康复优良率、尿失禁严重程度、盆底肌力及功能康复评分。结果:观察组康复优良率为95.24%,高于对照组的84.13%,差异有统计学意义(P<0.05)。干预前,两组尿失禁严重程度评分比较,差异无统计学意义(P>0.05);干预1个月后,两组尿失禁严重程度各项评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组盆底肌力比较,差异无统计学意义(P>0.05);干预1个月后,观察组盆底肌力优于对照组,差异有统计学意义(P<0.05)。干预前,两组Harris髋关节评分、功能独立性评定量表(FIM)评分及视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);干预1个月后,两组Harris髋关节评分及FIM评分均高于干预前,VAS评分均低于干预前;且观察组Harris髋关节评分及FIM评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。结论:生物反馈疗法联合常规康复训练可改善老年女性股骨颈骨折患者术后排尿功能,增强盆底肌力,优化髋关节功能,降低疼痛程度,效果显著。
Objective:To explore the effect of biofeedback therapy combined with routine rehabilitation training on elderly female patients with femoral neck fracture.Method:A total of 126 elderly female patients with femoral neck fracture admitted to Hubei Aerospace Hospital from August 2017 to May 2022 were selected and divided into observation group and control group using random number table method,with 63 cases in each group.The control group received routine rehabilitation training,and the observation group received biofeedback therapy on the basis of the control group.The rehabilitation excellent and good rate,urinary incontinence severity,pelvic floor muscle strength and functional rehabilitation scores of the two groups were compared.Result:The excellent and good rate of rehabilitation in the observation group was 95.24%,which was higher than 84.13%in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in urinary incontinence severity scores between the two groups(P>0.05).After 1 month of intervention,the scores of urinary incontinence severity in two groups were lower than those before intervention,and observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in pelvic floor muscle strength between the two groups(P>0.05).After 1 month of intervention,the pelvic floor muscle strength of the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in Harris hip joint score,functional independence measure(FIM)score and visual analogue scale(VAS)score between the two groups(P>0.05).After 1 month of intervention,Harris hip score and FIM score of both groups were higher than those before intervention,and VAS score was lower than that before intervention,and the Harris hip score and FIM score of the observation group were higher than those of the control group,and the VAS score was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Biofeedback therapy combined with routine rehabilitation training can improve postoperative urinary function,enhance pelvic floor muscle strength,optimize hip joint function,and reduce the degree of pain in elderly female patients with femoral neck fracture,and the effect is remarkable.
作者
张光年
刘婉莹
ZHANG Guangnian;LIU Wanying(Hubei Aerospace Hospital,Xiaogan 432000,China;不详)
出处
《中外医学研究》
2023年第27期168-172,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
股骨颈骨折
生物反馈疗法
排尿功能
盆底肌力
Femoral neck fracture
Biofeedback therapy
Urinary function
Pelvic floor muscle strength
