绵竹地区地震中胫腓骨骨折伤员功能恢复的影响因素分析
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摘要
目的:分析绵竹地区地震中胫腓骨骨折伤员功能恢复情况与各影响因素之间的关系,阐明伤后有效控制各影响因素的重要性。方法:以调查问卷方式对绵竹地区86例地震中胫腓骨骨折已愈合的伤员进行随访。采用Johner-Wruhs胫腓骨骨折疗效评定标准评定骨折功能恢复情况,对可能影响骨折功能恢复及预后的12项因素,做单因素分析和Logistic逐步回归分析。结果:Logistic回归分析结果显示,影响胫腓骨骨折功能恢复的变量为:制动时间、年龄、性别与康复介入情况。接受过康复治疗与骨折功能恢复呈正相关(P<0.05);制动时间长、女性、高龄与骨折功能恢复呈负相关(P<0.05)。结论:胫腓骨骨折功能恢复与多种影响因素有关,减少制动时间,尽早介入康复训练,有助于患者的功能恢复。
Objective:To analysis the relationship between the various factors and functional recovery after tibia and fibula fractures of earthquake survivors in Sichuan-Mianzhu district.Method:Eighty-six victims with tibia and fibula fractures were invested by on-site survey.The functional status after fracture was evaluated by Johner-Wruhs' criteria.Twelve possible parameters that influenced the functional status after fracture were included.The univariate analysis and Logistic regression analysis were employed.Result:The results of Logistic regression showed that the influencing factors were immobilization duration,gender,age and rehabilitation intervention.The functional status after fracture were negatively correlated with long immobilization duration,female and elder(P<0.05),while positively with rehabilitation intervention(P<0.05).Conclusion:The functional recovery after tibia and fibula fractures were related to immobilization duration,rehabilitation training,gender and age.This may provide evidence for future strategy making for massive natural disasters for lower limb fractures and rehabilitation.
Objective:To analysis the relationship between the various factors and functional recovery after tibia and fibula fractures of earthquake survivors in Sichuan-Mianzhu district.Method:Eighty-six victims with tibia and fibula fractures were invested by on-site survey.The functional status after fracture was evaluated by Johner-Wruhs' criteria.Twelve possible parameters that influenced the functional status after fracture were included.The univariate analysis and Logistic regression analysis were employed.Result:The results of Logistic regression showed that the influencing factors were immobilization duration,gender,age and rehabilitation intervention.The functional status after fracture were negatively correlated with long immobilization duration,female and elder(P<0.05),while positively with rehabilitation intervention(P<0.05).Conclusion:The functional recovery after tibia and fibula fractures were related to immobilization duration,rehabilitation training,gender and age.This may provide evidence for future strategy making for massive natural disasters for lower limb fractures and rehabilitation.
引文
[1]张霞,卞荣,励建安,等.四川江油地震伤员康复状况分析[J].中国康复医学杂志,2009,24(1):5—8.
[2]Johner R,Wruhs O.Classification of tibial shaft fractures and correlation with results after rigid internal fixation[J].Clin Orthop Relat Res,1983,178:7—25.
[3]Alemdarolu KB,Tiftikci U,Iltar S,et a1.Factors affecting the fracture healing in treatment of tibial shaft fractures with circular external fixator[J].Injury,2009,40(11):1151—1156.
[4]Zhang JP,Zeng M,Tan JS,et al.Less invasive fixation for the treatment of comminuted fracture of distal tibia[J].Zhongguo Gu Shang,2009,22(7):547—548.
[5]张海波,张世清,王义生.经皮微创钢板接骨术治疗胫骨近侧干骺端骨折的临床观察[J].中国矫形外科杂志,2006,14(14):1055—1057.
[6]倪国新.制动对骨骼肌的影响[J].中华物理医学与康复杂志,2000,22(2):125—126.
[7]Hather BM,Adams GR,Tesch PA,et a1.Skeletal muscle responses to lower limb suspension in humans[J].J Appl Physiol,1992,72(4):1493—1498.
[8]Watson PA,Blair W.Entrapment of the index flexor digitorum profundus tendon after fracture of both forearm bones in a child[J].Lowa Orthop J,1999,19:127—128.
[9]Poelkens F,Thijssen DH,Kersten B,et a1.Counteracting venous stasis during acute lower leg immobilization[J].Acta Physiol(Oxf),2006,186(2):111—118.
[10]Dahl MT,Gulli B,Berg T.Complications of limb lengthening.A learning curve[J].Clin Orthop Relat Res,1994,301:10—18.
[11]Kuptniratsaikul V,Tosayanonda O,Nilganuwong S,et a1.The efficacy of a muscle exercise program to improve functional performance of the knee in patients with osteoarthritis[J].J Med Assoc Thai,2002,85(1):33—40.
[12]励建安.汶川地震为康复医学发展带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583—584.
[13]陆廷仁.骨科康复学[M].北京:人民卫生出版社,2007.645—646.
[14]Ferrandez L,Curto J,Sanchez J.Orthopaedic treatment in tibial diaphyseal fractures.Risk factors affecting union[J].Arch Orthop Trauma Surg,1991,111(1):53—57.
[2]Johner R,Wruhs O.Classification of tibial shaft fractures and correlation with results after rigid internal fixation[J].Clin Orthop Relat Res,1983,178:7—25.
[3]Alemdarolu KB,Tiftikci U,Iltar S,et a1.Factors affecting the fracture healing in treatment of tibial shaft fractures with circular external fixator[J].Injury,2009,40(11):1151—1156.
[4]Zhang JP,Zeng M,Tan JS,et al.Less invasive fixation for the treatment of comminuted fracture of distal tibia[J].Zhongguo Gu Shang,2009,22(7):547—548.
[5]张海波,张世清,王义生.经皮微创钢板接骨术治疗胫骨近侧干骺端骨折的临床观察[J].中国矫形外科杂志,2006,14(14):1055—1057.
[6]倪国新.制动对骨骼肌的影响[J].中华物理医学与康复杂志,2000,22(2):125—126.
[7]Hather BM,Adams GR,Tesch PA,et a1.Skeletal muscle responses to lower limb suspension in humans[J].J Appl Physiol,1992,72(4):1493—1498.
[8]Watson PA,Blair W.Entrapment of the index flexor digitorum profundus tendon after fracture of both forearm bones in a child[J].Lowa Orthop J,1999,19:127—128.
[9]Poelkens F,Thijssen DH,Kersten B,et a1.Counteracting venous stasis during acute lower leg immobilization[J].Acta Physiol(Oxf),2006,186(2):111—118.
[10]Dahl MT,Gulli B,Berg T.Complications of limb lengthening.A learning curve[J].Clin Orthop Relat Res,1994,301:10—18.
[11]Kuptniratsaikul V,Tosayanonda O,Nilganuwong S,et a1.The efficacy of a muscle exercise program to improve functional performance of the knee in patients with osteoarthritis[J].J Med Assoc Thai,2002,85(1):33—40.
[12]励建安.汶川地震为康复医学发展带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583—584.
[13]陆廷仁.骨科康复学[M].北京:人民卫生出版社,2007.645—646.
[14]Ferrandez L,Curto J,Sanchez J.Orthopaedic treatment in tibial diaphyseal fractures.Risk factors affecting union[J].Arch Orthop Trauma Surg,1991,111(1):53—57.
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