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PostPosted: Thu 11:36, 10 Mar 2011    Post subject: uggs outlet rotterdam 成人股&a

成人股骨粗隆间骨折髋关节功能恢复多因素分析
显著性差别。对于不稳定型粗隆骨折,临床上予牵引治疗,以便纠正畸形,减少出血,[link widoczny dla zalogowanych],减轻症状。本组结果分析表明,术前牵引无疑是很有必要的,[link widoczny dla zalogowanych],而且牵引时间对患者髋关节功能恢复并无太大影响,各组愈后并无差别。对于术前牵引时间的选择,国外也有人提出争论],是否有必要在髋部骨折发生后24h之内即施行外科手术治疗。笔者认为选用7―10d左右时间,内翻畸形基本纠正即可实施手术。3.7术后患者尽早实施功能锻炼被认为是骨折愈后的一个重要因素临床上笔者多鼓励患者尽可能早期功能锻炼,包括主动,被动训练,部分负重,完全负重。本组分为1周内,2周内,2周后3组,单因素结果统计表明开始功能锻炼时间越早,功能恢复越好。3组功能满意率分别为80%、69.2%、36.4%。但是,本组参入其余因素进行统计分析后,术后功能锻炼时间却被排除在模型之外,[link widoczny dla zalogowanych],可能与本组样本数目较少,或部分病例随访时间较短有关系。尽管如此,笔者仍然鼓励在稳定的内固定基础上,术后早期功能锻炼。股骨粗隆骨折后髋关节功能恢复需要多方面综合协调来确保疗效。首先应对其准确分型,这由患者受伤当时已经决定。在可以控制的因素上,术前做到尽量调整患者的身体状态,采用合理的治疗手段,术后尽可能早期功能锻炼,[link widoczny dla zalogowanych],早期下地,减少术后并发症,[link widoczny dla zalogowanych],以便更大程度改善患髋功能。
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