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目的探讨不稳定性踝部骨折术后早期负重锻炼的作用。方法随机选取2016年1月—2017年1月进行不稳定性踝部骨折术的患者42例作为该次的研究对象,并随机将这组患者分为两组,常规组和观察组,常规组的患者在手术后进行6周的石膏固定之后允许负重锻炼,观察组的患者在手术之后进行早期负重锻炼。结束后,对两组患者的骨折愈合以及关节功能恢复的情况进行对比。结果两组患者踝关节周径差均出现了不同程度的好转,但结果主要表现为观察组的患者有更加良好的改善效果。在Kofoed的评分上也主要表现为,观察组的患者要明显好于常规组。VAS评分的结果显示,观察组能够更加有效的缓解患者的疼痛。观察组和常规组的对比结果差异有统计学意义(P<0.05)。结论对不稳定性踝部骨折术后进行早期负重锻炼,能够明显提高患者关节恢复的情况,促进患者关节的愈合.效果显著.值得在临床广泛推广以及府用。
Objective To investigate the effect of early weight-bearing exercise after unstable ankle fracture. Methods Forty-two patients with unstable ankle fracture were randomly selected from January 2016 to January 2017. The patients were randomly divided into two groups: conventional group, observation group, routine group Of patients received weight-bearing exercise after 6 weeks of gypsum fixation after surgery, and patients in the observation group received early weight-bearing exercises after surgery. After the end of the two groups of patients with fracture healing and recovery of joint function were compared. Results The difference in ankle circumference of the two groups showed some degree of improvement, but the results mainly showed that the patients in the observation group had better improvement effect. In Kofoed’s score also mainly for the observation group patients were significantly better than the conventional group. VAS score results showed that the observation group was able to more effectively alleviate the pain of patients. The difference between the observation group and the conventional group was statistically significant (P <0.05). Conclusions The early weight-bearing exercise after unstable fracture of the ankle can significantly improve the recovery of the patients and promote the healing of the patients, which is worth to be widely promoted in clinic and used in the clinic.