血液透析治疗对髋部骨折患者术后日常生活活动改善的影响。

Progress in rehabilitation medicine Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI:10.2490/prm.20230031
Keita Tai, Toshiya Mitsunaga, Moe Kawasumi, Takanori Kurata, Yuichi Sato, Ko Izumiyama
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引用次数: 0

摘要

目的:探讨血液透析(HD)对髋部骨折患者日常生活能力(ADL)的影响。方法:本研究包括28例急性髋部骨折患者(14例HD和14例非HD患者)。评估了年龄、性别、手术程序、住院时间、血清白蛋白、C反应蛋白(CRP)、物理治疗单位数量和功能独立性指标(FIM)等变量的影响。对于每个因素,在HD组和非HD组之间进行两组比较。结果:HD患者出院时总FIM和运动FIM、E-FIM和白蛋白水平均显著低于非HD患者。HD患者的住院时间明显更长。多元回归分析显示HD对E-FIM有负面影响。结论:研究结果表明,髋关节骨折HD患者的康复需要干预,不仅要提供标准的康复,还要解决肾脏康复的各个方面。
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Hemodialysis Treatment Influences Postoperative Activities of Daily Living Improvement for Patients with Hip Fractures.

Objectives: The aim of this study was to investigate the influences of hemodialysis (HD) on activities of daily living (ADL) in patients with hip fracture.

Methods: This study included 28 patients (14 HD and 14 non-HD patients) with acute hip fracture. The effects of variables such as age, sex, surgical procedure, length of hospital stay, serum albumin, C-reactive protein (CRP), number of physical therapy units, and functional independence measure (FIM) were assessed. For each factor, a two-group comparison was conducted between the HD and non-HD groups. Multiple regression analysis was used to examine the factors affecting FIM efficacy (E-FIM).

Results: For HD patients, total and motor FIM at discharge, E-FIM, and albumin level were significantly lower than in non-HD patients. Length of hospital stay was significantly longer for HD patients. Multiple regression analysis showed that HD had a negative effect on E-FIM.

Conclusions: The results suggest that rehabilitation for HD patients with hip fractures require intervention that not only provides standard rehabilitation but also addresses aspects of renal rehabilitation.

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