目的 探讨微创钢板固定技术(MIPPO)联合循序渐进式康复训练治疗胫骨干骨折的临床疗效以及对患者生活质量的影响.方法 选择50例患者随机分为观察组和对照组各25例,两组患者均采用MIPPO治疗,对照组实施常规康复训练,观察组实施循序渐进式康复训练,比较二者治疗效果.结果 观察组患者术后第1次下地时间早于对照组,术后2周单次最远行走距离远于对照组,临床治疗效果明显优于对照组,SF-36量表评分高于高于对照组,差异有统计学意义(P<0.05).结论 MIPPO联合循序渐进式康复训练治疗胫骨干骨折有利于骨折愈合,提高骨折愈合质量,改善患者术后生活质量,值得临床推广应用.%Objective To investigate the clinical efficacy of Minimally Invasive Percutaneous Plate Osteosynthesis( MIP-PO) combined with step by step rehabilitation training in the treatment of tibial shaft fractures and the effect on patient's quality of life. Methods 50 cases were randomly equally divided into two groups. Both groups were treated with MIPPO and the control group was received routine rehabilitation training while the observation group was given by step rehabilitation training. The efficacy of them was compared. Results The time of first visit to the ground in the observation group was earlier than that in the control group. And the farthest single walking distance in the observation group was longer than that in the control group 2 weeks after op-eration. The observation group had better clinical efficacy and higher score of SF-36 than the control group ( P<0. 05 ) . Conclu-sions MIPPO combined with step by step rehabilitation training in the treatment of tibial shaft fractures contributes to fracture healing,improves the quality of healing and ameliorates the quality. It is worthy of promotion.
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