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[1]林光錨,劉良樂,葉麗潔,等.綜合康復(fù)計(jì)劃在肘部骨折術(shù)后康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2014,26(04):26-28.
　Lin Guangmao*,Liu Liangle,Ye Lijie,et al.Application of comprehensive rehabilitation program to postoperative rehabilitation of elbow fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(04):26-28.
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綜合康復(fù)計(jì)劃在肘部骨折術(shù)后康復(fù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年04期
頁碼:
26-28
欄目:
臨床研究
出版日期:
2014-04-30

文章信息/Info

Title:
Application of comprehensive rehabilitation program to postoperative rehabilitation of elbow fractures
作者:
林光錨; 劉良樂; 葉麗潔; 戴鳴海; 王偉良
溫州醫(yī)科大學(xué)附屬第三醫(yī)院,浙江 瑞安 325200
Author(s):
Lin Guangmao*; Liu Liangle; Ye Lijie; Dai Minghai; Wang Weiliang.*
The Third Affiliated Hospital of Wenzhou Medical University,Ruian 325200,Zhejiang,China
關(guān)鍵詞:
肘關(guān)節(jié) 骨折 手術(shù)后并發(fā)癥 肘關(guān)節(jié)僵硬 中醫(yī)康復(fù) 綜合療法
Keywords:
Elbow joint;  Fractures; bone;  Postoperative complications;  Elbow joint rigidity;  Rehabilitation(TCM);  Combined modality therapy
摘要:
目的:探討綜合康復(fù)計(jì)劃在肘部骨折術(shù)后康復(fù)中的應(yīng)用效果。方法:將72例肘部骨折術(shù)后患者隨機(jī)分為2組,觀察組35例和對(duì)照組37例。觀察組采用綜合康復(fù)計(jì)劃治療,對(duì)照組采用傳統(tǒng)康復(fù)鍛煉法治療。分別于術(shù)后2周、4周和12周,采用Mayo評(píng)分法評(píng)價(jià)2組患者的肘關(guān)節(jié)功能。同時(shí),觀察對(duì)比2組患者肘關(guān)節(jié)僵硬的發(fā)生率。結(jié)果:①肘關(guān)節(jié)功能。不同時(shí)間點(diǎn)間肘關(guān)節(jié)功能Mayo評(píng)分的差異有統(tǒng)計(jì)學(xué)意義(F=143.693,P=0.000); 2組患者肘關(guān)節(jié)功能Mayo評(píng)分的組間差異總體上有統(tǒng)計(jì)學(xué)意義(t=19.924,P=0.000),進(jìn)一步比較顯示術(shù)后2周、4周、12周觀察組的肘關(guān)節(jié)功能Mayo評(píng)分均高于對(duì)照組[(48.52±7.78)分,(36.68±5.28)分,t=24.025,P=0.000;(71.92±6.57)分,(55.78±4.72)分,t=25.234,P=0.000;(88.65±9.47)分,(61.36±7.76)分,t=28.338,P=0.000]; 時(shí)間因素與分組因素存在交互效應(yīng)(F=21.863,P=0.000)。②肘關(guān)節(jié)僵硬發(fā)生率。觀察組1例患者術(shù)后出現(xiàn)肘關(guān)節(jié)僵硬而影響日常生活,需返院行關(guān)節(jié)鏡下松解術(shù); 對(duì)照組15例患者術(shù)后出現(xiàn)肘關(guān)節(jié)僵硬而影響日常生活,需返院行黏連松解術(shù)。觀察組術(shù)后肘關(guān)節(jié)僵硬的發(fā)生率低于對(duì)照組(χ2=14.770,P=0.000)。結(jié)論:在肘部骨折術(shù)后康復(fù)中采用綜合康復(fù)計(jì)劃,可以預(yù)防肘關(guān)節(jié)僵硬的發(fā)生,改善肘關(guān)節(jié)功能,康復(fù)效果確切,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the effect of comprehensive rehabilitation program on postoperative rehabilitation of elbow fractures.Methods:Seventy-two patients with elbow fractures were randomly divided into 2 groups after the surgery,35 cases in observation group were treated with comprehensive rehabilitation,while 37 cases in control group were treated with traditional rehabilitation exercise.The function of elbow joint were evaluated by using Mayo Elbow Performance Score(MEPS)at 2,4 and 12 weeks after the surgery.Meanwhile,the incidence of elbow joint stiffness were observed and compared between the 2 groups.Results:There was statistical difference in MEPS between different time points(F=143.693,P=0.000).There was statistical difference in the MEPS between the 2 groups(t=19.924,P=0.000),and further comparison indicated that the MEPS of observation group were higher than those of control group 2,4 and 12 weeks after the surgery(48.52+/-7.78 vs 36.68+/-5.28 points,t=24.025,P=0.000; 71.92+/-6.57 vs 55.78+/-4.72 points,t=25.234,P=0.000; 88.65+/-9.47 vs 61.36+/-7.76 points,t=28.338,P=0.000).There was interaction effect between time factor and grouping factor(F=21.863,P=0.000).Postoperative elbow joint stiffness were found in one patient(observation group)and 15 patients(control group),whose daily life were affected,and then the patients were treated with arthroscopic lysis.The incidence of postoperative elbow joint stiffness of observation group was lower than that of the control group(χ2=14.770,P=0.000).Conclusion:The application of comprehensive rehabilitation program can prevent the elbow joint stiffness and improve the elbow joint function after the surgery for elbow fractures,and it is worth popularizing in clinic for its reliable rehabilitative effect.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省中醫(yī)藥科學(xué)研究基金項(xiàng)目(2010ZB140), 浙江省瑞安科技基金資助項(xiàng)目(201102056) 通訊作者:劉良樂 E-mail:[email protected]
更新日期/Last Update: 1900-01-01