[1]庞洪波,李 强.肘关节骨折术后早期康复的临床效果[J].医学信息,2021,34(23):80-83.[doi:10.3969/j.issn.1006-1959.2021.23.022]
 PANG Hong-bo,LI Qiang.Clinical Effect of Early Rehabilitation After Elbow Fracture SurgeryPANG Hong-bo,LI Qiang[J].Medical Information,2021,34(23):80-83.[doi:10.3969/j.issn.1006-1959.2021.23.022]
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肘关节骨折术后早期康复的临床效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年23期
页码:
80-83
栏目:
论著
出版日期:
2021-12-01

文章信息/Info

Title:
Clinical Effect of Early Rehabilitation After Elbow Fracture SurgeryPANG Hong-bo,LI Qiang
文章编号:
1006-1959(2021)23-0080-04
作者:
庞洪波李 强
(1.天津同安医院/天津市残疾人康复服务指导中心肢体康复科,天津 300000;2.天津市宁河区医院骨科,天津 300000)
Author(s):
PANG Hong-boLI Qiang
(1.Limb Rehabilitation Department,Tianjin Tong’an Hospital/Tianjin Disabled Rehabilitation Service Guidance Center,Tianjin 300000,China;2.Department of Orthopedics,Tianjin Ninghe District Hospital,Tianjin 300000,China)
关键词:
肘关节骨折术早期康复关节功能关节活动度
Keywords:
Elbow fracture surgeryEarly rehabilitationJoint functionJoint mobility
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.23.022
文献标志码:
A
摘要:
目的 探讨肘关节骨折术后行早期康复的临床效果。方法 选择2019年2月-2021年5月本院收治的74例肘关节骨折患者,按随机数字表法分为早期组和对照组,各37例。对照组行常规康复治疗,早期组行早期康复治疗。比较两组治疗前及治疗6周后肘关节功能评分(Mayo)、关节活动度、康复指标及并发症。结果 治疗6周后,两组Mayo评分中疼痛、稳定性、运动功能、日常生活能力评分均较治疗前上升,患肢关节患肢伸展、屈曲、前旋、后转角度均较治疗前扩大,且早期组优于对照组,差异有统计学意义(P<0.05);早期组症状消失时间、骨愈时间、关节功能恢复时间均短于对照组,并发症发生率(5.40%)低于对照组(27.03%),差异有统计学意义(P<0.05)。结论 肘关节骨折术后行早期康复治疗,可促进肘关节功能恢复,改善关节活动度,促进骨折愈合,还可降低并发症发生率。
Abstract:
Objective To investigate the clinical effect of early rehabilitation after elbow fracture surgery.Methods A total of 74 patients with elbow fracture admitted to our hospital from February 2019 to May 2021 were selected and divided into early group and control group according to random number table method, with 37 cases in each group. The control group received routine rehabilitation treatment, and the early group received early rehabilitation treatment. The elbow joint function score (Mayo), joint activity, rehabilitation index and complications were compared between the two groups before treatment and 6 weeks after treatment.Results After 6 weeks of treatment, the Mayo scores of pain, stability, motor function and daily living ability in the two groups were higher than those before treatment, and the extension, flexion, forward rotation and backward rotation angles of the affected limb joints were larger than those before treatment, and those in the early group were better than the control group, the difference was statistically significant (P<0.05). The symptom disappearance time, bone healing time and joint function recovery time in the early group were shorter than those in the control group, and the incidence of complications (5.40%) was lower than that in the control group (27.03%), the difference was statistically significant (P<0.05).Conclusion Early rehabilitation after elbow fracture surgery can promote the recovery of elbow joint function, improve joint activity, promote fracture healing, and reduce the incidence of complications.

参考文献/References:

[1]孙海燕,樊晨,孙海枫,等.主动运动训练在肘关节骨折术后功能恢复中的作用[J].中国骨与关节杂志,2021,10(7):541-545.[2]汪学玲,徐慧.持续静态牵伸联合被动运动训练在肘关节骨折术后患者中的应用[J].中国医药导报,2021,18(12):115-118.[3]Magee LC,Baghdadi S,Gohel S,et al.Complex Fracture-Dislocations of the Elbow in the Pediatric Population[J].J Pediatr Orthop,2021,41(6):e470-e474. [4]张流畅,黄平,李运进,等.影响肘关节骨折术后肘关节功能恢复情况的多因素分析[J].黑龙江医药,2020,33(3):652-654.[5]王利民,王继祖,李连欣.经鹰嘴肘关节骨折脱位的骨折特点及手术策略[J].中华肩肘外科电子杂志,2020,8(2):157-161.[6]方敏敏,赵萍.肘关节锻炼运动器联合个体化康复锻炼在肘关节骨折内固定术后的应用[J].中国骨与关节损伤杂志,2021,36(3):296-298.[7]张开宝,徐敏,邓焰峰.肘关节骨折术后异位骨化形成分析[J].中国骨与关节损伤杂志,2020,35(11):1208-1209.[8]许桦,沈立锋,俞华军,等.老年性肘关节骨折脱位的手术治疗[J].中国骨伤,2017,30(1):79-82.[9]廉小婧,李飞,万广亮,等.不同术式对小儿Gartland Ⅲ型肱骨髁上骨折患者肘关节功能康复质量的影响[J].北京医学,2021,43(5):469-471.[10]罗林坡,李萍,罗嘉慧.阶梯性康复训练联合持续静态牵伸技术对肘关节骨折患者术后关节功能恢复及预后的影响[J].中国康复,2020,35(7):362-365.[11]李野.综合康复疗法治疗上肢骨折术后肘关节功能障碍的临床效果[J].中国医药指南,2020,18(1):53-59.[12]Al-Hamdani A,Rasmussen JV,Sorensen AKB,et al.Good outcome after elbow hemiarthroplasty in active patients with an acute intra-articular distal humeral fracture[J].J Shoulder Elbow Surg,2019,28(5):925-930.[13]陈玲,蒋林峻.CPM结合早期康复训练在儿童肘部骨折术后肘关节功能障碍的康复疗效[J].重庆医学,2016,45(6):823-825.[14]左苇.早期运动康复对肘关节骨折后功能恢复的影响分析[J].基层医学论坛,2020,24(3):391-392.[15]Batheja D,Shahi P,Chadha M,et al.Pediatric Anterior Transolecranon Fracture-Dislocation of the Elbow: A Case Report and Review of Literature[J].Indian J Orthop,2021,55(2):508-512.[16]王辉.麝香活血散联合早期康复护理干预对儿童肱骨髁上骨折术后关节功能恢复及预后的影响[J].光明中医,2020,35(15):2336-2338.[17]占妍,徐勤容,邵丽珍,等.儿童肘关节周围骨折术后持续静态牵伸护理训练的临床效果观察[J].浙江医学,2021,43(8):898-900,907.[18]吴福春,陈捷,陈麟,等.中药熏洗配合静态进展性牵伸治疗上肢骨折术后早期肘关节功能障碍临床观察[J].中国中西医结合杂志,2019,39(12):1452-1456.[19]梁池章,尚如国,马丹,等.改良中医四联疗法促进儿童伸直型不稳定性肱骨髁上骨折术后功能康复的研究[J].中医药导报,2019,25(9):107-109.[20]孙银梅,王辞山,郭学德,等.早期康复训练对儿童不稳定性肱骨髁上骨折经皮克氏针固定术后肘关节功能恢复的疗效观察[J].中国医学前沿杂志(电子版),2021,13(8):5-9.

更新日期/Last Update: 1900-01-01