早期运动康复对肘关节骨折后功能恢复的效果分析
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摘要
目的:探究早期运动康复对肘关节骨折后功能恢复的影响。方法:回顾性分析2017年1月-2018年7月本院收治的80例肘关节骨折并施行内固定术后患者的临床资料,按干预方法不同将其分为对照组和试验组,每组40例。试验组开展早期运动康复干预,对照组开展常规康复干预,比较两组的改良肘关节HSS评分以及疼痛评分。结果:干预前,两组改良肘关节HSS评分以及疼痛评分对比,差异均无统计学意义(P>0.05);干预后,试验组患者的改良肘关节HSS评分高于对照组,疼痛评分低于对照组,差异均有统计学意义(P<0.05)。结论:对肘关节骨折患者开展早期运动康复,可提高肘关节HSS评分,降低疼痛评分,值得临床推广。
Objective:To explore the effect of early exercise rehabilitation on functional recovery after elbow fracture.Method:A retrospective analysis was performed on the clinical data of 80 cases of elbow fracture treated in our hospital from January 2017 to July 2018 after internal fixation.They were divided into control group and experimental group according to different intervention methods,with 40 cases in each group.Early exercise rehabilitation intervention was carried out in the experimental group,and routine rehabilitation intervention was carried out in the control group.HSS and pain scores of modified elbow joints were compared between the two groups.Result:Before intervention,there were no significant differences in HSS score and pain score between the two groups(P>0.05);after intervention,the HSS score of the improved elbow joint in the experimental group was higher than that in the control group,and the pain score was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:Early exercise rehabilitation for patients with elbow fracture can improve HSS score of elbow joint and reduce pain score,which is worthy of clinical promotion.
Objective:To explore the effect of early exercise rehabilitation on functional recovery after elbow fracture.Method:A retrospective analysis was performed on the clinical data of 80 cases of elbow fracture treated in our hospital from January 2017 to July 2018 after internal fixation.They were divided into control group and experimental group according to different intervention methods,with 40 cases in each group.Early exercise rehabilitation intervention was carried out in the experimental group,and routine rehabilitation intervention was carried out in the control group.HSS and pain scores of modified elbow joints were compared between the two groups.Result:Before intervention,there were no significant differences in HSS score and pain score between the two groups(P>0.05);after intervention,the HSS score of the improved elbow joint in the experimental group was higher than that in the control group,and the pain score was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion:Early exercise rehabilitation for patients with elbow fracture can improve HSS score of elbow joint and reduce pain score,which is worthy of clinical promotion.
引文
[1]陈朝清.早期运动康复对肘关节骨折后功能恢复的影响[J].中国伤残医学,2016,24(14):60-61.
[2]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.
[3]李范强,张荣斌,郑蓉,等.持续被动活动机联合早期康复训练对肘部骨折术后肘关节功能障碍患儿康复的效果[J].齐齐哈尔医学院学报,2017,38(12):1403-1404.
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[5]曹晶晶,唐金树,周谋望,等.肘关节骨折术后早期康复的临床疗效观察[J].中国骨与关节杂志,2016,5(3):194-198.
[6]冯瑞萍,刘桂凌.日常生活活动能力锻炼在肘部骨折术后早期功能锻炼中的应用[J].中医正骨,2016,28(6):76-77.
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[8]叶冬梅,陈琛.可调式肘关节固定器联合运动疗法在骨折后肘关节功能障碍康复中的疗效分析[J].中国实用医药,2016,11(35):195-196.
[9]黄芃,韩璐.儿童肱骨外髁骨折综合康复治疗与传统康复治疗的效果对比[J].现代诊断与治疗,2015,26(21):4916-4917.
[10]马刚.肘关节骨折患者采取早期运动康复训练的临床意义[J].中医临床研究,2015,7(29):115-116.
[11]李秀芳,郭英俊,王丽萍,等.早期功能训练对肘关节骨折患者预后的影响[J].海南医学院学报,2014,20(8):1151-1153.
[12]侯晓玲,李凤兰,刘莉慧,等.肱骨远端骨折术后早期康复影响因素的临床护理研究[J].华西医学,2014,29(1):118-120.
[13]王雷,苏露煜,葛宏升,等.渐进式运动手法配合中药内服外敷对成人肱骨远端骨折术后肘关节功能恢复的影响[J].世界中西医结合杂志,2017,12(12):1699-1702.
[14]刘尊武,周峰.综合物理因子联合可调节式肘关节固定器对骨折后肘关节功能障碍的影响[J].按摩与康复医学,2015,6(14):50-51.
[15]黄国英,黄东,余超群,等.持续被动运动在尺骨鹰嘴粉碎性骨折术后康复中的应用[J].广东医学,2016,37(14):2154-2156.
[16]林砚铭,黄勇,樊效鸿.手法复位外固定治疗肱骨干骨折[J].时珍国医国药,2014,25(10):2463-2464.
[17]刘扬,刘勇,张迪,等.学龄前期小儿肱骨髁上骨折肘关节功能障碍的综合康复治疗[J].中国康复理论与实践,2013,19(12):1186-1188.
[18]乔冠儒,曹银吉,姜荣辉,等.肱尺关节分离技术对上肢骨折后肘关节功能障碍的疗效[J].中外医疗,2015,32(25):80-81.
[19]李岳瑞,张旭,俞泉,等.综合康复疗法治疗上肢骨折术后肘关节功能障碍35例临床观察[J].中国民族民间医药,2015,24(13):89-90.
[2]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.
[3]李范强,张荣斌,郑蓉,等.持续被动活动机联合早期康复训练对肘部骨折术后肘关节功能障碍患儿康复的效果[J].齐齐哈尔医学院学报,2017,38(12):1403-1404.
[4]吴丽梅,陈红卫.早期综合康复护理对复杂肘关节骨折术后功能恢复的干预效果[J].中国医药导报,2016,13(24):89-92.
[5]曹晶晶,唐金树,周谋望,等.肘关节骨折术后早期康复的临床疗效观察[J].中国骨与关节杂志,2016,5(3):194-198.
[6]冯瑞萍,刘桂凌.日常生活活动能力锻炼在肘部骨折术后早期功能锻炼中的应用[J].中医正骨,2016,28(6):76-77.
[7]宫玉志,朱贺荣,许建生,等.肱骨远端骨折患者影响术后肘关节功能恢复的多因素分析[J].广西医科大学学报,2016,33(3):482-484.
[8]叶冬梅,陈琛.可调式肘关节固定器联合运动疗法在骨折后肘关节功能障碍康复中的疗效分析[J].中国实用医药,2016,11(35):195-196.
[9]黄芃,韩璐.儿童肱骨外髁骨折综合康复治疗与传统康复治疗的效果对比[J].现代诊断与治疗,2015,26(21):4916-4917.
[10]马刚.肘关节骨折患者采取早期运动康复训练的临床意义[J].中医临床研究,2015,7(29):115-116.
[11]李秀芳,郭英俊,王丽萍,等.早期功能训练对肘关节骨折患者预后的影响[J].海南医学院学报,2014,20(8):1151-1153.
[12]侯晓玲,李凤兰,刘莉慧,等.肱骨远端骨折术后早期康复影响因素的临床护理研究[J].华西医学,2014,29(1):118-120.
[13]王雷,苏露煜,葛宏升,等.渐进式运动手法配合中药内服外敷对成人肱骨远端骨折术后肘关节功能恢复的影响[J].世界中西医结合杂志,2017,12(12):1699-1702.
[14]刘尊武,周峰.综合物理因子联合可调节式肘关节固定器对骨折后肘关节功能障碍的影响[J].按摩与康复医学,2015,6(14):50-51.
[15]黄国英,黄东,余超群,等.持续被动运动在尺骨鹰嘴粉碎性骨折术后康复中的应用[J].广东医学,2016,37(14):2154-2156.
[16]林砚铭,黄勇,樊效鸿.手法复位外固定治疗肱骨干骨折[J].时珍国医国药,2014,25(10):2463-2464.
[17]刘扬,刘勇,张迪,等.学龄前期小儿肱骨髁上骨折肘关节功能障碍的综合康复治疗[J].中国康复理论与实践,2013,19(12):1186-1188.
[18]乔冠儒,曹银吉,姜荣辉,等.肱尺关节分离技术对上肢骨折后肘关节功能障碍的疗效[J].中外医疗,2015,32(25):80-81.
[19]李岳瑞,张旭,俞泉,等.综合康复疗法治疗上肢骨折术后肘关节功能障碍35例临床观察[J].中国民族民间医药,2015,24(13):89-90.