肱尺关节分离技术对上肢骨折后肘关节功能障碍的疗效
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摘要
目的探讨肱尺关节分离技术用于治疗上肢骨折后肘关节功能障碍的临床疗效。方法整群收集2013年1月—2015年1月该院收治的上肢骨折后肘关节功能障碍患者88例,随机分为观察组与对照组,44例每组。对照组应用传统关节松动术联合被动牵伸技术治疗,观察组实施肱尺关节分离技术及主动功能锻炼治疗,对比两组的疗效。结果治疗后两组的关节活动度(ROM)及关节功能评分(HSS)均显著提高,观察组分别为(112.05±19.64)°、(81.71±6.55)分,显著高于对照组的(80.34±21.94)°、(66.12±5.84)分(P<0.05)。结论对上肢骨折后肘关节功能障碍患者应用肱尺关节分离技术治疗能够更好地改善患者的关节活动度及关节功能,值得推广应用。
Objective To explore the clinical efficacy of humeroulnar distraction technique in treating elbow stiffness after upper limb fracture. Methods 88 patients with elbow stiffness due to upper limb fracture admitted to our hospital between January 2013 and January 2015 were selected and randomly divided into observation group and control group with 44 in each one. The control group adopted the combined traditional joint mobilizations and passive stretching, while the observation group used humeroulnar distraction technique assisted with active functional exercise. The efficacies were compared between the two groups. Results After treatment, range of motion(ROM) and joint function score(HSS) were significantly improved in both the two groups, and those in the observation group were(112.05 ± 19.64) ° and(81.71 ± 6.55) points, significantly higher than those in the control group(80.34±21.94) °,(66.12 ± 5.84) points(P<0.05).Conclusion Humeroulnar distraction technique is worthy of promotion in treating elbow stiffness after upper limb fracture because it can improve their ROM and HSS.
Objective To explore the clinical efficacy of humeroulnar distraction technique in treating elbow stiffness after upper limb fracture. Methods 88 patients with elbow stiffness due to upper limb fracture admitted to our hospital between January 2013 and January 2015 were selected and randomly divided into observation group and control group with 44 in each one. The control group adopted the combined traditional joint mobilizations and passive stretching, while the observation group used humeroulnar distraction technique assisted with active functional exercise. The efficacies were compared between the two groups. Results After treatment, range of motion(ROM) and joint function score(HSS) were significantly improved in both the two groups, and those in the observation group were(112.05 ± 19.64) ° and(81.71 ± 6.55) points, significantly higher than those in the control group(80.34±21.94) °,(66.12 ± 5.84) points(P<0.05).Conclusion Humeroulnar distraction technique is worthy of promotion in treating elbow stiffness after upper limb fracture because it can improve their ROM and HSS.
引文
[1]赵卫侠,刘波,张鑫等.综合康复疗法治疗上肢骨折术后肘关节功能障碍[J].中医正骨,2014(9):36-38.
[2]宗阳,范存义.肱骨远端骨折术后肘关节功能障碍因为分析[J].国际骨科学杂志,2011,32(2):87-88,107.
[3]尹正录,孟兆祥,张熙斌等.运动疗法结合可调式肘关节固定器治疗骨折后肘关节功能障碍的疗效观察[J].中华物理医学与康复杂志,2012,34(2):135-137.
[4]孙勇,王贺,邹吉峰,等.改良推拿结合肘关节松动术治疗创伤后肘关节功能障碍[J].中医正骨,2010,22(10):63-64.
[5]孟兆祥.可调式肘关节固定器在骨折后肘关节功能障碍康复中的应用[J].中华物理医学与康复杂志,2010,32(6):460-461.
[6]蒙显章.观察运动疗法结合可调式肘关节固定器治疗骨折后肘关节功能障碍的疗效[J].中国社区医师,2014(32):21,23.
[7]黄佳莹.骨折后肘关节功能障碍患者的综合康复治疗[J].中国保健营养,2014,24(7上旬刊):3815-3816.
[8]李洁,李云飞.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].中华物理医学与康复杂志,2010,32(7):527-530.
[2]宗阳,范存义.肱骨远端骨折术后肘关节功能障碍因为分析[J].国际骨科学杂志,2011,32(2):87-88,107.
[3]尹正录,孟兆祥,张熙斌等.运动疗法结合可调式肘关节固定器治疗骨折后肘关节功能障碍的疗效观察[J].中华物理医学与康复杂志,2012,34(2):135-137.
[4]孙勇,王贺,邹吉峰,等.改良推拿结合肘关节松动术治疗创伤后肘关节功能障碍[J].中医正骨,2010,22(10):63-64.
[5]孟兆祥.可调式肘关节固定器在骨折后肘关节功能障碍康复中的应用[J].中华物理医学与康复杂志,2010,32(6):460-461.
[6]蒙显章.观察运动疗法结合可调式肘关节固定器治疗骨折后肘关节功能障碍的疗效[J].中国社区医师,2014(32):21,23.
[7]黄佳莹.骨折后肘关节功能障碍患者的综合康复治疗[J].中国保健营养,2014,24(7上旬刊):3815-3816.
[8]李洁,李云飞.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].中华物理医学与康复杂志,2010,32(7):527-530.