物理因子在下肢截肢残端康复中的应用及疗效观察
|
摘要
目的:探讨物理因子在下肢截肢残端康复治疗中的应用疗效。方法:选择本院收治的外伤后下肢截肢病人60例,随机分为康复组及对照组各30例。对照组采取功能训练、心理康复干预及穿戴压力衣等常规治疗,康复组在对照组的基础上结合蜡疗、中药熏洗、中频脉冲电治疗三种物理因子疗法进行治疗。治疗后两组患者通过MMT肌力评定法、VAS疼痛评分,评估残肢肌力和残端疼痛程度,以判定疗效。结果:治疗后,两组患者的肌力分级、VAS评分均较治疗前显著改善(P<0.05),且干预组治疗后的肌力分级、VAS评分显著优于对照组(P<0.05)。结论:物理因子在下肢截肢残端康复治疗中,在改善截肢残端肌力与缓解疼痛方面效果显著,值得临床推广。
Objective: To investigate the therapeutic effect of physical factors on the rehabilitation of amputation of lower extremity. Method: 60 cases of lower limb amputation were randomly divided into rehabilitation group(n=30) and control group(n=30).The control group was treated with functional training, psychological rehabilitation intervention and wearing pressure suit. The rehabilitation group on the basis of conventional treatment combined with wax therapy and traditional Chinese medicine fumigation, intermediate frequency electric pulse treatment of the three kinds of physical factors therapy. After treatment of two groups of patients by MMT strength assessment method, VAS pain score, evaluation stump muscle strength and stump pain degree, to judge the curative effect. Results: After treatment, the patients in the two groups of muscle strength and VAS pain score were compared with those before treatment has improved(P<0.05), but the rehabilitation treatment group after the improvement of muscle strength, VAS pain score were significantly better than the control group, the degree of difference with statistical significance(P<0.05). Conclusion:Physical factors in the rehabilitation treatment of amputation stump, in improving the amputation stump muscle strength and relieve pain, the effect is remarkable, it is worthy of clinical promotion.
Objective: To investigate the therapeutic effect of physical factors on the rehabilitation of amputation of lower extremity. Method: 60 cases of lower limb amputation were randomly divided into rehabilitation group(n=30) and control group(n=30).The control group was treated with functional training, psychological rehabilitation intervention and wearing pressure suit. The rehabilitation group on the basis of conventional treatment combined with wax therapy and traditional Chinese medicine fumigation, intermediate frequency electric pulse treatment of the three kinds of physical factors therapy. After treatment of two groups of patients by MMT strength assessment method, VAS pain score, evaluation stump muscle strength and stump pain degree, to judge the curative effect. Results: After treatment, the patients in the two groups of muscle strength and VAS pain score were compared with those before treatment has improved(P<0.05), but the rehabilitation treatment group after the improvement of muscle strength, VAS pain score were significantly better than the control group, the degree of difference with statistical significance(P<0.05). Conclusion:Physical factors in the rehabilitation treatment of amputation stump, in improving the amputation stump muscle strength and relieve pain, the effect is remarkable, it is worthy of clinical promotion.
引文
[1]谭宏昌,彭智,截肢病人残端综合征的康复治疗[J],现代康复,2000,4(3):384-385.
[2]何海洪,杨春梅,王晓凤.基础护理学[M].第4版.北京:人民卫生出版社,201l:52-53.
[3]南登崑,李晶.充分发挥物理因子的康复治疗作用[J].中华物理医学与康复杂.志,2003,25(6):321.
[4]周峰,刘尊武.物理因子治疗膝关节骨性关节炎的临床疗效及其对患者生活质量的影响[J].按摩与康复医学,2015,4(8):62-63.
[5]徐文斌,熊俊龙,戴文俊,等.物理因子干预治疗膝关节骨性关节炎[J].长春中医药大学学报,2015,31(6):1268-1271.
[6]王凤华.局部换药联合物理因子治疗剖宫产术后切口愈合不良效果观察[J].中国保健营养旬刊,2014,24(7):114-116.
[7]李雅荣,中药熏蒸配合蜡疗治疗风湿性关节炎疗效观察[J],按摩与康复医学,2014,5(4):111-112.
[8]南登皇.康复医学[M].3版.北京:人民卫生出版社,2004:159.
[9]李丽,王传英,李庆波,等,悬吊运动技术联合蜡疗治疗慢性下背痛的疗效观察[J].中华物理医学与康复杂志,2010,32(10):775-776.
[10]南登昆.康复医学[M].北京:人民卫生出版社,2008:133-134.
[11]余淑侦.针刺配合中频脉冲电疗法治疗肩周炎疗效观察[J].按摩与康复医学2014,5(10):40-41.
[2]何海洪,杨春梅,王晓凤.基础护理学[M].第4版.北京:人民卫生出版社,201l:52-53.
[3]南登崑,李晶.充分发挥物理因子的康复治疗作用[J].中华物理医学与康复杂.志,2003,25(6):321.
[4]周峰,刘尊武.物理因子治疗膝关节骨性关节炎的临床疗效及其对患者生活质量的影响[J].按摩与康复医学,2015,4(8):62-63.
[5]徐文斌,熊俊龙,戴文俊,等.物理因子干预治疗膝关节骨性关节炎[J].长春中医药大学学报,2015,31(6):1268-1271.
[6]王凤华.局部换药联合物理因子治疗剖宫产术后切口愈合不良效果观察[J].中国保健营养旬刊,2014,24(7):114-116.
[7]李雅荣,中药熏蒸配合蜡疗治疗风湿性关节炎疗效观察[J],按摩与康复医学,2014,5(4):111-112.
[8]南登皇.康复医学[M].3版.北京:人民卫生出版社,2004:159.
[9]李丽,王传英,李庆波,等,悬吊运动技术联合蜡疗治疗慢性下背痛的疗效观察[J].中华物理医学与康复杂志,2010,32(10):775-776.
[10]南登昆.康复医学[M].北京:人民卫生出版社,2008:133-134.
[11]余淑侦.针刺配合中频脉冲电疗法治疗肩周炎疗效观察[J].按摩与康复医学2014,5(10):40-41.