首页|渐进式关节功能康复训练联合持续被动运动在桡骨远端骨折患者术后治疗中的应用效果

渐进式关节功能康复训练联合持续被动运动在桡骨远端骨折患者术后治疗中的应用效果

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目的 探究渐进式关节功能康复训练联合持续被动运动治疗桡骨远端骨折术后患者的疗效.方法 选取我院2021 年 6 月—2023 年 4 月收治的 140 例桡骨远端骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各 70 例.两组均进行手术治疗,对照组术后采用渐进式关节功能康复训练治疗,观察组在对照组基础上加用持续被动运动,比较两组患者的腕关节恢复效果、上肢功能、疼痛程度及生活质量.结果 观察组总优良率为 81.43%,高于对照组的 50.00%,差异有统计学意义(P<0.05).治疗后,观察组运动功能评估量表上肢评分(45.86±4.19)分高于对照组的(33.60±3.16)分,差异有统计学意义(P<0.05);观察组疼痛视觉模拟评分(2.04±0.42)分低于对照组的(3.52±0.26)分,差异有统计学意义(P<0.05);观察组生活质量量表综合评定问卷中的心理功能评分(81.54±3.34)分、躯体功能评分(77.83±3.51)分、社会功能评分(82.34±3.74)分及物质生活状态评分(79.20±3.52)分均高于对照组的(72.34±3.37)分、(68.72±3.05)分、(70.52±3.84)分、(70.06±3.58)分,组间差异有统计学意义(P<0.05).结论 在桡骨远端骨折患者术后予以渐进式关节功能康复训练联合持续被动运动治疗可加快腕关节愈合,促进其上肢功能康复,缓解疼痛程度,提高患者生活质量.
Effectiveness of Progressive Joint Function Rehabilitation Training Combined with Continuous Passive Exercise in the Post-Operative Treatment of Patients with Distal Radius Fractures
Objective To explore the efficacy of progressive joint function rehabilitation training combined with continuous passive exercise in patients after distal radius fracture.Methods 140 patients with distal radius fracture admitted to our hospital from June 2021 to April 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 70 cases in each group.The two groups were treated with surgery,the control group was treated with progressive joint function rehabilitation training after surgery,and the observation group was treated with continuous passive exercise on the basis of the control group.The wrist recovery effect,upper limb function,pain degree and quality of life of the two groups were compared.Results The total excellent and good rate of the observation group was 81.43%,which was higher than 50.00%of the control group,and the difference was statistically significant(P<0.05).After treatment,the upper limb score of motor function assessment scale in observation group(45.86±4.19)points was higher than(33.60±3.16)points in control group,and the difference was statistically significant(P<0.05);the pain Visual Analogue Score of the observation group(2.04±0.42)points was lower than(3.52±0.26)points of the control group,and the difference was statistically significant(P<0.05);the psychological function score(81.54±3.34)points,physical function score(77.83±3.51)points,social function score(82.34±3.74)points and material life status score(79.20±3.52)points of the observation group were all higher than(72.34±3.37)points,(68.72±3.05)points,(70.52±3.84)points,(70.06±3.58)points of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Progressive joint rehabilitation training can accelerate the wrist healing,promote the functional rehabilitation,relieve pain,and improve the quality of life of patients.

Postoperative distal radius fractureProgressive joint function rehabilitation trainingContinuous passive movementUpper limb function

刘仕友、齐国斌、孙建华、颜华东、王建华、杜洪洋

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滕州市中心人民医院骨创外科二病区,山东枣庄 277500

滕州市中心人民医院康复理疗科,山东枣庄 277500

桡骨远端骨折术后 渐进式关节功能康复训练 持续被动运动 上肢功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
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