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骨科快速康复干预对上肢骨折患者的影响

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目的 探讨骨科快速康复干预对上肢骨折患者的影响.方法 选取 2022 年3 月至2023 年3 月接收的84 例上肢骨折患者,按数字随机表法分作 2 组,对照组 42 例进行常规护理,观察组 42 例在常规护理基础上实施骨科快速康复干预.比较2 组患者的术后疼痛与肿胀情况、并发症发生情况、上肢关节活动度及上肢功能恢复情况.结果 观察组术后 3d、术后 7d时的患肢视觉模拟评分法(VAS)评分、肿胀程度均低于对照组(P<0.05);观察组并发症发生率是 4.76%,低于对照组的 21.43%(P<0.05);观察组术后 4 周时的患肢前臂旋前、前臂旋后、肘关节屈曲、肘关节伸直活动度均高于对照组(P<0.05);观察组术后 4 周时的肘关节Mayo量表(MEPS)、上肢Fugel-meyer(上肢FMA)评分高于对照组(P<0.05).结论 骨科快速康复干预应用于上肢骨折患者中可有效减轻术后患者疼痛与水肿,降低并发症发生率,并进一步提升上肢关节活动度,促进上肢功能有效恢复.
Analysis and evaluation of the influence of rapid orthopaedic rehabilitation intervention on patients with upper limb fractures
Objective To investigate the effect of rapid orthopedic rehabilitation intervention on patients with upper limb fractures.Methods A total of 84 patients with upper limb fractures from March 2022 to March 2023 were selected.They were randomly divided into the control group and observation group according to the numerical random table method,with 42 cases per group.Routine nursing was applied to all patients,and those in the observation group were additionally managed by the rapid orthopedic rehabilitation intervention.The postoperative pain and swelling,incidence of complications,range of motion and recovery of upper limb functions were compared between the two groups.Results In the observation group,the visual analog scale(VAS)score and swelling degree of the affected limb at 3 and 7 days after surgery were significantly lower than those of the control group(P<0.05).The complication rate in the observation group was significantly lower than that of the control group(4.76%vs 21.43%,P<0.05).In the observation group,the range of motions of forearm pronation,supination,elbow flexion and elbow extension of the affected limb at 4 weeks after surgery were significantly higher than those of the control group(P<0.05).The scores of the Mayo Elbow Performance Score(MEPS)and the Fugel-Meyer Assessment(FMA)for the upper limbs at 4 weeks after surgery were significantly higher in the observation group than those of the control group(P<0.05).Conclusion Rapid orthopaedic rehabilitation intervention applied in patients with upper limb fractures can effectively reduce postoperative pain and edema,reduce the incidence of complications,and further improve the range of motion and effective recovery of the upper limbs.

rapid orthopaedic rehabilitation interventionupper limb fracturepaincomplicationsupper limb function

高青、姚婷婷、李瑛、乔婧滢、潘虹

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710038 陕西省西安市人民医院(西安市第四医院)骨科

710038 陕西省西安市人民医院(西安市第四医院)老年病

710038 陕西省西安市人民医院(西安市第四医院)内分泌科

骨科快速康复干预 上肢骨折 疼痛 并发症 上肢功能

陕西省自然科学基础研究计划(面上)项目

2021TM-573

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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