首页|术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果

术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果

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目的 观察术后早期综合康复对并发尺神经损伤的肱骨髁上骨折儿童青少年的肘关节功能障碍与尺神经损伤的效果.方法 2016年1月至2021年12月在中国中医科学院望京医院治疗的并发尺神经损伤的肱骨髁上骨折术后的儿童青少年49例,随机分为对照组(n = 24)和治疗组(n = 25).对照组采用蜡敷治疗和针灸治疗,治疗组采用药物熏蒸、关节松动术及肌电生物反馈治疗,治疗12周.治疗前后分别采用美国特种外科医院肘关节评定表(HSS)和英国医学研究院神经外伤学会报告(MCRR)进行评估.结果 治疗后,两组HSS评分均显著升高(|t|>8.345,P<0.001),治疗组HSS评分显著高于对照组(t = 4.536,P<0.001),治疗组治疗前后HSS评分差值高于对照组(t = 3.717,P<0.05).治疗组尺神经恢复优良率高于对照组(χ2 = 5.975,P<0.05).结论 术后早期综合康复可改善并发尺神经损伤的肱骨髁上骨折儿童青少年的肘关节功能,促进尺神经恢复.
Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury
Objective To observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunc-tion and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury.Methods A total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after opera-tion were selected from January,2016 to December,2021 in Wangjing Hospital,which were randomly divided in-to control group(n = 24)and treatment group(n = 25).The control group accepted wax therapy and acupuncture,and the treatment group accepted medicine fumigation,joint mobilization and electromyographic biofeedback,for twelve weeks.They were assessed with The Hospital for Special Surgery Elbow score(HSS)and Medical Re-search Neurotrauma Society Report(MCRR)before and after treatment.Results After treatent,the HSS scores increased in both groups(|t|>8.345,P<0.001).The HSS score was significantly higher in the treatment group than in the control group(t = 4.536,P<0.001).The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group(t = 3.717,P<0.05).The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group(χ2 = 5.975,P<0.05).Conclusion Early postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.

childrenyouthsupracondylar fractureulnar nerve injuryelbow joint dysfunctionearly comprehensive rehabilitation

罗丽华、王雨生、李剑锋、董继革

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中国中医科学院望京医院康复治疗部,北京市 100102

北京市第二康复医院康复医学科,北京市 100038

儿童 青少年 肱骨髁上骨折 尺神经损伤 肘关节功能障碍 早期综合康复

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(1)
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