比心法在儿童扳机拇术后康复锻炼中的应用
The application of Heart method in rehabilitation exercise after trigger thumb operation in children
赵长应 1张航 1丛锐 1赵昕辉 2臧成五 1陈永祥 1朱愉乐1
作者信息
- 1. 空军军医大学第一附属医院骨手外科,西安 710032
- 2. 西安市第三人民医院乳腺外科,西安 710032
- 折叠
摘要
目的 探讨儿童扳机拇术后康复锻炼方法,总结技术细节并评估治疗效果.方法 我科自2021年7月至2022年7月对30例(42指)扳机拇患儿进行开放性拇指屈肌腱探查松解术,术后24 h指导患儿家长进行游戏性的"比心法"锻炼,密切随访患儿临床症状的改善情况,总结儿童扳机拇术后康复锻炼的技术细节并评估临床疗效.结果 游戏性的"比心法"锻炼可以增加患儿术后功能锻炼的依从性和配合度,经过术后至少24个月的随访,30例患儿拇指屈伸活动均恢复正常,无一例复发.结论 术后早期开始应用"比心法"锻炼可增加儿童功能锻炼的积极性,可有效巩固扳机拇的手术治疗效果,在儿童扳机拇术后的康复锻炼管理中可获得满意疗效.
Abstract
Objective To explore rehabilitation exercise methods for children after trigger thumb surgery,summarize technical details,and evaluate treatment outcomes.Methods From July 2021 to July 2022,our department performed open exploration and release of the flexor tendon of the thumb on 30 children(42 fingers)with trigger thumb.After 24 hours of surgery,we guided the parents of the children to engage in playful"heart method"exercises,closely followed up on the improvement of their clinical symptoms,summarized the technical details of postoperative rehabilitation exercise for children with trigger thumb,and evaluated the clinical efficacy.Results The playful"heart method"exercise can increase the compliance and cooperation of postoperative functional exercise in children.After at least 24 months of follow-up after surgery,all 30 children's thumb flexion and extension activities returned to normal,with no recurrence.Conclusion The early postoperative application of the"heart method"exercise can increase children's enthusiasm for functional exercise,effectively consolidate the clinical efficacy of trigger thumb surgery,and achieve satisfactory clinical efficacy in the rehabilitation exercise management of children after trigger thumb surgery.
关键词
儿童/康复/扳机拇/比心法Key words
Children/Rehabilitation/Trigger thumb/Heart method引用本文复制引用
出版年
2024
NETL
NSTL
万方数据