文章摘要
罗林坡,李萍,罗嘉慧.阶梯性康复训练联合持续静态牵伸技术对肘关节骨折患者术后关节功能恢复及预后的影响[J].中国康复,2020,35(7):362-365
阶梯性康复训练联合持续静态牵伸技术对肘关节骨折患者术后关节功能恢复及预后的影响
Effect of Stepped Rehabilitation Training Combined with Continuous Static Stretching on Joint Function Recovery and Prognosis of Patients with Elbow Fracture after Operation
  
DOI:
中文关键词: 阶梯性康复训练  持续静态牵伸技术  肘关节骨折  关节功能
英文关键词: step-rehabilitation training  continuous static drafting technique  elbow joint fracture  joint function
基金项目:
作者单位
罗林坡 惠州市中心人民医院康复医学科广东 惠州 516000 
李萍 惠州市中心人民医院康复医学科广东 惠州 516000 
罗嘉慧 惠州市中心人民医院康复医学科广东 惠州 516000 
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中文摘要:
  目的:探讨阶梯性康复训练联合持续静态牵伸技术对肘关节骨折患者术后关节功能恢复及预后的影响。方法:选择160例肘关节骨折患者作为研究对象,随机分为对照组和观察组,各80例。2组患者均给予骨折切开复位内固定手术治疗,对照组患者术后给予持续静态牵伸技术训练,观察组患者在上述治疗的基础上外加阶梯性康复训练。比较2组患者治疗前、治疗3个月后肘关节功能、肘关节主动活动度及肿胀评分及日常生活能力评分变化,分析2组患者骨折愈合时间、并发症及治疗满意度差异。结果:与治疗前相比,2组患者治疗后日常生活、疼痛、运动功能及肘关节功能和日常生活能力评分总分均明显升高,肿胀评分明显降低,且观察组患者治疗后上述评分改善更为显著(P<0.05)。观察组患者的骨折愈合时间明显低于对照组(P<0.05),肘关节主动活动度康复效果明显高于对照组(P<0.05)。结论:阶梯性康复训练联合持续静态牵伸技术治疗肘关节骨折术后患者,可以明显改善其肘关节功能,降低骨折愈合时间,提高预后生活质量,具有一定的临床应用价值。
英文摘要:
  Objective: To explore the effect of stepwise rehabilitation combined with continuous static stretching technique on postoperative joint function recovery and prognosis in patients with elbow joint fracture. Methods: A total of 160 patients with elbow fractures admitted to our hospital were randomly divided into control group and observation group, 80 cases each. Both groups were treated with open reduction and internal fixation. The patients in the control group were given continuous static stretching technique. The patients in the observation group were given step-based rehabilitation training based on the above treatment. The changes of elbow joint function, active elbow joint activity, swelling score and daily living ability score were compared between the two groups before and after treatment. The fracture healing time, complications and treatment satisfaction of the two groups were analyzed. Results: As compared with those before treatment, the total scores of daily life, pain, motor function, elbow joint function and daily living ability after treatment in the two groups were significantly increased, and the swelling scores were significantly reduced, and the above scores were significantly improved after treatment in the observation group (P<0.05). The fracture healing time of the observation group was significantly shorter than that of the control group, and the rehabilitation effect of the active activity of the elbow joint was significantly better than that of the control group (P<0.05). Conclusion: Stepped rehabilitation combined with continuous static stretching technique for the treatment of patients with elbow joint fracture can significantly improve the elbow joint function, shorten the fracture healing time and improve the quality of life, and has certain clinical application value.
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