| 尹晓婷,尹立全,许卓,李品梅.手部CPM联合常规康复对老年Colles骨折后复杂区域性疼痛综合征I型患者手功能的影响[J].中国康复,2022,37(9):537-541 |
| 手部CPM联合常规康复对老年Colles骨折后复杂区域性疼痛综合征I型患者手功能的影响 |
| Effect of CPM combined with conventional rehabilitation on hand function in elderly patients with complex regional pain syndrome I after Colles Fracture |
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| DOI： |
| 中文关键词: CPM Colles骨折 复杂区域性疼痛综合征I型 手功能 |
| 英文关键词: continuous passive motion Colles fractures complex regional pain syndrome type I hand function |
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| 中文摘要: |
| 目的：探讨手部CPM联合常规康复对老年Colles骨折后复杂区域性疼痛综合征I型（CRPS I）患者手功能的影响。方法：选取老年Colles骨折后CRPS I患者30例，采用随机数字表法分为常规组和CPM组各15例，2组均进行常规康复治疗，CPM组加用CPM治疗。分别于治疗前、治疗4周后、治疗8周后对比2组患者患手掌指关节处围度、手指总主动关节活动度（TAM）、Carroll上肢功能评分(UEFT)、中文版简版McGill疼痛问卷-2（SF-MPQ-2）评分。结果：治疗4周和8周后，2组患者组内对比：患手掌指关节处围度、SF-MPQ-2评分均较上一次评估下降（均P<0.05），TAM、UEFT评分均较上一次评估提高（均P<0.05）；2组患者组间对比，治疗4周后CPM组对比常规组掌指关节处围度显著下降、TAM和UEFT评分显著提高（均P<0.05），SF-MPQ-2评分比较差异无统计学意义。治疗8周后CPM组较常规组掌指关节处围度、SF-MPQ-2评分下降，TAM、UEFT评分提高（均P<0.05）。结论：手部CPM能够减轻老年Colles骨折后CRPS I患者患手水肿和疼痛，增加手指关节活动范围，提高手功能。 |
| 英文摘要: |
| Objective: To investigate the effect of CPM combined with conventional rehabilitation on hand function in elderly patients with complex regional pain syndrome type I (CRPS I ) after Colles fracture. Methods: A total of 30 elderly patients with CRPS I after Colles fracture were selected. The participants were randomly divided into the routine group (n=15) and the CPM group (n=15). Both groups were treated with routine rehabilitation, and CPM group received additional CPM treatment. Before and 4 and 8 weeks after treatment, the circumference of the metacarpophalangeal joint, total activity measurement (TAM), Carroll Upper Extremities Functional Test (UEFT) and Chinese Revised Short McGill Pain Questionnaire Version-2 (SF-MPQ-2) were compared between the two groups. Results: After 4 and 8 weeks of treatment, the intra group comparison between the two groups showed the circumference of the metacarpophalangeal joint and the score SF-MPQ-2 decreased, and the scores of UEFT and TAM increased as compared with the previous evaluations (all P<0.05); Comparison between the two groups after 4 weeks of treatment showed that the circumference of metacarpophalangeal joint in CPM group decreased significantly, TAM and UEFT increased significantly (all P<0.05), and there was no significant difference in SF-MPQ-2 scores. After 8 weeks of treatment, in the CPM group the circumference of metacarpophalangeal joint and SF-MPQ-2 scores decreased, TAM and UEFT scores increased as compared with those in the control group (all P<0.05).Conclusion: CPM combined with conventional rehabilitation can reduce edema and pain of the hand in elderly patients with CRPS I after Colles fracture, increase the finger range of joint motion and improve hand function. |
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