摘要
目的探究运动康复训练对肱骨近端骨折术后患者关节功能的影响.方法选取2020年1月—2022年11月于常州市武进人民医院行手术治疗的100例肱骨近端骨折患者为研究对象,随机将其分为对照组及观察组,每组50例.术后,对照组进行常规康复训练,观察组进行运动康复训练.观察比较两组患者的肩关节功能恢复情况、肩关节评分及疼痛、肿胀消失时间.结果术后6个月,观察组的肩关节功能优良率为80.0%,高于对照组的50.0%,差异有统计学意义(P<0.05).术后6个月,观察组的Neer肩关节功能中疼痛、功能使用、活动范围、术后解剖位置评分及总分均高于对照组,组间差异有统计学意义(P<0.05).观察组的患肢肿胀及疼痛消失时间分别为(21.68±3.63)d、(26.89±4.18)d,均短于对照组的(24.02±3.82)d、(29.01±4.41)d,组间差异有统计学意义(P<0.05).结论运动康复训练能更好地促进肱骨近端骨折术后患者的肩关节功能恢复,加快肿胀及疼痛消失,值得临床推广使用.
Objective To investigate the effect of exercise rehabilitation training on joint function in patients with proximal humerus fracture after operation.Methods 100 patients with proximal humeral fracture who underwent surgical treatment in Changzhou Wujin People's Hospital from January 2020 to November 2022 were selected as the study objects and were randomly divided into a control group and an observation group,with 50 cases in each group.After operation,the control group received routine rehabilitation training,and the observation group received exercise rehabilitation training.The functional recovery of shoulder joint,the shoulder joint scores and the time for pain and swelling to disappear were observed and compared between the two groups.Results 6 months after operation,the excellent and good rate of shoulder joint function in the observation group was 80.0%,which was higher than 50.0%in the control group,the difference was statistically significant(P<0.05).6 months after operation,the pain,functional use,range of motion,postoperative anatomical position score and total score of Neer shoulder joint function in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The disappearance time of swelling and pain of affected limb in the observation group were(21.68±3.63)d and(26.89±4.18)d,respectively,which were shorter than(24.02±3.82)d and(29.01±4.41)d in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Exercise rehabilitation training can better promote the recovery of shoulder joint function,accelerate the disappearance of swelling and pain in patients with proximal humerus fracture after operation,and is worthy of clinical application.
作者
赵小强
潘飞龙
赵小灵
ZHAO Xiaoqiang;PAN Feilong;ZHAO Xiaoling(Department of Orthopedics,Changzhou Wujin People's Hospital,Changzhou Jiangsu,213000,China)
出处
《反射疗法与康复医学》
2024年第3期48-50,共3页
Reflexology And Rehabilitation Medicine
关键词
肱骨近端骨折
运动康复训练
肩关节功能
Proximal humerus fracture
Exercise rehabilitation training
Shoulder joint function
作者简介
赵小强(1980-),男,江苏常州人,本科,副主任医师,研究方向:骨科常见病诊治;通信作者:赵小灵(1982-),男,江苏常州人,本科,主治医师,研究方向:骨科常见病诊治,邮箱:50399676@qq.com。
