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阶梯性康复训练联合常规康复对肘关节骨折患者关节功能及日常生活能力的影响

Effect of Step Rehabilitation Training Combined with Conventional Rehabilitation on Joint Function and Activities of Daily Living in Patients with Elbow Fracture
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摘要 目的探讨阶梯性康复训练联合常规康复对肘关节骨折患者关节功能及日常生活能力的影响。方法选取青海省第四人民医院2020年10月—2022年12月收治的80例肘关节骨折患者为研究对象,根据随机数字表法分为对照组及观察组。对照组(n=40)采用常规康复,观察组(n=40)在此基础上进行阶梯性康复训练。比较两组患者的肘关节功能、肘关节主动活动度、肿胀程度及日常生活能力。结果干预后,观察组的Mayo肘关节功能评分标准中疼痛、活动功能、稳定性、日常活动评分均高于对照组,组间差异有统计学意义(P<0.05);观察组的肘关节旋后、旋前、屈曲角度均大于对照组,肘关节伸直角度小于对照组,组间差异有统计学意义(P<0.05);观察组的肿胀评分为(0.81±0.14)分,低于对照组的(1.32±0.15)分,日常生活能力评分为(95.21±3.93)分,高于对照组的(90.12±4.12)分,组间差异有统计学意义(P<0.05)。结论肘关节骨折患者采用阶梯性康复训练联合常规康复干预的效果理想,可改善其肘关节功能,提升肘关节活动度,减轻肢体肿胀程度,提升日常生活能力。 Objective To investigate the effects of step rehabilitation training combined with routine rehabilitation on joint function and activities of daily living of patients with elbow joint fracture.Methods 80 patients with elbow joint fracture admitted to the 4th People's Hospital of Qinghai Province from October 2020 to December 2022 were selected as the study objects and were divided into a control group and a study group according to random number table method.The control group(n=40)received routine rehabilitation,and the observation group(n=40)received step rehabilitation training on this basis.The elbow joint function,active elbow motion,swelling degree and daily living ability were compared between the two groups.Results After intervention,the pain,mobility,stability and daily activity scores of mayo elbow-performance score in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05);the angles of supination,pronation and flexion of the elbow in the observation group were greater than those in the control group,and the angle of elbow straightening was less than that in the control group,the differences between the groups were statistically significant(P<0.05);the swelling score of the observation group was(0.81±0.14)points,lower than(1.32±0.15)points of the control group,and the activities of daily living score was(95.21±3.93)points,higher than(90.12±4.12)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The effect of step rehabilitation training combined with routine rehabilitation intervention in patients with elbow joint fracture is ideal,which can improve the elbow joint function,enhance the elbow joint motion,reduce the degree of limb swelling,and improve the ability of daily life.
作者 刘永桃 LIU Yongtao(Department of Orthopaedic,The 4th People's Hospital of Qinghai Province,Xining Qinghai,810000,China)
出处 《反射疗法与康复医学》 2023年第14期102-105,共4页 Reflexology And Rehabilitation Medicine
关键词 肘关节骨折 阶梯性康复训练 常规康复 关节功能 日常生活能力 Elbow fracture Step rehabilitation training Routine rehabilitation Joint function Activities of daily living
作者简介 刘永桃(1983-),女,青海西宁人,专科,主管护师,研究方向:外科护理。
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