摘要
目的探讨阶段性康复训练对桡骨远端骨折(Colles骨折)患者疼痛程度及关节活动度的影响.方法选取2020年1月—2022年7月本院收治的73例Colles骨折患者为研究对象,按照随机数字表法分为对照组(n=38)和观察组(n=35).对照组进行常规康复训练,观察组进行阶段性康复训练,两组均持续训练8周.比较两组患者的疼痛及肿胀程度、腕关节恢复情况、腕关节功能、腕关节复位情况.结果护理后,观察组的腕部复位情况优于对照组,差异有统计学意义(P<0.05).护理后,观察组的疼痛视觉模拟评分为(1.01±0.57)分、肿胀评分为(0.71±0.24)分,均低于对照组的(1.62±0.52)分、(1.22±0.47)分,组间差异有统计学意义(P<0.05).护理后,观察组的徒手肌力、关节活动度、上肢功能评分、腕关节功能评分分别为(95.56±11.24)%、(117.63±3.01)°、(66.71±13.02)分,(93.07±4.85)分,均高于对照组的(89.71±11.65)%、(102.47±3.17)°、(59.33±12.67)分、(80.21±5.11)分,组间差异有统计学意义(P<0.05).护理后,观察组的桡尺偏活动度、屈伸活动度、旋前后活动度分别为(85.06±6.92)°、(83.25±7.13)°、(83.08±6.86)°,均高于对照组的(70.58±6.77)°、(75.14±5.24)°、(74.37±7.48)°,组间差异有统计学意义(P<0.05).结论阶段性康复训练有助于提升Colles骨折的治疗效果,能显著改善患者的疼痛及肿胀症状,提升其腕关节活动度.
Objective To investigate the effect of staged rehabilitation training on pain and range of motion in patients with distal radius fracture(Colles fracture).Methods 73 patients with Colles fracture admitted to the hospital from January 2020 to July 2022 were selected as the research objects,and were divided into the control group(n=38)and the observation group(n=35)according to random number table method.The control group received routine rehabilitation training,and the observation group received staged rehabilitation training.Both groups continued to train for 8 weeks.The pain and swelling degree,wrist joint recovery,wrist joint function and wrist joint reduction between the two groups were compared.Results After nursing,the wrist reduction in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After nursing,the pain visual simulation scale score was(1.01±0.57)points and the swelling score was(0.71±0.24)points in the observation group,lower than(1.62±0.52)points and(1.22±0.47)points in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the manual muscle test,range of motion,Carroll upper limb function score and Cooney wrist function score of the observation group were(95.56±11.24)%,(117.63±3.01)°,(66.71±13.02)points and(93.07±4.85)points,respectively,which were higher than(89.71±11.65)%,(102.47±3.17)°,(59.33±12.67)points and(80.21±5.11)points in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the radial deviation range of motion,flexion and extension range of motion,anterioradiation range of motion in the observation group were(85.06±6.92)°,(83.25±7.13)°,(83.08±6.86)°,respectively,which were higher than(70.58±6.77)°,(75.14±5.24)°and(74.37±7.48)°in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Staged rehabilitation training is helpful to improve the therapeutic effect of Colles fracture,can significantly improve the pain and swelling symptoms of patients,and improve the range of motion of the wrist joint.
作者
杨尚尧
吴燕
YANG Shangyao;WU Yan(Department of Orthopedics,Zhenjiang 359 Hospital,Zhenjiang Jiangsu,212000,China)
出处
《反射疗法与康复医学》
2023年第3期56-59,共4页
Reflexology And Rehabilitation Medicine
关键词
桡骨远端骨折
阶段性康复训练
疼痛程度
关节活动度
常规康复训练
Distal radius fracture
Staged rehabilitation training
Pain level
Range of motion
Routine rehabilitation training
作者简介
杨尚尧(1992-),女,江苏镇江人,本科,主管护师,研究方向:临床护理;通信作者:吴燕(1985-),女,江苏镇江人,本科,主管护师,研究方向:骨科临床护理,邮箱:yxzzd002@163.com。
