摘要
目的 分析持续静态拉伸应用于肱骨髁上骨折患儿康复护理中的效果。方法 选取2019年3月—2020年11月在我院就诊的90例肱骨髁上骨折患儿为研究对象,根据随机数字表法分为对照组和观察组,每组45例。对照组接受常规康复护理,观察组在对照组基础上进行持续静态拉伸训练,持续干预5周。对比两组干预前后的美国特种外科医院(Hospital for Special Surgery,HSS)评分、生活质量、肘关节活动度。结果 干预后,两组的HSS评分均高于干预前,且观察组上述评分高于对照组,组间差异有统计学意义(P<0.05)。干预后,两组的生理健康、心理健康、社会功能、生活环境评分均高于干预前,且观察组上述各项评分均高于对照组,组间差异有统计学意义(P<0.05)。干预后,两组的肘关节屈曲度、肘关节后伸度、肘关节提携角、肘关节旋前角度、肘关节旋后角度均大于干预前,且观察组上述各角度均大于对照组,组间差异有统计学意义(P<0.05)。结论 肱骨髁上骨折患儿在接受常规护理的同时进行持续静态拉伸的效果良好,可改善患儿的肘关节功能、活动度,且可提高其生活质量,值得推广使用。
Objective To analyze the effect of continuous static stretching in rehabilitation nursing of children with humeral supracondylar fracture.Methods A total of 90 children with supracondylar fracture of humerus in our hospital from March 2019 to November 2020 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 45 cases in each group.The control group received routine rehabilitation nursing,the observation received continuous static stretching on the basis of the control group.The intervention lasted for 5 weeks.The Hospital for Special Surgery(HSS)score,quality of life and range of motion of elbow were compared between the two groups before and after intervention.Results After intervention,the HSS scores of the two groups were higher than before,and the score of the observation group was higher than that of the control group,the difference between the groups was statistically significant(P<0.05).After intervention,the scores of physical health,mental health,social function and living environment of the two groups were higher than before intervention,and the scores of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the angles of elbow flexion,elbow extension,elbow lifting,elbow pronation and elbow supination in the two groups were all greater than before intervention,and all angles in the observation group were greater than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The effect of continuous static stretching in children with supracondylar fracture of humerus is good,which can improve the elbow function,range of motion and quality of life of children,and is worthy of popularization.
作者
张立
ZHANG Li(Department of Orthopedics,Zibo Hospital,Shandong Guoxin Yiyang Group,Zibo Shandong,255120,China)
出处
《反射疗法与康复医学》
2021年第10期163-166,共4页
Reflexology And Rehabilitation Medicine
关键词
肱骨髁上骨折
康复护理
持续静态拉伸
肘关节功能
生活质量
Supracondylar fracture of humerus
Rehabilitation nursing
Continuous static stretching
Elbow joint function
Quality of life
作者简介
张立(1976-),女,山东淄博人,本科,副主任护师,研究方向:骨科护理。
