摘要
目的探讨阶梯性康复训练对肘关节骨折术后肘关节功能障碍患者的疗效。方法选取济源济钢医院2021年5月至2023年5月收治的90例肘关节骨折并行内固定术治疗的患者作为研究对象,随机分为对照组和研究组,各45例,对照组采用常规术后康复治疗,研究组采用阶梯性康复训练疗法,比较两组患者治疗前后肘关节功能、主动运动关节活动度(ROM)及肿胀程度。结果治疗前两组疼痛、运动、稳定性及日常生活评分差异无统计学意义(P>0.05),与治疗前相比较,治疗后两组患者疼痛、运动、稳定性及日常生活评分均有明显提升,且研究组疼痛、运动、稳定性及日常生活评分高于对照组,差异均有统计学意义(P<0.05)。研究组治疗后肘关节屈伸、前臂旋前旋后ROM均大于对照组,差异有统计学意义(P<0.05)。与治疗前相比较,治疗后两组肿胀评分均明显下降,且研究组肿胀评分低于对照组,差异有统计学意义(P<0.05)。结论阶梯性康复训练可有效改善肘关节功能,增加关节ROM,减轻肿胀程度,综合提升肘关节术后恢复效果,值得临床应用。
Objective To explore the therapeutic effect of stepwise rehabilitation training on patients with elbow joint dysfunction after elbow fracture surgery.Methods A total of 90 patients with elbow joint fractures treated with internal fixation surgery admitted to Jiyuan Jigang Hospital from May 2021 to May 2023 were selected as the research subjects.They were randomly divided into a control group and a study group,with 45 cases in each group.The control group received routine postoperative rehabilitation treatment,while the study group received stepwise rehabilitation training therapy.The elbow joint function,active motion joint range of motion(ROM),and swelling degree of the two groups of patients were compared before and after treatment.Results The difference in pain,movement,stability,and daily life scores between the two groups before treatment was not statistically significant(P>0.05).Compared with before treatment,the pain,movement,stability,and daily life scores of the two groups of patients after treatment were significantly improved.The pain,movement,and daily life scores of the study group were higher than those of the control group,with statistical significant(P<0.05).After treatment,the ROM of elbow flexion and extension,forearm pronation and pronation in the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Compared with before treatment,the swelling scores of both groups decreased significantly after treatment,and the swelling scores of the study group were lower than those of the control group,with statistical significance(P<0.05).Conclusion Stepwise rehabilitation training can effectively improve elbow joint function,increase joint ROM,reduce swelling,and comprehensively enhance the postoperative recovery effect of the elbow joint.It is worthy of clinical promotion and application.
作者
原伟强
许志伟
YUAN Weiqiang;XU Zhiwei(Department of External Medicine(Orthopedics),Jiyuan Jigang Hospital,Jiyuan Henan 459000,China)
出处
《临床研究》
2024年第4期41-43,共3页
Clinical Research
关键词
阶梯性康复训练
肘关节骨折术后
功能障碍
stepwise rehabilitation training
after elbow joint fracture surgery
dysfunction
作者简介
原伟强,男,主治医师,本科。研究方向:髋关节置换,股骨近端骨折,老年骨质疏松,肘关节术后康复。
