地震伤员下肢假肢装配前后的综合康复治疗  

Effect of comprehensive treatment before and after fabrication of lower limb prostheses for persons wounded in Wenchuan earthquake

作　　者：周贤丽[1] 武继祥[1] 刘宏亮[1] 尚超平[1] 陈足源[1] 吴宗耀[1] 

机构地区：[1]第三军医大学西南医院康复理疗科,重庆400038

出　　处：《中华物理医学与康复杂志》2008年第12期836-838,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察地震伤员下肢假肢装配前后综合康复治疗的效果。方法安装假肢前后对地震伤员采取综合康复治疗，包括：残端处理（按摩和拍打、残肢塑型）、运动疗法（关节活动度训练、肌力训练、平衡功能训练、站立与步行训练等）、物理治疗、心理治疗。结果42例残肢中，残端有溃疡或窦道、残肢肿胀、髋膝关节屈曲挛缩、残肢痛分别占74％、72％、41％和5％，残肢肌力明显减退。经综合康复治疗后，残肢无肿胀、溃疡或窦道完全愈合，残肢形状、关节活动度和肌力明显改善，已达到假肢装配条件，均装配假肢，并获得良好的功能。假肢行走功能结局，良好：20例（51％）；一般：17例（44％）；较差：2例（5％）。结论地震后截肢不良残肢发生率高，安装假肢前后对地震伤员采取综合康复治疗，确保假肢装配成功十分必要。Objective To observe the effect of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses for the earthquake wounded. Methods The patients were treated with comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses,including stump treatment （ massage, pat and stump mold ） , physiotherapy （range of motion, strength, balance, standing and walking training, and use of physical agents） , psychological therapy. Results The percentage of stump ulcer, stump swelling, limitation of joint motion and stump pain of all 42 cases was 74% , 72% , 41% and 5% , respectively. Stump ulcer healed and stump swelling decreased after comprehensive rehabilitative treatment. The stump shape, motion of joint and muscle strength improved significantly. All stumps can be fit with prosthetic limb. Excellent, good and fair walk functions of prosthetic limb were 51% , 44% , and 2% , respectively. Conclusion The rate of poor stump limb was high after earthquake. Application of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses is very important for the earthquake wounded.

关 键 词：地震伤员 综合康复治疗 下肢假肢 

分 类 号：R687.5[医药卫生—骨科学] R49[医药卫生—外科学]