手部复合性创伤术后系统康复治疗28例  

Systematic rehabilitation of 28 patients with hand complicated trauma after operation

作　　者：肖康宝 刘华 徐冬梅 王雪妮 

机构地区：[1]江西省新余市人民医院,江西新余338000

出　　处：《转化医学电子杂志》2015年第8期48-49,共2页E-Journal of Translational Medicine

摘　　要：目的:探讨手部复合性创伤术后康复治疗.方法:选取2013-01/2014-02我院收治的手术复合性创伤患者28例作为研究对象,按随机数字表法分为对照组(n=14)和观察组(n=14),所有患者均采取一期显微缝合修复腱外膜、腱鞘及其周围组织,观察组术后行Washington(早期保护性被动活动)方案等措施.结果:观察组显效、有效、无效分别为9例、3例、2例,总有效率为85.71%,对照组显效、有效、无效分别为2例、6例、6例,总有效率为57.14%,差异具有统计学意义(P<0.05).结论:对手部复合性创伤采取显微修复及Washington术后康复治疗,可促进患者手功能恢复,值得临床推广应用.AIM: To investigate the rehabilitation of hand complicated trauma after operation. METHODS: A total of 28 patients with hand complicated trauma admitted into our hospital from January 2013 to February 2014 were selected as the research object and were randomly divided into control group and observation group,with 14 cases in each group. All patients were treated with microscopicsuture of epitendineum, tendon sheath and surrounding tissue. The patients in the observation group received Washington (early protective passive activities) measures. RESULTS: The number of effective, valid and invalid cases in the observation group were 9,3 and 2 respectively and the total effective rate was 85. 71%. The number of effective, valid and invalid cases in control group were 2, 6 and 6 respetively and the total effective rate was 57. 14%. There was statistically significant difference between two groups (P<0.05). CONCLUSION: The microsurgical repair and Washington rehabilitation of hand complicated trauma after operation could promote the recovery of hand function of patients,and it is worthy of clinical application.

关 键 词：手部 复合性创伤 显微修复 Washington术后康复 

分 类 号：R473[医药卫生—护理学]