术前功能锻炼对胸部手术后患者肩部疼痛和肩关节活动度的影响  

Effect of preoperative functional exercise on shoulder pain and range of motion for patients after thoracic operation

作　　者：都菁[1] 马玉芬[1] 蔡梦歆 徐园[1] 贾玉杰[1] 

机构地区：[1]中国医学科学院北京协和医院胸外科,北京100730

出　　处：《护理学杂志》2016年第22期75-77,共3页Journal of Nursing Science

摘　　要：目的探讨术前肢体功能锻炼对胸外科术后患者术侧肢体疼痛感及活动度的影响。方法将220例胸外科术后患者按住院时间先后分为对照组121例、观察组99例。对照组从手术当日开始至胸管拔除日进行术侧肢体肩关节循序渐进式锻炼,观察组从入院当日至术后胸管拔除日进行术侧肢体肩关节上举、后伸、外旋循序渐进式锻炼。对两组肩部疼痛和肩关节活动度进行测量比较。结果观察组术侧肩部疼痛评分显著低于对照组,肩关节活动度显著大于对照组(P<0.05,P<0.01)。结论术前肢体功能锻炼可减轻患者术后患侧肢体疼痛及增加肩关节活动度。Objective To explore the effect of preoperative limb functional exercise on shoulder pain and range of motion for patients after thoracic operation.Methods Totally 220 patients after thoracic operation were divided into a control group and an observation group according to chronological order,with 121 and 99patients respectively.The control group exercised the limb and shoulder joint on the surgical side step by step from the operation day to the day removing the chest tube,while the observation group exercised the surgical side limb and shoulder joint upward,backward and outward step by step from the admission day to the day removing the chest tube.Results The surgical side shoulder pain of the observation group was significantly milder than the control group,and the range of motion of the shoulder was significantly larger than the control group（P〈0.05,P〈0.01）.Conclusion Preoperative limb functional exercise could alleviate the surgical side limb pain and improve shoulder range of motion for patients after thoracic operation.

关 键 词：胸部手术 术侧肢体 疼痛 肩关节活动度 功能锻炼 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]