本体感觉神经肌肉促通法结合常规治疗创伤术后肘关节功能障碍的疗效观察  

Observation of Conventional Therapy Combined with PNF Technology to Treat Elbow Joint Dysfunction after Trauma Surgery

作　　者：施少云[1,2] 卢惠苹[1,2] 叶国标[1] 李三[1] 梁杰[1] 

机构地区：[1]厦门大学附属福州第二医院,福建福州350007 [2]福建医科大学医学技术与工程学院,福建福州350123

出　　处：《康复学报》2017年第1期36-39,43,共5页Rehabilitation Medicine

基　　金：福建省卫计委中青年骨干人才培养项目(2016-ZQN-76)

摘　　要：目的:评价常规肌力训练、关节松动术结合本体感觉神经肌肉促通法(PNF)治疗肘关节常见创伤术后功能障碍的疗效。方法:选取肘关节创伤术后功能障碍患者100例,其中肘关节骨折脱位40例,肱骨小头骨折10例,肱骨滑车骨折10例,桡骨小头骨折10例,尺骨鹰嘴骨折10例,肱骨髁间骨折10例,肱骨下端骨折10例。按照随机抽签法分为常规组、实验组各50例。常规组接受关节松动术、肌力训练、关节活动技术、物理疗法等系统性康复训练;实验组在上述常规康复治疗的基础上增加肘关节的PNF技术治疗。2组治疗前及治疗8周后均进行医院专业外科评分系统(HHS)肘关节评分,包括疼痛、功能、矢状位活动范围、肌肉力量、屈曲挛缩、伸直挛缩、旋前、旋后、总分及评估评定。结果:2组治疗前HHS各项评估指标分数平均值及总分比较,差异无统计学意义(P>0.05),总分评估均以差区间为主;治疗8周后,2组在HHS肘关节评分(疼痛、关节功能、肌肉力量、关节活动度、挛缩、总分方面)均较治疗前有明显改善(P<0.05),除了疼痛改善2组差异无统计学意义(P>0.05)外,实验组各项治疗效果指标(总分81.96±6.79,评估为良)明显优于常规组(总分76.70±7.22,评估为可),差异有统计学意义(P<0.05)。结论:常规康复治疗联合PNF技术对提高创伤术后肘关节的各项功能均有良好的疗效,值得临床推广。Objective：To study the effect of regular strength training,joint mobilization combined with proprioceptive neuromus- cular facilitation （PNF） technology on postoperative dysfunction of elbow joint due to common trauma. Methods：According to ran- dom draw method, one hundred patients with postoperative dysfunction of traumatic elbow joint were randomly divided into the rou- tine group and the experimental group with 50 cases in each group. They included 40 cases of elbow joint fractures and dislocations, 10 cases of capitulum humerus fractures, 10 cases of trochlea humeri fractures, 10 cases of capitulum radius fractures, 10 cases of ole- croanon fractures, 10 cases of intercondylar humerus fractures, 10 cases of lower end of the humerus fractures. Patients of the routine group received joint mobilization ,muscle strength training,joint motion technique ,physical therapy and other systematic training, while patients of the experimental group received PNF technology treatment besides. Pre-treatment and 8 weeks after the treatment, e- valuations of hospital for special surgery scoring system （HHS） elbow score were carried out in both groups, including pain, fimc- tion, sagittal joint range of motion, muscle strength, flex contracture, extend contracture, pronation, supination, total score, assessment, etc. Results：Before rehabilitation, there was no obvious difference of each assessment index score of average and total between the routine and experimental group （P〉 0.05）. Total scores of both groups belonged to poor domain. After 8 weeks treatment, evaluations of HHS elbow score of both groups were improved significantly （P〈0.05）, including pain, function ,joint range of motion, muscle strength, contracture, total score, etc. Compared with the routine group （total score 76.70 ±7.22, assesment medium）, except for pain improvement being without apparent difference, indexes of the experimental group （total score 81.96 ± 6.79 ,assesment fine） were improved more significantly （P〈 0.

关 键 词：功能障碍 肘关节 本体感觉神经肌肉促通法 医院专业外科评分系统 

分 类 号：R684[医药卫生—骨科学]