小组模式康复训练对下肢骨折的疗效  

Effects of group rehabilitation therapy on lower limb function

作　　者：田国华[1] 赵英[1] 郭军辉[1] 郎建龙 聂志强[1] 刘超[1] 李世科[1] 

机构地区：[1]海洋石油总医院康复医学科,天津塘沽300452

出　　处：《中国康复》2017年第3期199-201,共3页Chinese Journal of Rehabilitation

摘　　要：目的:研究在小组模式下进行康复训练对工伤患者下肢功能的影响。方法:选择68例下肢骨折术后的工伤患者,随机分成研究组和对照组各34例,2组患者均给予常规康复训练及理疗,研究组将患者按照受伤部位分成小组,以小组模式进行康复,对照组按照治疗师和患者一对一的方式进行。于治疗前、治疗1个月、治疗3个月后分别采用Lysholm评分、AOFAS踝-后足评分系统评定膝关节以及踝关节功能;采用改良Barthel指数量表(MBI)评定患者日常生活活动能力;采用HDMA、HMHD评测患者焦虑及抑郁情况。结果:经1个月、3个月治疗后,2组患者Lysholm、AOFAS、MBI评分均逐渐明显提高,HDMA、HMHD评分均逐渐明显降低(均P<0.05),并且研究组各项评分较对照组的改善幅度更显著(均P<0.05)。结论:小组模式康复训练能进一步促进工伤患者下肢功能恢复,提高其日常生活能力,改善患者焦虑、抑郁情绪,该治疗模式值得在临床康复中推广。Objective：To explore the effect of group rehabilitation therapy on lower limb function in work-related injury patients.Methods：Sixty-eight postoperative work-related injury patients with lower limb fracture were randomly divided into two groups：rehabilitation therapy group（GC）and routine rehabilitation group（RC）（n=34each）.Both groups received same routine rehabilitation training and physiotherapy,and GC group received group rehabilitation therapy additionally.Before and 1month,3months after training,the lower limb function of both two groups was assessed by Lysholm score and AOFAS ankle foot score system.The abilities of daily living were evaluated by the modified Barthel index（MBI）.The anxiety and depression were evaluated by HDMA and HMHD.Results：Before intervention,there was no significant difference between the two groups in any of the assessments（P〈0.05）.At the end of training,the Lysholm and AOFAS scores,and MBI were significantly increased,and HDMA and HMHD scores were significantly reduced as compared with those before treatment（P〈0.05 for all）,more significantly in GC group than in RC group（P〈0.05 for all）.Conclusion：The group rehabilitation therapy can improve the lower extremity function and abilities of daily living,and alleviate anxiety and depression in patients with work-related injury.

关 键 词：小组模式康复训练 工伤 下肢功能 焦虑 抑郁 

分 类 号：R493[医药卫生—康复医学] R683.42[医药卫生—临床医学]