踝关节功能训练带联合CPM机训练在踝关节骨折中的疗效观察  

Clinical observation of ankle joint function training combined with CPM training in ankle fractures

作　　者：石海花[1] 刘欢[1] 薛婧[1] 刘航[1] 张应[1] 张艳[1] 于亮[1] 

机构地区：[1]西安交通大学医学院附属红会医院足踝外科诊疗中心,陕西西安710054

出　　处：《足踝外科电子杂志》2016年第4期19-22,26,共5页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的探讨自制踝关节功能训练带联合CPM机训练在踝关节骨折术后的关节功能锻炼中的应用效果。方法选取各类踝关节骨折102例患者,随机分为治疗组(72例)和对照组(30例)。治疗组以自制踝关节功能训练带配合CPM机训练(术后第2天行CPM机训练3天出院,继而行自制踝关节功能训练带训练)。对照组单独使用CPM机训练(术后第2天行CPM机训练3天出院,行自主功能训练),治疗3周后从踝关节肿胀程度、踝关节活动度分析临床疗效。结果术后3周对照组无肿胀6例(20.0%),轻度肿胀18例(60.0%),中度肿胀6例(20.0%);治疗组无肿胀51例(70.8%),轻度肿胀19例(26.4%),中度肿胀2例(2.8%)。对照组踝关节活动度:跖屈(15.0±3.9)°,背伸(8.0±2.5)°;观察组踝关节活动度:跖屈(34.0±5.3)°,背伸(18.0±4.1)°。两组踝关节活动度比较差异有统计学意义(P<0.05)。结论自制踝关节功能锻练带能发挥患者自发能动性,增强患者康复自信心,踝关节骨折术后功能康复疗效良好,且简便、易行、实用,结合CPM机训练明显降低了术后并发症,值得在骨科临床上推广应用。Objective To explore the application effect of ankle joint function training combined with CPM training in the joint function training after ankle fracture surgery. Methods A total of 102 patients with ankle fractures were randomly divided into treatment group （n= 72） and control group （n=30）.The treatment group was treated with CPM（3 days after the operation of CPM machine training for the first time after the operation, and was discharged from the hospital after the first second days of operation）.The control group was treated with CPM alone（second days after the CPM machine training for the first time on the 3 days of discharge, and the autonomic function training）.After the treatment for 3 weeks,the clinical effect was analyzed from the swelling degree of the ankle joint and the ankle mobility. Results After 3 weeks,the control group had no swelling in 6 cases （20%）,mild swelling in 18 cases （60%）,6 cases of moderate swelling （20%）;the treatment group without swelling in 51 cases （70.8%）, 19 cases of mild swelling （26.4%）,2 cases of moderate swelling （2.8%）.The control groupthe activity of ankle joint plantar flexion （15 ± 3.9）° ,dorsiflexion （8 ± 2.5）° . The observation group：the activity of ankle joint plantar flexion （34 ± 5.3° ）,dorsiflexion （18 ± 4.1）° .There was significant difference between the observation group and the control group in ankle mobility（P〈0.05）.CO nclusion The self-made ankle function exercise can play with patients with spontaneous activity,enhance the confidence of patients,the rehabilitation effect of ankle joint function after fracture is good,convenient,practical,and CPM training significandy reduces the complications,worthy of clinical application in Department of orthopedics.

关 键 词：媒关节骨折 功能训练带 CPM机训练 

分 类 号：R687.3[医药卫生—骨科学]