推拿结合身心护理对儿童肱骨髁上骨折术后功能障碍的影响  

Effects of Psychosomatic Nursing Combined with Massage on Elbow Joint Dysfunction after Supracondylar Fracture of Humerus in Children

作　　者：鲁薇薇 王琳[1] 彭博 刘若兰[1] LU Weiwei;WANG Lin;PENG Bo;LIU Ruolan(Department of Rehabilitation, Zhongnan Hospital of Wuhan University, Wuhan 430071)

机构地区：[1]武汉大学中南医院康复医学科,湖北武汉430071

出　　处：《湖北中医药大学学报》2017年第6期95-98,共4页Journal of Hubei University of Chinese Medicine

基　　金：国家自然科学基金项目(项目编号:81603696)

摘　　要：目的观察推拿结合身心护理对儿童肱骨髁上骨折术后肘功能障碍的影响。方法收集我院康复科住院的20名患儿作为观察对象,按患儿就诊顺序随机分为综合干预组和对照组,对照组采用中医推拿手法,综合干预组在对照组治疗的基础上增加身心护理模式。记录治疗前后对ROM值、HSS肘关节评分、ADL评分,并对疗效进行评价。结果所有患儿在接受3个月的推拿治疗或增加针对性的身心护理后,ROM值、HSS2肘关节评分、ADL评分均较治疗前显著改善,接受身心护理的患儿改善更明显,疗效更好。结论与常规推拿治疗相比,增加身心护理能够更好的促进儿童肱骨髁上骨折术后肘关节功能障碍的康复。Objective To observe and analyze the effects of psychosomatic nursing combined with massage on elbow joint dysfunction after supracondylar fracture of humerus in children. Methods 20 cases of children with elbow joint dysfunction after supracondylar fracture of humerus were randomly divided into treatment group and control group, control group received massage therapy and normal nursing, treatment group received additional psychosomatic nursing. The ROM value, HSS elbow scores and ADL assessment were assessed before and after treatment. The effect of combined intervention was assessed by HSS scores. Results The ROM value, HSS elbow score and ADL in both groups were improved after treatment, and the children in treatment group obtained more benefit. The effectiveness of treatment group was higher than that of control group. Conclusion Compared with massage treatment applied solely, combined with psychosomatic nursing is more effective in the intervention of children with elbow joint dysfunction after supracondylar fracture of humerus.

关 键 词：儿童肱骨髁上骨折术后 肘关节功能障碍 推拿手法 身心护理 

分 类 号：R274.9[医药卫生—中西医结合]