超短波治疗腹部皮瓣术后肩肘关节功能障碍的研究  

Effect of ultra-short wave on the dysfunction of shoulder and elbow joint after abdominal flap surgery

作　　者：张红新[1] 王杰[1] 蒋美超[1] 杨朔[1] 连勇[1] ZHANG Hong-xin;WANG Jie;JIANG Mei-chao;YANG Shuo;LIAN Yong(The Five Departmemt of Orthopaedics,Baoding No.1 Central Hospital,Hebei Province,Baoding 071000,China)

机构地区：[1]河北省保定市第一中心医院骨五科,河北保定071000

出　　处：《河北医科大学学报》2018年第11期1283-1286,共4页Journal of Hebei Medical University

摘　　要：目的探讨超短波联合手法锻炼预防交腹皮瓣术后肩肘关节功能障碍的临床效果。方法随机选择年龄在20岁以上既往身体健康的手外伤患者40例,随机分为2组各20例,分别为试验组、对照组。试验组:患者交腹皮瓣修复术后给予超短波治疗,指导患者进行肩肘关节主被动活动,并在断蒂术后指导患者进行规范康复训练;对照组:给予患者交腹皮瓣术后常规护理,患者不进行超短波治疗及规范康复训练。分别于断蒂术后1d、1周、1个月后进行患者肩肘关节活动度的测量,并进行肩关节HSS评分及肘关节Mayo评分,分析比较2组数据。结果试验组关节活动度范围优于对照组,肩关节HSS评分及肘关节Mayo评分高于对照组,差异均有统计学意义(P<0.05)。结论患者交腹皮瓣术后给予超短波联合手法功能锻炼,可促进患者快速康复,有利于快速改善关节活动度及功能,减轻关节疼痛,改善术后生活质量。Objective To investigate the clinical effect of ultra-short wave combined with physical exercise on preventing the dysfunction of shoulder and elbow joints in patients with abdominal skin flap.Methods A total of 40 patients（age〉20 years） with hand injuries were randomly divided into two groups： 20 patients for experimental group（group A）, patients received the ultra short wave therapy and the passive activities of shoulder and elbow after surgery, and the patients received standard rehabilitation exercise after dissection of the pedicles of abdominal flaps; 20 patients for control group（group B）, patients received conventional nursing care without ultra short wave therapy after dissection of the pedicles of abdominal flaps. Measuring the shoulder and elbow activity of patients after dissection of the pedicles of abdominal flaps at first day, a week and one month , HSS score for shoulders and Mayo score for elbows of patients were implemented after the surgeries. Differences between the two groups were compared by statistical analysis.Results The motion range of joints of patients in the experimental group was better than the control group. HSS score for shoulders and Mayo score for elbows of patients in the experimental group were higher than the control group. There were significant differences between the two groups.Conclusion The ultra-short wave combined with physical exercise therapy could improve the motion range and the function of joints in patients with abdominal skin flap, reducing joint pain and improving the quality of life of patients.

关 键 词：手损伤 皮瓣移转 肩肘关节功能障碍 超短波 

分 类 号：R622.12[医药卫生—整形外科]