肩锁关节脱位术后早期肩关节功能锻炼的康复指导  

Rehabilitation Guidance of Acromioclavicular Joint Dislocation of Early Postoperative Functional Exercise of Shoulde

作　　者：于英楠[1] 王雅慧[1] 李瑞霞[1] YU Ying-nan;WANG Ya-hui;LI Rui-xia(Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia 010030)

机构地区：[1]内蒙古医科大学第二附属医院,内蒙古呼和浩特010030

出　　处：《世界最新医学信息文摘》2018年第18期218-218,221,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨肩锁关节脱位术后早期肩关节功能锻炼方法。方法对2017年1月至2017年6月手术治疗的45例肩锁关节脱位的患者进行合理早期的功能锻炼。主要分为4个阶段:第一阶段在骨折术后1周内,以被动锻炼为主,保持肩关节的活动范围。第二阶段在骨折术后2-3周内,进行肩关节的被动锻炼。第三阶段在骨折术后4周起,加强肩关节的活动度,强化肌力。第四阶段在骨折术后7周起,增加肩关节的活动范围和肩部力量。结果肩关节评分标准,优40例,占89%;良例3例;占6%;一般1例,占2.5%;差1例,占2.5%。结论肩锁关节脱位术后进行早期合理的功能锻炼,是预防肩关节发生僵硬的切实可行的方法。Objective To investigate the acromioclavicular joint dislocation of shoulder joint function early postoperative exercise method.Methods Functional exercise on 2013 January-2014 June 45 cases of shoulder surgery treatment of clavicular joint dislocation were reasonable early.Is mainly divided into 4 stages:the first stage in the 1 week after fracture,the passive exercise,to keep the shoulder activities.The second stage in 2-3 weeks after fracture operation,passive exercise of shoulder joint.In the third phase of fracture after operation 4 weeks,strengthen the activity of shoulder joint,strengthening muscle.The fourth stage in the 7 week after fracture operation,increase range of motion and shoulder strength of shoulder joint.Results The shoulder joint score standard,excellent in 40 cases,accounting for 89%;3 cases of benign cases;6%;1 cases,accounting for 2.5%;1 cases,accounting for 2.5%.Conclusion Acromioclavicular dislocation postoperative function exercise early prevention is reasonable,feasible method has stiff shoulder.

关 键 词：肱骨骨折 功能锻炼 康复指导 

分 类 号：R274.1[医药卫生—中医骨伤科学]