阶梯性康复训练对手法整复夹板固定桡骨远端骨折患者腕关节功能恢复的影响  

Effect of Step Rehabilitation Training on Wrist Joint Function Recovery of Patients with Distal Radius Fracture Fixed by Splint

作　　者：胡晓龙[1] HU Xiaolong(August 1st Orthopedic Hospital of Chengdu Military Region,Chengdu,Sichuan 610031,China)

机构地区：[1]成都军区八一骨科医院,四川成都610031

出　　处：《大医生》2019年第16期52-53,共2页Doctor

摘　　要：目的对桡骨远端骨折患者进行手法整复夹板固定,并进行阶梯性康复训练,分析其应用效果。方法选取2018年1月至12月在成都军区八一骨科医院治疗的44例桡骨远端骨折患者,所有患者均采取手法整复夹板固定方案治疗,将其分为两组,各22例。对照组进行常规康复活动;观察组进行阶梯性康复训练,对比治疗后两组患者的腕关节功能恢复情况。结果治疗后7 d,观察组患者的VAS评分、肿胀评分均明显低于对照组(P<0.05);治疗后3个月,观察组患者的桡尺偏活动度、屈伸活动度、旋转活动度均明显大于对照组(P<0.05)。结论进行手法整复夹板固定后,对患者进行阶梯性康复训练,可缓解早期疼痛、肿胀,促进腕关节功能恢复。Objective To analyze the effect of manipulative reduction and splint fixation for distal radius fracture patients and step rehabilitation training.Methods From January to December 2018,44 cases of distal radius fracture treated with manual reduction and splint fixation in our hospital were included.They were divided into two groups with 22 cases each group.The control group received routine rehabilitation activities,while the observation group received step-by-step rehabilitation training.The recovery of wrist function in the two groups after treatment were compared.Results After 7 days of treatment,the VAS score and swelling score of the patients in the observation group were significantly lower than those in the control group(P<0.05);after 3 months of treatment,the radial and ulnar deviation activity,flexion and extension activity and rotation activity of the patients in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Stepped rehabilitation training after manual reduction and splint fixation can alleviate early pain and swelling and promote the recovery of wrist function.

关 键 词：桡骨 阶梯性 康复训练 

分 类 号：R68[医药卫生—骨科学]