基于五禽戏功法的肩关节操对肩部损伤患者术后功能的影响  

The Influence of Shoulder Joint Exercises Based on Frolics of Five Animals on Postoperative Function of Patients with Shoulder Injury

作　　者：杜雪莲[1] 陈湛超 彭映 李宏亮 董佩文[1] 罗时运[1] DU Xue-lian;CHEN Zhan-chao;PENG Ying;LI Hong-liang;DONG Pei-wen;LUO Shi-yun(Foshan Hospital of Traditional Chinese Medicine,Foshan,Guangdong,China,528000)

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《河南中医》2022年第5期786-789,共4页Henan Traditional Chinese Medicine

基　　金：佛山市医学类科技攻关项目(2018AB001241)。

摘　　要：目的:根据五禽戏功法设计肩关节操并评估其对肩部损伤患者(锁骨骨折、肩锁关节脱位、肱骨外科颈骨折)术后功能的影响。方法:将88例行肩部损伤手术的患者随机分为对照组与观察组,每组44例。对照组给予常规功能锻炼,观察组在对照组的基础上进行肩关节操功能锻炼。出院后定期随访,术后3个月采用Neer肩关节功能评分量表和基本生活活动能力(Basic activities of life rating scale,BADL)评分对两组患者肩部功能进行评价。结果:观察组Neer肩关节功能评分高于对照组,差异有统计学意义(P<0.05);观察组基本生活活动能力评分高于对照组,差异有统计学意义(P<0.05)。结论:肩关节操能促进肩部损伤患者术后功能恢复,提高患者自理能力及生活质量。Objective:To design shoulder joint exercises based on frolics of five animals and evaluate its influence on postoperative function of patients with shoulder injury(clavicular fracture,acromioclavicular joint dislocation and humeral surgical neck fracture).Methods:A total of 88 patients with shoulder injury were randomly divided into the control group and the observation group,with 44 cases in each group.The control group was given routine functional exercise,and the observation group was additionally given shoulder joint exercises on the basis of the control group.The patients were followed up regularly after discharge.Three months after operation,the shoulder function of the two groups was evaluated by Neer shoulder function scale and basic activities of life rating scale(BADL).Results:The Neer shoulder joint function score in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The score of basic living activities in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Shoulder joint exercises can promote the functional recovery of patients with shoulder injury after operation,and improve their self-care ability and quality of life.

关 键 词：肩部损伤 肩关节操 五禽戏 功能锻炼 生活质量 

分 类 号：R247.9[医药卫生—中医临床基础]