渐进式抗阻与肌肉放松训练对胫腓骨骨折患者骨骼康复的效果  

Effect of progressive resistance and muscle relaxation training on skeletal rehabilitation of tibiofibular fracture patients

作　　者：韩月 王丽 王海棠 HAN Yue;WANG Li;WANG Haitang(Department of Orthopedics,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian,223300,China)

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《中国医药导报》2022年第24期159-162,共4页China Medical Herald

基　　金：江苏省自然科学基金面上项目(BK20191492)。

摘　　要：目的探究渐进式抗阻与肌肉放松训练对胫腓骨骨折患者的骨骼康复效果。方法选取2020年5月至2021年5月就诊于南京医科大学附属淮安第一医院的胫骨骨折术后患者88例为研究对象,采用随机数字表法将其分为对照组(44例,应用肌肉放松训练)和联合组(44例,应用肌肉放松训练+渐进式抗阻训练)。比较两组疼痛情况、舒适度水平及骨骼康复效果。结果与干预前比较,干预后两组视觉模拟评分法(VAS)评分降低、Kolcaba简化舒适度量表(GCQ)评分升高,且联合组VAS评分低于对照组,GCQ评分高于对照组(P<0.05)。干预后两组下肢功能评定量表(LEFS)评分高于干预前,躯体生活自理量表(PSMS)评分低于干预前,且联合组LEFS评分高于对照组,PSMS评分低于对照组(P<0.05)。结论针对胫腓骨骨折患者,渐进式抗阻与肌肉放松训练的应用,可降低术后机体疼痛水平,提升舒适度水平与躯体自理能力,促进下肢功能恢复,可于临床推广应用。Objective To explore the effect of progressive resistance and muscle relaxation training on skeletal rehabilitation of tibiofibular fracture patients.Methods From May 2020 to May 2021,88 patients with tibial fracture after surgery in the Affiliated Huaian N0.1 People’s Hospital of Nanjing Medical University were selected as the research objects they were divided into control group(44 cases,applied muscle relaxation training)and combined group(44 cases,applied muscle relaxation training+progressive resistance training)by random number table method.Results Compared with before intervention,visual analogue scale(VAS)score decreased and Kolcaba general comfort questionnaie(GCQ)score increased in the two groups after intervention,and VAS score in the combined group was lower than that in the control group,and GCQ score was higher than that in the control group(P<0.05).After intervention,the lower extremity function scale(LEFS)score of the two groups was higher than that before intervention,and the physiscal self-maintenance scale(PSMS)score was lower than that before intervention,and the LEFS score of the combined group was higher than that of the control group,and the PSMS score was lower than that of the control group(P<0.05).Conclusion For patients with tibiofibular fracture,the application of progressive resistance and muscle relaxation training can not only reduce the pain level,but also improve the comfort level and physical self-care ability of patients,and promote the functional recovery of lower limbs,so it can be applied in clinical practice.

关 键 词：渐进式抗阻训练 肌肉放松训练 胫腓骨骨折 骨骼 康复 

分 类 号：R47[医药卫生—护理学]