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作 者:吴娟 张晓婕[1] 程张静 WU Juan;ZHANG Xiaojie;CHENG Zhangjing(Department of Sports Medicine,Beijing Jishuitan Hospital,Beijing 102208,China)
出 处:《河北医药》2022年第20期3124-3127,共4页Hebei Medical Journal
摘 要:目的探讨肩袖损伤关节镜下修复术患者早期运动与制定对其肩关节功能恢复的影响。方法选取2020年1月至2021年1月收治的行关节镜下修复术治疗的肩袖损伤患者82例为研究对象,按照随机法将患者分为对照组和观察组,每组41例,对照组采用常规护理指导,观察组在对照组基础上制定并实施早期运动护理方案,比较2组的体侧外旋角度(体侧外旋ROM)、主动前屈角度(前屈ROM)、美国加州大学(UCLA)肩关节评分、美国肩肘外科协会(ASES)评分、优良率、生活质量评价量表-36(SF-36)得分及并发症发生率。结果护理后2组的体侧外旋ROM、前屈ROM高于护理前,且观察组的体侧外旋ROM、前屈ROM高于对照组(P<0.05)。护理后2组的UCLA肩关节评分、ASES评分高于护理前,且观察组的UCLA肩关节评分、ASES评分高于对照组(P<0.05)。患者出院6个月后,优良率观察组的95.12%高于对照组的75.61%(P<0.05);观察组的SF-36得分高于对照组(P<0.05)。并发症发生率观察组的4.88%低于对照组的26.83%(P<0.05)。结论对肩袖损伤关节镜下修复术患者,制定并实施早期运动护理方案,效果显著,有助于患者肩关节功能恢复。Objective To explore the effects of early exercise nursing on shoulder functional recovery of arthroscopic rotator cuff injury repair(aRCR).Methods From January 2020 to January 2021,82 patients with aRCR were selected as the research subjects,and the patients were randomly divided into control group(n=41)and observation group(n=41).Early exercise nursing was performed in the observation group on the basis of routine nursing.The lateral external range of motion(ROM),active flexion ROM,Los Angeles(UCLA)score,American Society of Shoulder and Elbow Surgery(ASES)score,superior rate,quality of life evaluation scale 36(SF36),and the complications between groups were compared.Results Compared with before nursing,the lateral external ROM and ante flexion ROM in the two groups after nursing were higher,which in the observation group were more prevalent(P<0.05);UCLA scores and ASES scores in the two groups after nursing were higher,which in the observation group were more common(P<0.05).The superior rate in the observation group on 6 months out of hospital was higher than that the control group(95.12%vs 75.61%,P<0.05,respectively).SF36 scores was higher in the observation group than the control group(P<0.05),and the complications in the observation group were lower than that in the control group(4.88%,vs 26.83%,P<0.05,respectively).Conclusion For patients with aRCR,early exercise nursing delivers significant effects,and contributes to the recovery of shoulder joint function.
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