功能锻炼对桡骨远端骨折石膏外固定拆除后腕关节康复的影响  

Effect of Functional Exercise on Wrist Joint Rehabilitation of Distal Fracture of Radius After Removal of Gypsum External Fixation

作　　者：张鹏[1] ZHANG Peng(Department of Orthopedics,Affliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China 250014)

机构地区：[1]山东中医药大学附属医院骨科,山东济南250014

出　　处：《中国药业》2022年第S02期130-132,共3页China Pharmaceuticals

摘　　要：目的探讨功能锻炼对桡骨远端骨折拆除石膏外固定后腕关节康复的影响。方法选取医院2019年1月至2021年1月收治的桡骨远端骨折拆除石膏外固定后患者80例,按随机数字表法分为观察组和对照组,各40例。对照组患者给予常规康复治疗方案,观察组患者在对照组基础上联合功能训练。两组患者干预时间均为1个月。结果两组患者干预后1周、2周、4周的视觉模拟量表评分均显著降低,且观察组更低(P<0.05);两组患者干预后掌屈度、背伸度、桡角度、旋前度、旋后度均显著增大,且观察组更大(P<0.05);两组患者干预后肿胀评分、Gartland-Wreley评分均显著降低,且观察组更低(P<0.05);观察组患者腕关节康复优良率为90.00%,显著高于对照组的65.00%(P<0.05)。结论功能锻炼可有效促进桡骨远端骨折患者拆除石膏外固定后的腕关节康复,提高腕关节活动度,缓解疼痛。Objective To investigate the effect of functional exercise on the wrist joint rehabilitation of distal fracture of radius after the removal of gypsum external fixation.Methods A total of 80 patients with distal fracture of radius after the removal of gypsum external fixation admitted to the hospital from January 2019 to January 2021 were selected and divided into the observation group and the control group by the random number table method,with 40 cases in each group.The patients in the control group were given the routine rehabilitation treatment,on this basis,the patients in the observation group were given the functional exercise.Both groups were intervened for one month.Results The scores of Visual Analog Scale in the two groups were significantly lower at the first,second and fourth weeks after intervention,and those in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the palm flexion,back extension,radial angle,pronation and supination in the two groups were significantly greater,and those in the observation group were significantly greater than those in the control group(P<0.05).After intervention,the swelling scores and Gartland-Wreley scores in the two groups were significantly lower,and those in the observation group were significantly lower than those in the control group(P<0.05).The excellent and good rate of wrist joints rehabilitation in the observation group was 90.00%,which was significantly higher than 65.00%in the control group(P<0.05).Conclusion Functional exercise can effectively promote the wrist joint rehabilitation,improve the wrist mobility and relieve pain of patients with distal radius fracture after the removal of gypsum external fixation.

关 键 词：功能锻炼 桡骨远端骨折 石膏外固定 腕关节 康复 

分 类 号：R683[医药卫生—骨科学]