镜下肩袖修复围手术期护理与康复  

Perioperative nursing and rehabilitation for arthroscopic rotator cuff repair

作　　者：朱娟丽[1] 马继鹏 张强[1] 王姝南[1] 齐玮[1] 李海鹏[1] 王宁[1] 刘玉杰[1] ZHU Juan-li;MA Ji-peng;ZHANG Qiang;WANG Shu-nan;QI Wei;LI Hai-peng;WANG Ning;LIU Yu-jie(General Hospital of PLA,Beijing 100853,China)

机构地区：[1]解放军总医院,北京100853

出　　处：《中国矫形外科杂志》2023年第2期178-180,共3页Orthopedic Journal of China

摘　　要：[目的]评价关节镜下肩袖损伤修复个性化围手术期护理与康复的效果。[方法]回顾性分析2018年1月—2019年12月本院肩袖损伤关节镜下修复术103例患者的临床资料,对患者实施个性化护理与康复指导。[结果]所有患者均顺利完成手术,无严重住院期间并发症。出院时患者对护理服务及时到位、病房休养体验、康复指导准确有效、沟通交流以及管理规范性5个方面总评分为(94.4±4.0)分。随时间推移,103例患者VAS、ASES评分和肩关节前屈上举ROM、外展上举ROM及后伸ROM均显著改善(P<0.05)。[结论]关节镜下肩袖损伤修复个性化围手术期护理与康复,可减轻患者疼痛,提高功能康复与护理满意度,有利于肩关节功能恢复。[Objective] To evaluate the consequences of personalized perioperative nursing and rehabilitation for arthroscopic rotator cuff repair. [Methods] A retrospective study was performed on 103 patients who received arthroscopic repair of rotator cuff injury in our hospital from January 2018 to December 2019. All the patients were given personalized nursing and rehabilitation perioperatively. [Results] All patients were operated on successfully without serious complications during hospitalization. At discharge, the total score of patient’s satisfaction was(94.4±4.0) in five aspects including timely delivery of nursing services, ward rest experience, accurate and effective rehabilitation guidance, communication and standardization of management. The VAS and ASES scores, as well as upward flexion, upward abduction and posterior extension range of motions(ROMs) significantly improved in 103 patients over time(P<0.05). [Conclusion] The personalized perioperative nursing and rehabilitation for arthroscopic rotator cuff repair do reduce the pain, improve nursing and rehabilitation satisfaction, and contribute to the functional recovery of the shoulder.

关 键 词：肩袖损伤 关节镜术 护理 康复 

分 类 号：R687.4[医药卫生—骨科学]