综合康复治疗用于上肢骨折术后肘关节功能障碍的效果分析  

Effect Analysis of Comprehensive Rehabilitation Treatment on Elbow Joint Dysfunction after Upper Limb Fracture Surgery

作　　者：郭晓佳 黄秋萍 陈秀清 叶国标 马永敏 GUO Xiaojia;HUANG Qiuping;CHEN Xiuqing;YE Guobiao;MA Yongmin(不详;Fuzhou Second Hospital,Fuzhou 350000,China)

机构地区：[1]福州市第二医院,福建福州350000

出　　处：《中外医学研究》2023年第11期160-164,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省创伤骨科急救与康复临床医学研究中心项目(2021)。

摘　　要：目的:分析手术治疗后出现肘关节功能障碍的上肢骨折患者接受综合康复治疗干预的临床效果。方法:回顾性选择2020年1月—2021年12月在福州市第二医院进行手术治疗后出现肘关节功能障碍的上肢骨折患者88例,根据术后康复治疗方案的不同将其分成对照组和治疗组,各44例。对照组手术后接受常规骨科康复治疗;治疗组手术后接受综合康复治疗干预。对比两组治疗前后疼痛程度、心理状态评分、炎症反应相关指标水平、治疗总有效率、不良反应发生情况、术后疼痛消失时间、肘关节功能复常时间、住院总时间、术后康复治疗方案及效果满意度。结果:治疗后,两组疼痛程度、心理状态评分、炎症反应相关指标水平均较治疗前改善,且治疗组改善幅度大于对照组,差异有统计学意义(P<0.05);治疗组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗组的不良反应发生率低于对照组,差异有统计学意义(P<0.05);治疗组术后疼痛消失时间、肘关节功能复常时间、住院总时间短于对照组,差异有统计学意义(P<0.05);治疗组的治疗总满意度高于对照组,差异有统计学意义(P<0.05)。结论:手术治疗后出现肘关节功能障碍的上肢骨折患者接受综合康复治疗干预,能够迅速减轻疼痛,改善心理状态,恢复肘关节功能,减少不良反应,缩短恢复时间,提升治疗效果及满意度。Objective:To analyze the clinical effect of comprehensive rehabilitation treatment on patients with upper limb fractures who have elbow joint dysfunction after surgical treatment.Method:A retrospective study was conducted to select 88 patients with upper limb fractures who developed elbow joint dysfunction after surgical treatment in Fuzhou Second Hospital from January 2020 to December 2021.They were divided into a control group and a treatment group based on different postoperative rehabilitation treatment plans,with 44 cases in each group.The control group received routine orthopedic rehabilitation treatment after surgery.The treatment group received comprehensive rehabilitation treatment intervention after surgery.Compared the pain degree,psychological state score,inflammatory response related indicators before and after treatment,total effective rate of treatment,occurrence of adverse reactions,time for postoperative pain disappearance,time for elbow joint function normalization,total hospitalization time,postoperative rehabilitation treatment plan,and effect satisfaction between the two groups.Result:After treatment,the pain level,psychological state scores,and inflammatory response related indicators in the two groups improved compared to those before treatment,and the improvement range in the treatment group were greater than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the treatment group was higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the treatment group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The treatment group had significantly shorter postoperative pain disappearance time,elbow joint function normalization time,and total hospitalization time than the control group,the differences were statistically significant(P<0.05).The treatment total satisfaction of the treatment group

关 键 词：手术 肘关节功能障碍 上肢骨折 综合康复治疗 术后 疼痛 

分 类 号：R687.3[医药卫生—骨科学] R493[医药卫生—外科学]