功能锻炼和饮食调护结合伤科黄水对肱骨外科颈骨折小夹板外固定术患者功能恢复的效果分析  

Analysis of the Effect of Functional Exercise,Diet and Nursing Combined with Traumatic Yellow Water on Functional Recovery of Patients with Surgical Neck Fracture of Humerus Treated with Small Splint External

作　　者：黄彩红[1] 阮玉婷 曹芷茵 伦欣琪 HUANG Caihong;RUAN Yuting;CAO Zhiyin(Department of Orthopedics,Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine,Foshan,528100,Ch)

机构地区：[1]佛山市中医院三水医院骨科门诊,广东佛山528100

出　　处：《中国伤残医学》2023年第17期26-29,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：要目的:探讨与分析功能锻炼和饮食调护结合伤科黄水对肱骨外科颈骨折小夹板外固定术患者功能恢复的效果。方法:抽取我院2021年1月一2022年3月诊治的肱骨外科颈骨折小夹板外固定术后患者88例作为研究对象,根据随机1:1信封抽签法原则分为观察组与对照组,每组各44例,对照组给予常规功能锻炼,观察组在对照组护理的基础上给予伤科黄水外敷护理与饮食调护护理,2组护理观察时间为12周,观察2组患者干预效果。结果:护理后观察组的关节功能优良率为93.18%,对照组关节功能优良率为75.00%,观察组的关节功能优良率高于对照组,差异具有统计学意义(P<0.05);干预1周后组间视觉模拟评分(visual analogue scale,VAS)差异无统计学意义(P>0.05),干预2周、4周后2组患者的VAS评分均逐渐降低,且观察组VAS评分均低于对照组,差异均具有统计学意义(P<0.05);干预后观察组患者的前屈上举、前届外举、前屈外旋、内翻等关节活动度评分均高于对照组相应评分,差异均具有统计学意义(P<0.05);干预前2组患者Neer评分、CMS评分、Brobery-Morrey评分差异无统计学意义(P>0.05),干预后2组Neer评分、CMS评分、Brobery-Morrey评分均明显升高,且观察组均高于对照组(P<0.05);观察组护理期间发现1例关节僵直,对照组发现4例关节僵直,3例肌肉痊李,2组比较差异无统计学意义(P>0.05),但观察组并发症发生率较少。结论:功能锻炼和饮食调护结合伤科黄水在肱骨外科颈骨折小夹板外固定术的应用能促进患者关节功能恢复。Objective:To explore and analyze the effect of functional exercise and diet care combined with traumatic yellow water on functional recovery of patients with surgical neck fracture of humerus treated with small splint external fixation.Methods:88 patients with surgical neck fracture of the humerus treated in our hospital from January 2021 to March 2022 were selected as the study subjects.They were randomly divided into the combination group and the control group according to the 1:1 envelope drawing,with 44 patients in each group.The control group was given routine functional exercise.The combination group was given external application nursing and diet nursing care in the department of trauma based on the nursing of the control group.The nursing observation time of the two groups was 12 weeks,Observe the intervention effect of the two groups of patients.Results:After nursing,the excellent and good rate of joint function in the combined group was 93.18%,and the excellent and good rate of joint function in the control group was 75.00%.The ex-cellent and good rate of joint function in the combined group was higher than that in the control group,and the difference was statistically significant(P<0.05);There was no statistically significant difference in VAS scores between the groups after intervention for 1 week(P>0.05),but the VAS scores of patients in the two groups decreased gradually after intervention for 2 and 4 weeks,and the VAS scores of the combined group were lower than those of the control group after intervention for 2 and 4 weeks,the dfference was statistical-ly significant(P<0.05);After intervention,the scores of the patients in the combined group were higher than those in the control group(P<0.05);Before the intervention,there was no significant difference between the two groups in the Neer score,CMS score,and Brob-ery-Morrey score(P>0.05).After the intervention,the Neer score,CMS score,and Brobery-Morrey score of the two groups were significantly higher,and after the intervention,the Neer score,CMS s

关 键 词：功能锻炼 饮食调护 伤科黄水 肱骨外科颈骨折 小夹板外固定术 并发症 

分 类 号：R493[医药卫生—康复医学]