早期康复训练对屈指肌腱损伤术后患者手功能康复的影响  

The Effect of Early Rehabilitative Training on Hand Function Rehabilitation after Operation for Patients with Flexor Tendon Injury

作　　者：兰月 LAN Yue(Panjin central hospital,Panjin,Liaoning 124000)

机构地区：[1]盘锦市中心医院,辽宁盘锦124000

出　　处：《中国伤残医学》2023年第19期10-13,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研析早期康复训练对屈指肌腱损伤术后患者手功能康复的影响。方法:选择我院2020年1月-2020年12月接受屈指肌腱损伤术的50例手外伤患者作为观察对象,依据随机数字表法,将研究对象分为2组,对照组和观察组,每组各25例。2组患者均接受术后康复训练,对照组采用常规训练,观察组采用早期康复训练,对比2组的肌腱活动范围、握力水平及上肢功能、腕关节活动度、疼痛模拟评分、负性情绪评分。结果:观察组的肌腱活动范围优良率为96.0%,高于对照组的72.0%,差异有统计学意义(P<0.05);在握力水平及上肢功能方面,观察组均优于对照组(P<0.05);在腕关节桡偏、尺偏、掌屈、背伸等活动度方面,观察组优于对照组(P<0.05);干预前2组所测疼痛模拟评分及焦虑、抑郁分值结果无差异(P>0.05),干预后均降低,且观察组呈现出更低趋势(P<0.05)。结论:早期康复训练有利于屈指肌腱损伤术后患者手功能的康复,既能提高肌腱活动范围、握力能力,又能改善上肢功能、提升腕关节活动度,且有利于其疼痛度减轻、负性情绪改善,值得推广。Objective:To explore the effect of early rehabilitative training on hand function rehabilitation afer operation for patients with flexor tendon injury.Methods:A total of 50 patients with hand injury who underwent flexor tendon injury surgery in Panjin Central Hospital during from January 2020 to December 2020 were selected as the observation objects.According to the random number table method,the subjects were divided into two groups-the control group and the observation group,with 25 cases in each group.The patients in both groups received postoperative rehabilitation training.The control group received routine training and the observation group received early rehabilitation training.The tendon range of motion,grip strength,upper limb function,wrist range of motion,pain simulation score and negative emotion score were compared between the two groups.Results:The excellent and good rate of tendon activity range in the observation group was 96.0%,which was higher than 72.0%in the control group(P<0.05);In terms of grip strength and upper limb function,the observation group was better than the control group(P;The observation group was better than the control group in the range of motion of wrist joint,such as radial deviation,ulnar deviation,palm flexion and back extension(P<0.05).Before the intervention,there was no diference in the results of pain simulation score,anxiety,and depression scores between the two groups(P>0.05),which decreased after the intervention,and the observation group showed a lower trend(P<0.05).Conclusion:The early rehabilitative training is beneficial to the rehabilitation of hand function after operation for patients with flexor tendon injury.It can not only improve the range of tendon movement and grip strength,but also improve the upper limb function and wrist range of motion.It is also conducive to the reduction of pain and the improvement of negative emotion.It is worth popularizing.

关 键 词：屈指肌腱损伤 早期康复训练 手功能 康复效果 

分 类 号：R493[医药卫生—康复医学]