针对性康复干预在闭合撬拔辅助治疗儿童难复性肱骨上骨折中的应用  

Application effect of targeted rehabilitation intervention on the adjuvant treatment of children with refractory supracondylar humeral fractures treated by closed sled pullin

作　　者：李艳 李程 梁丽伟 张慧园 LI Yan;LI Cheng;LIANG Liwei(Second Department of Surgery,the Second Hospital ofZhangjiakou,Hebei,Zhangjiakou 075000,China;不详)

机构地区：[1]河北省张家口市第二医院手外二科,075000 [2]河北省张家口市第二医院中医骨伤科,075000 [3]河北省张家口市第二医院重症医学科,075000 [4]河北省张家口市第二医院小儿骨科,075000

出　　处：《河北医药》2024年第4期574-577,共4页Hebei Medical Journal

基　　金：张家口市重点研发计划项目(编号:1911023D)。

摘　　要：目的 分析针对性康复干预在闭合撬拔辅助治疗儿童难复性肽骨上骨折中应用效果。方法 回顾性收集2019年6月至2022年6月收治的难复性骨上骨折患儿281例的资料。根据患者术后采用干预方式不同分为对照组(术后常规康复干预123例与观察组(针对性康复干预)158例。干预后3个月对比2组患者肘关节功能优良率、肘关节活动度、依从性、满意率以及并发症情况。结果 观察组治疗后肘关节功能优良率为97.47%,明显高于对组的91.05%(P<0.05)。干预后,2组肘关节屈曲较干预前增加,伸直活动度降低(P<0.05),观察组干预后肘关节屈曲明显大于对照组,伸直活动度小于对照组(P<0.05);观察组依从性及满意率均明显高于对照组,比较差异有统计学意义(P<0.05);观察组并发症为1.26%,对照组为6.50%,观察组并发症发生率低于对照组(P<0.05)。结论 针对性康复干预可促进难复性肱骨上骨折患儿肘关节功能恢复,提升治疗期间患儿依从性,治疗效果,降低并发症发生率。Objective To analyze the application effect of targeted rehabilitation intervention on the adjuvant treatment of children with refractory supracondylar humeral fractures by closed sled pulling.Methods The data of 281 children with refractory supracondylar humeral fractures admitted to our hospital from June 2019 to June 2022 were retrospectively collected.According to different postoperative intervention methods,patients were divided into the control group(postoperative routine rehabilitation intervention,n=123)and the observation group(targeted rehabilitation intervention,n=158).Three months after the intervention,the excellent and good rate of elbow joint function,elbow joint range of motion,compliance,satisfaction rate and complications were compared between the two groups.Results The excellent and good rate of elbow joint function in the observation group after treatment was significantly higher than that of the control group(97.47%vs 91.05%,P<0.05).After the intervention,the flexion of the elbow joint in the two groups significantly increased compared with that before the intervention,and the range of motion of the extension significantly decreased(P<0.05).After the intervention,the elbow joint flexion in the observation group was significantly greater than that of the control group,and the straightening activity was significantly lower than that of the control group(P<0.05).The compliance and satisfaction rates in the observation group were significantly higher than those of the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group(1.26%vs 6.50%,P<0.05).Conclusion Targeted rehabilitation intervention can promote the recovery of elbow joint function,improve the treatment compliance and efficacy and reduce the incidence of complications in children with refractory supracondylar humeral fractures

关 键 词：针对性 康复 闭合橇拔复位经皮穿针固定 难复性肱骨踝上骨折 

分 类 号：R726.834.13[医药卫生—儿科]