冷效应加压干预对关节镜下肩袖韧带撕裂修复术后上肢功能及关节功能的影响  

Influence of cold effect pressure intervention on upper limb function and joint function after arthroscopic repair of rotator cuff ligament tears

作　　者：高青 周敬云 闫绵 钟蕊阁 井文森 GAO Qing;ZHOU Jingyun;YAN Mian(Department of Orthopedics,Xi’an People’s Hospital(Xi’an Fourth Hospital),Shaanxi,Xi’an 710038,China)

机构地区：[1]陕西省西安市人民医院(西安市第四医院)骨科,710038 [2]西安交通大学附属红会医院骨坏死与关节重建外科

出　　处：《河北医药》2024年第6期893-896,共4页Hebei Medical Journal

基　　金：陕西省自然科学基础研究计划(编号:2021JM-5T3)。

摘　　要：目的探究冷效应加压干预对关节镜下肩袖韧带撕裂修复术后上肢功能及关节功能的影响。方法选取2021年2月至2022年2月收治的91例行肩关节镜手术的患者,随机分为观察组(n=46,采用冷效应加压干预)和对照组(n=45,采用常规干预)。观察并记录2组患者一般资料、肩关节肿胀评分、上肢肌力评分、CMS评分及不良反应。结果2组患者术前肩关节肿胀评分比较差异有统计学意义(P<0.05),组内比较,术后6 h 2组患者肿胀评分较术前显著升高(P<0.05),组间比较,术后6 h、术后24、48 h观察组患者肿胀评分显著低于对照组(P<0.05),2组患者上肢肌力比较差异有统计学意义(P=0.000),2组患者术前肌力比较差异无统计学意义(P>0.05),术后2组患者上肢肌力均较术前显著升高(P<0.05),观察组患者术后6个月上肢肌力显著高于对照组(P<0.05),2组患者CMS评分比较差异有统计学意义(P<0.05),组间比较,观察组患者术后1、3、6个月CMS评分显著高于对照组(P<0.05),组内比较,2组患者术后6个月CMS评分均显著高于2组术前CMS评分(P<0.05)。结论冷效应加压干预能有效减轻关节镜下肩袖韧带撕裂修复术患者术后关节肿胀,改善患者上肢肌力及关节功能,值得临床推广。Objective To explore the effect of cold effect pressure intervention on upper limb function and joint function after arthroscopic repair of rotator cuff ligament tears.Methods A total of 91 patients who underwent shoulder arthroscopic surgery in our hospital from February 2021 to February 2022 were selected.They were randomly divided into the observation group(n=46,cold effect pressure intervention)and control group(n=45,conventional intervention).The general information,score of the shoulder joint swelling,muscle strength score of the upper limb,Constant–Murley Score(CMS)and adverse events of the two groups were observed and recorded.Results By repeated analysis of variance,there was a significant difference in the preoperative score of shoulder joint swelling between the two groups(P<0.05).Intragroup comparison showed that the score of the shoulder joint swelling at 6 hours postoperative was significantly higher than that before surgery(P<0.05).Group comparison showed that the score of the shoulder joint swelling at 6,24 and 48 hours postoperative was significantly lower in the observation group than that of the control group(P<0.05).After repeated analysis of variance,there was a significant difference in the muscle strength score of the upper limb between groups(P=0.000).There was no significant difference in the preoperative muscle strength score of the upper limb between groups(P>0.05).The muscle strength score of the upper limb after surgery was significantly improved in both groups than that before surgery(P<0.05).The muscle strength of the upper limb at 6 months postoperatively was significantly higher than in the observation group than that of control group(P<0.05).After repeated analysis of variance,there was a significant difference in the CMS between groups(P<0.05).The CMS at 1,3 and 6 months postoperatively was significantly higher in the observation group than that of control group(P<0.05).The CMS at 6 months postoperatively was significantly higher in both groups than that of preoperative score(

关 键 词：冷效应加压干预 肩关节镜 肩袖损伤 上肢功能 

分 类 号：R686.5[医药卫生—骨科学]