阶段性康复训练在桡骨远端骨折术后康复中的应用  

Staged Rehabilitation Training in Postoperative Rehabilitation of Distal Radius Fracture

作　　者：潘飞龙[1] 赵小强[1] 赵小灵[1] PAN Feilong;ZHAO Xiaoqiang;ZHAO Xiaoling(Department of Orthopedics,Changzhou Wujin People's Hospital,Changzhou,Jiangsu Province,213000 China)

机构地区：[1]常州市武进人民医院骨科,江苏常州213000

出　　处：《中外医疗》2024年第11期63-65,70,共4页China & Foreign Medical Treatment

摘　　要：目的探析阶段性康复训练在桡骨远端骨折术后康复中的应用效果。方法随机选取2018年1月—2022年12月常州市武进人民医院收治的80例桡骨远端骨折手术患者为研究对象,以随机数表法分为观察组(n=40,采用阶段性康复训练)和对照组(n=40,采用常规康复训练)。比较两组训练后Cooney腕关节功能、训练前后腕关节活动度以及术后手术处肿胀、疼痛消失时间等指标。结果观察组训练后腕关节功能恢复有效率为97.50%,高于对照组的80.00%,差异有统计学意义(χ^(2)=4.507,P<0.05)。观察组训练后患肢各项腕关节活动度相关指标均高于训前及对照组训练后,差异有统计学意义(P均<0.05)。观察组患肢肿胀及疼痛消失时间均短于对照组,差异有统计学意义(P均<0.05)。结论阶段性康复训练能更好地促进桡骨远端骨折术后腕关节功能及活动度的恢复,缩短肿胀消失时间和疼痛消失时间。Objective To explore the application effect of staged rehabilitation training in postoperative rehabilitation of distal radius fracture.Methods A total of 80 patients with distal radius fractures surgery admitted to Wujin People's Hospital in Changzhou City from January 2018 to December 2022 were randomly selected as the study subjects.They were divided into the observation group(n=40,using postoperative stage rehabilitation training)and the control group(n=40,using conventional rehabilitation training)using random number table method.The Cooney wrist function after training,wrist mobility before and after training,as well as postoperative swelling at the surgical site,pain disappearance time between two groups were compared.Results The effective rate of wrist joint function recovery in the observation group after training was 97.50%,which was higher than 80.00% in the control group,and the difference was statistically significant(χ^(2)=4.507,P<0.05).The observation group had significantly higher indexes related to the mobility of the wrist joint of the affected limb after training compared to pre-training and control groups after training,and the differences were statistically significant(all P<0.05).The swelling and pain disappearance time of the affected limbs of the observation group were shorter than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion Staged rehabilitation training can better promote the recovery of function and mobility of the wrist joint after distal radius fracture,and shorten the time for swelling and pain disappearance.

关 键 词：阶段性康复训练 桡骨远端骨折 术后康复 Cooney腕关节功能 腕关节活动度 

分 类 号：R5[医药卫生—内科学]