动力型支具下玩具球训练对手外伤屈肌腱断裂术后患者手功能恢复的影响研究  

Study on the influence of toy ball training under dynamic brace on the recovery of hand function of patients with flexor tendon rupture after hand injury

作　　者：杨慧娟 华莉 卢青 朱莹 YANG Huijuan;HUA Li;LU Qing;ZHU Ying(Department of Orthopaedics,Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《中国医药导报》2024年第17期143-146,共4页China Medical Herald

基　　金：江苏省自然科学基金项目(BK20201350)。

摘　　要：目的 探讨动力型支具下玩具球训练对手外伤屈肌腱断裂术后患者手功能恢复的影响。方法 选取2021年3月至2023年2月江苏省淮安市第一人民医院骨科行手术治疗的手外伤屈肌腱断裂患者116例,以随机数字表法将其分为对照组和试验组,各58例。对照组行常规护理及训练,试验组在对照组的基础上行动力型支具下玩具球训练。比较两组手指肌腱总活动度(TAM)及并发症发生率;比较训练前、训练6周后手功能情况。结果 试验组TAM优于对照组,差异有统计学意义(P<0.05);试验组血肿、关节僵硬、肌腱粘连、肌腱断裂总发生率低于对照组,差异有统计学意义(P<0.05);训练前,两组手功能评分比较,差异无统计学意义(P>0.05);训练后,两组握力、三点捏力、测捏力均高于训练前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论 动力型支具下玩具球训练有助于改善手外伤屈肌腱断裂术后患者肌腱TAM,降低术后并发症的发生,促进手功能的恢复。Objective To explore the study on the influence of toy ball training under dynamic brace on the recovery of hand function of patients with flexor tendon rupture after hand injury.Methods A total of 116 patients with hand trauma flexor tendon rupture who underwent surgical treatment in the Department of Orthopedics of Huaian First Hospital Affiliated to Nanjing Medical University,Jiangsu Province,from March 2021 to February 2023 were selected,and they were divided into the control group and the experimental group by random number table method,with 58 cases in each group.The control group performed routine care and training,and the experimental group was trained with toy ball training under dynamic brace on the basis of the control group.Total active motion(TAM)and complication rate of the two groups were compared;hand function was compared before and after six weeks of training.Results The TAM in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of hematoma,joint stiffness,tendon adhesion,and tendon rupture in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before training,the hand function scores of the two groups were compared,and the difference was not statistically significant(P>0.05);after training,the grip strength,three-point pinch strength,and measured pinch strength of the two groups were higher than those before training,and the experimental group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Dynamic brace toy ball training is helpful to improve the total mobility of finger tendon after flexor tendon rupture,reduce postoperative complications and promote the recovery of hand function.

关 键 词：动力型支具 玩具球 手外伤 手术 手功能 

分 类 号：R473[医药卫生—护理学]