基于人体工效学的肩袖护具在肩袖损伤患者 肩关节镜术后康复中的应用  

Application of ergonomic rotator cuff protector in patients with rotator cuff injury after shoulder arthroscopy

作　　者：陶爱萍 贾曼[1] 王双双[2] 李琪琪 王谊[3] TAO Aiping;JIA Man;WANG Shuangshuang;LI Qiqi;WANG Yi(Department of Orthopedics Trauma,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325026,China;不详)

机构地区：[1]温州医科大学附属第二医院创伤骨科,浙江温州325026 [2]温州医科大学附属第二医院手外科 [3]温州医科大学附属第二医院护理部

出　　处：《中华全科医学》2024年第12期2148-2152,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2022480711);浙江省市县级科技计划项目(Y20210488)。

摘　　要：目的探究基于人体工效学设计的肩袖护具对肩袖损伤患者肩关节镜术后疼痛、睡眠、锻炼依从性和肩关节功能恢复的影响。方法收集2022年1月—2023年6月于温州医科大学附属第二医院骨科择期进行肩关节镜修复术治疗的肩袖损伤患者共92例。利用Excel随机分组法分为对照组和护具组,各46例。对照组术后给予常规康复护理,护具组在康复护理基础上使用人体工效学肩袖护具,比较2组术后疼痛、睡眠质量、锻炼依从性、肩关节活动度以及肩关节功能情况。结果护具组干预2周后疼痛(VAS)评分为(3.02±0.45)分,低于对照组的(4.17±0.68)分(P<0.05)。干预8周后多导睡眠指标中总睡眠时间、睡眠效率高于对照组(P<0.05),觉醒次数少于对照组(P<0.05);锻炼依从性评分为(65.73±5.10)分,高于对照组的(57.07±8.23)分(P<0.05);肩关节前屈、后伸、内旋以及外旋活动度均大于对照组(P<0.05);肩关节功能量表评分为(24.88±5.13)分,高于对照组的(18.09±4.12)分(P<0.05)。结论使用人体工效学肩袖护具既可减轻肩袖损伤患者肩关节镜术后疼痛,改善睡眠质量,又可利于患者锻炼依从性的提高和肩关节功能的恢复。Objective To explore the effects of ergonomics-based rotator cuff protector on pain,sleep,exercise compliance,and shoulder function recovery in patients with rotator cuff injury after shoulder arthroscopy.Methods A total of 92 patients with rotator cuff injury were collected from January 2022 to June 2023 in Department of Orthopedics Trauma,the Second Affiliated Hospital of Wenzhou Medical University.They were divided into a control group and a protection group using the Excel random grouping method,with 46 cases in each group.The control group was given routine rehabilitation nursing after surgery,while the protection group was given an ergonomic rotator cuff protector on the basis of rehabilitation nursing.Postoperative pain,sleep quality,exercise compliance,shoulder motion,and shoulder function were compared between the two groups.Results After 2 weeks of intervention,the VAS score of the brace group was 3.02±0.45,which was lower than that of the control group(4.17±0.68,P<0.05).After 8 weeks of intervention,the total sleep time and sleep efficiency were higher than those of the control group(P<0.05),and the number of awakenings was lower than that of the control group(P<0.05).The exercise compliance score was(65.73±5.10)points,higher than that of the control group[(57.07±8.23)points,P<0.05].The movements of shoulder flexion,extension,internal rotation,and external rotation were higher than those of the control group(P<0.05).The score of the shoulder joint function scale was 24.88±5.13,which was higher than that of the control group(18.09±4.12,P<0.05).Conclusion The use of ergonomic rotator cuff protector can not only reduce the pain of patients with rotator cuff injury after shoulder arthroscopy,improve sleep quality,but also improve their exercise compliance and restore shoulder joint function.

关 键 词：肩袖损伤 肩袖护具 人体工效学 肩关节活动度 肩关节功能 

分 类 号：R684.7[医药卫生—骨科学]