关节松动术联合本体感觉训练对踝关节骨折术后康复效果的影响  

Effect of joint loosening operation combined with proprioceptive training on postoperative rehabilitation of ankle fracture

作　　者：郑槿萱 卞丽艳[1] 仇慧 陈海燕[1] 朱贤燕 Zheng Jinxuan;Bian Liyan;Qiu Hui;Chen Haiyan;Zhu Xianyan((Orthopedics department,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital),Nanjing 210000,Jiangsu,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)骨科,江苏南京210000

出　　处：《足踝外科电子杂志》2024年第4期43-47,共5页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的探讨关节松动术联合本体感觉训练对踝关节骨折术后康复效果的影响。方法选择南京医科大学附属南京医院2019年1月至2023年12月收治的踝关节骨折手术患者128例,以随机数字表法分成两组,对照组(n=64)行常规康复护理,观察组采用关节松动术联合本体感觉训练干预。对比两组患者的踝关节功能及活动度,评估患者步态改变,调查患者疼痛程度及护理满意度。结果观察组踝关节功能优良率及功能评分高于对照组(P<0.05);干预后观察组关节跖屈、背伸、内翻、外翻活动度均更高(P<0.05);干预后观察组患者步长、步速更高,步态周期更短(P<0.05);干预后观察组静息、活动度疼痛评分均更低,护理满意度更高(P<0.05)。结论对踝关节骨折患者术后以关节松动术联合本体感觉训练进行干预,能提高踝关节功能及活动度,可改善步态,减轻疼痛,提高患者满意度。Objective To explore the impact of joint mobilization combined with proprioceptive training on the rehabilitation outcomes of patients after ankle fracture surgery.Methods A total of 128 patients who underwent ankle fracture surgery at Nanjing Hospital Affiliated to Nanjing Medical University from January 2019 to December 2023 were selected and randomly divided into two groups using a random number table method.The control group(n=64)received conventional rehabilitation nursing,while the observation group underwent joint mobilization combined with proprioceptive training intervention.The ankle joint function and range of motion were compared between the two groups,and patients’gait changes were assessed.Additionally,patients’pain levels and nursing satisfaction were investigated.Results The excellent and good rate of ankle joint function and functional scores were higher in the observation group than in the control group(P<0.05).After intervention,the observation group exhibited higher range of motion in plantar flexion,dorsiflexion,inversion,and eversion of the joint(P<0.05).Post-intervention,patients in the observation group had longer step length,higher step speed,and a shorter gait cycle(P<0.05).Furthermore,patients in the observation group had lower pain scores during rest and range of motion,and higher nursing satisfaction(P<0.05).Conclusion Intervention with joint mobilization combined with proprioceptive training after ankle fracture surgery can improve ankle joint function and range of motion,enhance gait,alleviate pain,and increase patient satisfaction.

关 键 词：踝关节骨折 关节松动术 本体感觉训练 关节功能 活动度 步态 

分 类 号：R68[医药卫生—骨科学]