运动学习理论视角下的手功能康复训练对冠状动脉介入术后患者肢体疼痛缓解的影响研究  

The effect of hand function rehabilitation training on limb pain relief of patients after coronary intervention under the perspective of motor learning theory

作　　者：杨雪 刘雅娟[2] 程国杰[3] 赵佳 闫洪 赵瑞芳[3] YANG Xue;LIU Yajuan;CHENG Guojie;ZHAO Jia;YAN Hong;ZHAO Ruifang(Coronary Care Unit,Beijing Daxing District People’s Hospital,Beijing 102600,China;Nursing Department,Beijing Daxing District People’s Hospital,Beijing 102600,China;Department of Cardiology,Beijing Daxing District People’s Hospital,Beijing 102600,China)

机构地区：[1]北京市大兴区人民医院冠心病监护病房,北京102600 [2]北京市大兴区人民医院护理部,北京102600 [3]北京市大兴区人民医院心内科,北京102600

出　　处：《中国医药科学》2025年第5期141-145,共5页China Medicine And Pharmacy

基　　金：首都卫生发展科研专项(首发2021-3-7122);北京市大兴区人民医院科研课题(4202317473)。

摘　　要：目的探讨基于运动学习理论的手功能康复训练对经桡动脉入路行经皮冠状动脉介入(PCI)术后患者上肢及手功能恢复、疼痛缓解及手掌肿胀程度改善的效果。方法选取2022年1—10月于北京市大兴区人民医院住院的PCI术后患者400例,2022年1—5月200例作为对照组,2022年6—10月200例作为观察组。对照组接受常规护理,观察组在常规护理基础上增加基于运动学习理论的手功能康复训练。通过上肢及手功能障碍问卷(DASH)、疼痛视觉模拟评分法(VAS)评分、手掌周径等指标,量化比较两组患者术后功能恢复情况、疼痛程度及手掌肿胀程度的差异。结果观察组患者干预后DASH评分显著低于对照组(P<0.05),VAS评分在术后30 min、2 h及4 h均显著低于对照组(P<0.05),术后2、4 h的手掌周径也显著短于对照组(P<0.05)。此外,观察组患者的肢体疼痛、肿胀缓解效果及手功能改善评分均显著优于对照组(P<0.05)。结论基于运动学习理论的手功能康复训练能够有效促进PCI术后患者的上肢及手功能恢复,缓解术后疼痛,减少手掌肿胀,具有较高的临床应用价值。Objective To investigate the effect of hand function rehabilitation training based on motor learning theory on upper limb and hand function recovery,pain relief and improvement of palm swelling after percutaneous coronary intervention(PCI)by radial approach.Methods A total of 400 patients hospitalized in Beijing Daxing District People’s Hospital after PCI from January to October 2022 were selected,200 patients from January to May 2022 were selected as the control group,and 200 patients from June to October 2022 were selected as the observation group.The control group received routine nursing,and the observation group received hand function rehabilitation training based on motor learning theory.The functional recovery,pain degree and palm swelling degree of the two groups were quantitatively compared by the disabilities of the arm,shoulder and hand outcome(DASH),visual analogue scale(VAS)of pain and palmar circumference diameter.Results After intervention,the DASH score of observation group was significantly lower than that of control group(P<0.05),the VAS score at 30 min,2 h and 4 h after surgery was significantly lower than that of control group(P<0.05),and the palm circumference diameter at 2 h and 4 h after surgery was also significantly lower than that of control group(P<0.05).In addition,the effects of limb pain,swelling relief and hand function improvement in the observation group were significantly better than those in the control group(P<0.05).Conclusion Hand function rehabilitation training based on motor learning theory can effectively promote the recovery of upper limb and hand function in post-PCI patients,alleviate postoperative pain,and reduce palm swellin g,which has high clinical application va lue.

关 键 词：运动学习理论 手功能康复训练 经皮冠状动脉介入治疗 疼痛 康复 

分 类 号：R473.5[医药卫生—护理学]