不同年龄段肩袖损伤患者进行手术治疗的效果及康复情况对比  

Comparison of Surgical Treatment Outcomes and Rehabilitation in Rotator Cuff Injury Patients Across Different Age Groups

作　　者：钱升 施杰 蔡俊雄 QIAN Sheng;SHI Jie;CAI Junxiong(General Hospital Yongan,Sanming City,Yongan 366000,China)

机构地区：[1]三明市永安市立医院,福建永安366000

出　　处：《延边大学医学学报》2025年第3期54-57,共4页Journal of Medical Science Yanbian University

摘　　要：目的:探讨不同年龄段肩袖损伤患者进行手术治疗的效果及康复情况。方法:选取2020年至2023年在三明市永安市立医院接受手术治疗的201例肩袖损伤患者参与研究,按年龄将其分为青年组(≤40岁,31例)、中年组(41~60岁,105例)和老年组(≥61岁,65例)。所有患者均接受手术治疗,并实施分阶段康复锻炼。观察三组美国肩肘医师协会评分系统(ASES)评分、加州大学(UCLA)肩关节评分、视觉模拟评分法(VAS)评分、康复进度达成情况、并发症发生情况、健康调查简表(SF-36)评分。结果:术后8周、术后16周,各组ASES中生活能力及主观感受评分均较术前提高(P<0.05),VAS评分均较术前降低(P<0.05)。组间术后8周、术后16周的ASES中生活能力及主观感受评分对比,青年组高于中年组和老年组,中年组高于老年组(P<0.05)。组间术后8周、术后16周的VAS评分对比,青年组低于中年组和老年组,中年组低于老年组(P<0.05)。术后16周,各组UCLA肩关节评分中肩关节活动功能评分、主观感觉评分、满意度评分及SF-36中各项评分均较术前提高(P<0.05),前屈肌力、前屈角度均较术前增加(P<0.05)。组间术后16周UCLA肩关节评分中肩关节活动功能评分、主观感觉评分、满意度评分及SF-36中各项评分对比,青年组高于中年组和老年组,中年组高于老年组(P<0.05)。组间术后16周UCLA肩关节评分中前屈肌力、前屈角度对比,青年组大于中年组和老年组,中年组大于老年组(P<0.05)。三组的康复进度达成率、并发症发生率两两对比,差异无统计学意义(P>0.05)。结论:对肩袖损伤患者进行手术治疗可提高日常生活能力、肩关节活动功能和生活质量,减轻疼痛,促进其康复,且年龄越小患者获得的治疗效果越好。Objective:To investigate the efficacy of surgical treatment and postoperative rehabilitation outcomes in rotator cuff injury patients of different age groups.Methods:A total of 201 patients with rotator cuff injuries who underwent surgical treatment at Yongan City Hospital from 2020 to 2023 were enrolled.Participants were stratified into three groups:Younger group(≤40 years,31 cases),Middle-aged group(41–60 years,105 cases),and Elderly group(≥61 years,65 cases).All patients received surgical intervention followed by phased rehabilitation exercises.Outcome measures included the American Shoulder and Elbow Surgeons(ASES)score,University of California,Los Angeles(UCLA)shoulder score,Visual Analog Scale(VAS)score,rehabilitation progress achievement rate,complication rates,and 36-Item Short Form Health Survey(SF-36)score.Results:At 8 and 16 weeks postoperatively,ASES functional capacity and subjective perception scores significantly improved,while VAS scores decreased compared to preoperative baselines in all groups(P<0.05).Intergroup comparisons revealed that the Younger group exhibited higher ASES functional capacity and subjective perception scores than the Middle-aged and Elderly groups at both 8 and 16 weeks,with the Middle-aged group outperforming the Elderly group(P<0.05).Similarly,VAS scores were lowest in the Younger group,followed by the Middle-aged and Elderly groups(P<0.05).At 16 weeks postoperatively,UCLA shoulder function,subjective satisfaction,and SF-36 scores significantly improved across all groups(P<0.05).Younger patients demonstrated superior outcomes in UCLA shoulder mobility,subjective satisfaction,and SF-36 scores compared to older groups,with the Middle-aged group surpassing the Elderly group(P<0.05).Forward flexion strength and range of motion also followed this age-dependent trend(P<0.05).No statistically significant differences were observed in rehabilitation progress achievement rates or complication rates among groups(P>0.05).Conclusion:Surgical treatment for rotator cuff injuries im

关 键 词：肩袖损伤 不同年龄 治疗效果 

分 类 号：R686.1[医药卫生—骨科学]