应用康复护理路径早期功能训练对桡骨远端骨折内固定术后患者腕关节功能康复的影响

doi:10.3969/j.issn.1000-8535.2017.03.020

摘要/Abstract

摘要： 目的探讨康复护理路径早期功能训练对桡骨远端骨折LCP(锁定加压接骨板locking compression plate, LCP)内固定术后患者腕关节功能康复的影响。方法对2014年5月—2016年6月住院80例桡骨远端骨折LCP 内固定术后患者分为对照组和观察组,每组各40例,对照组按桡骨远端LCP内固定术后护理措施进行护理,观察组患者在此护理基础上,制定术后功能康复护理路径,按功能康复护理路径对术后患者实施早期功能康复训练,随访评价两组患者患肢的组织肿胀、疼痛、骨折复位和腕关节功能康复效果。结果疼痛评分:对照组在术后第3天~14天疼痛评分均高于观察组(P＜0.005);肿胀程度评分:对照组在术后第3天~7天肿胀程度评分均高于观察组,消肿速度比观察组慢(P＜0.001);腕关节的屈伸活动范围、握力和捏力比较观察组优于对照组(P＜0.001);腕关节复位优良率观察组95%高于对照组87.5%(P＜0.001)。结论应用康复护理路径对桡骨远端骨折的LCP内固定术后患者进行早期腕关节功能康复训练,能减轻患者疼痛和局部软组织肿胀,减少并发症,提高术后患者康复质量。

关键词: 骨折, 腕关节功能, 锁定加压钢板, 康复

Abstract: Objective To investigate the early functional training of rehabilitation nursing path to the effects of distal radius fracture LCP (locking compression plate LCP) in patients after internal fixation of wrist joint function rehabilitation. Methods From May 2014 to June 2016, 80 patients with distal radius fractures were divided into control group and observation group(n=LCP), each with 40 cases. The control group was treated with nursing care of patients with distal radius LCP internal fixation. On the basis of nursing, the patients in the observation group were given rehabilitation nursing pathway, and the patients were followed up according to the rehabilitation path including evaluation of two groups of patients with fracture limb swelling, pain, fracture reduction and wrist joint function rehabilitation. Results Pain score: in the third days to fourteenth days pain score of the control group was higher than the observation group (P<0.005); Swelling degree score: swelling scores of the control group for the third days to seventh days after were higher than those in the observation group, the swelling reduced slowly (P<0.001); The wrist flexion range, grip and pinch strength compared to the observation group was better than the control group (P<0.001); The good rate of wrist joint reduction in the observation group (95%) was higher than that in the control group[(87.5%) (P<0.001)]. Conclusion The application of rehabilitation nursing path for patients with distal radius fracture after LCP internal fixation for early rehabilitation of wrist function may reduce the pain and local soft tissue swelling, reduce complications and improve the quality of postoperative rehabilitation.

Key words: Fracture, Wrist function, locking compression plate LCP, Rehabilitation

郭丽琼, 刘洁珍, 吴洁华, 温馨, 冯涛. 应用康复护理路径早期功能训练对桡骨远端骨折内固定术后患者腕关节功能康复的影响[J]. 广州医药, 2017, 48(3): 78-81.

GUO Liqiong, LIU Jiezhen, WU Jiehua, WEN Xing, FENG Tao. Effects of early rehabilitation training on the recovery of wrist function after distal radius fracture fixation[J]. Guangzhou Medical Journal, 2017, 48(3): 78-81.

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应用康复护理路径早期功能训练对桡骨远端骨折内固定术后患者腕关节功能康复的影响

Effects of early rehabilitation training on the recovery of wrist function after distal radius fracture fixation

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