专家共识

老年性肩周炎中医全周期康复广东专家共识(2026年版)

Guangdong Expert Consensus on Traditional Chinese Medicine(TCM)Full-Cycle Rehabilitation for Senile Periarthritis of the Shoulder(2026 Edition)

:402-412
 
    因气候与生活习惯影响,广东地区老年性肩周炎临床特点及康复需求具有独特性,亟待制定规范、具有当地特色的康复方案。为制订适合地区差异化的康复方案,广东省中西医结合学会康复专业委员会联合广东省康复医学发展研究会疼痛康复发展研究分会牵头发起,省内多家机构专家学者共同制订《老年性肩周炎中医全周期康复广东专家共识(2026年版)》。该共识以ICF框架为基础,立足肩周炎康复循证医学证据,结合多学科专家产教研实践经验,对肩周炎 ICF评定、中医适宜技术及康复治疗技术运用、阶梯式干预性措施制定和中西医全周期康复协同等方面形成共识性意见。本共识的发布,将为老年性肩周炎中医全周期康复提供规范化、本土化的“广东方案”。
   Due to climatic and lifestyle influences,the clinical characteristics and rehabilitation needs of senile periarthritis of the shoulder in Guangdong region exhibit unique features,necessitating the development of standardized and locally tailored rehabilitation protocols.To formulate regionally differentiated rehabilitation plans,the Rehabilitation Professional Committee of Guangdong Association of Integrative Medicine and the Pain Rehabilitation Development Research Branch of Guangdong Rehabilitation Medicine Development Research Association jointly initiated the development of the “Guangdong Expert Consensus on TCM Full-Cycle Rehabilitation for Senile Periarthritis of the Shoulder(2026 Edition)” through collaboration with multiple provincial institutions and experts.Based on the International Classification of Functioning,Disability and Health(ICF)framework and evidence-based rehabilitation medicine for periarthritis of the shoulder,this consensus integrates multidisciplinary expertise from industry,academia,and research to establish unified guidelines on ICF assessment,application of appropriate TCM techniques and rehabilitation therapies,implementation of stepwise intervention measures,and integrated TCM-Western medicine full-cycle rehabilitation approaches.The publication of this consensus will provide a standardized and localized “Guangdong Solution” for TCM-based full-cycle rehabilitation of senile periarthritis of the shoulder.
综述

IMB模型应用于日间腹腔镜胆囊切除术患者术后早期康复质量的研究进展

Research progress on the application of IMB model in the early postoperative rehabilitation quality of patients undergoing ambulatory laparoscopic cholecystectomy

:419-424
 
       本文概述了传统日间腹腔镜胆囊切除术患者术后早期康复质量存在的问题,IMB模型通过向患者提供科学的疾病知识,改变其疾病认知与态度,最终促使其采纳并维持健康行为。本文还介绍了IMB模型在日间腹腔镜胆囊切除术后患者早期康复质量中应用涉及的相关概念、研究背景和国内外的研究现状以及未来发展趋势与挑战。研究结果显示,IMB模型可显著降低患者术后疼痛发生率,并提高患者参与治疗决策的程度,为后期关于IMB模型在日间腹腔镜胆囊切除术患者术后早期康复质量的相关研究提供借鉴与参考,以便后期实施相关个性化干预措施,并提供相关理论依据。
       This paper summarizes the problems existing in the early postoperative rehabilitation quality of patients undergoing traditional ambulatory laparoscopic cholecystectomy.The IMB model changes patients’ disease cognition and attitude by providing them with scientific disease knowledge,and ultimately promotes their adoption and maintenance of healthy behaviors.It also introduces the relevant concepts involved in the application of the IMB model in the early postoperative rehabilitation quality of patients undergoing ambulatory laparoscopic cholecystectomy,the research background of this study,the current research status at home and abroad,as well as the future development trends and challenges.The research results show that the IMB model can significantly reduce the incidence of postoperative severe pain in patients and the degree of patient participation in treatment decision-making.This provides reference and guidance for subsequent studies on the early rehabilitation quality of patients undergoing ambulatory laparoscopic cholecystectomy using the IMB model,so as to implement relevant personalized intervention measures in the future and provide relevant theoretical basis.

中青年脑卒中患者早期康复治疗疗效观察

Observation on the Efficacy of Early Rehabilitation Therapy in Young and Middle-aged Stroke Patients

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目的:探讨早期康复治疗对中青年脑卒中患者肢体运动功能恢复等影响。方法:从我院选取中青年脑卒中患者90例作为实验对象,分为实验组和观察组各45例,两组同时接受相同常规治疗并给予早期康复介入,并对其进行患侧上肢和下肢功能评定量表( Fugl-Meyer, FMMS),以及患者日常生活活动能力(Modified Barthel Index,MBI)评定。实验组给予进一步强化康复运动治疗,以加速提高患者康复速率;2周结束时对实验组和观察组再次进行评估,比较2组患者治疗前后组内和组间治疗疗效。结果:早期康复2周后,实验组FMMS量表上肢评分为(29.82±15.43)分,观察组上肢评分为(21.33±11.98)分,组间存在统计学差异(P=0.005)。实验组FMMS量表下肢评分为(21.18±8.97)分,观察组下肢评分为(15.40±7.40)分,实验组得分高于观察组且两组间存在显著统计学差异(P=0.002);随访1个月后实验组上下肢功能呈持续改善趋势,且两组间差异具有显著统计学意义。实验组MBI量表评分为(35.56±18.93)分,高于对照组(28.56±14.68)分,但未见统计学意义;1个月后两组间差异具有显著统计学意义(P<0.001)。结论:研究表明,早期康复治疗对改善中青年脑卒中患者肢体功能和日常生活活动能力具有显著康复效果。
Objective:Exploring the impact of early rehabilitation therapy on the recovery of limb motor function and other aspects in young and middle-aged stroke patients. Methods: Ninety young and middle-aged stroke patients were selected from our hospital as experimental subjects and divided into two groups, namely the experimental group and the observation group, with 45 cases in each group. Both groups received the same conventional treatment and early rehabilitation intervention simultaneously, and were evaluated using the Fugl-Meyer Motor Scale (FMMS) for the affected upper and lower limbs, as well as the Modified Barthel Index (MBI) for activities of daily living. The experimental group received further intensive rehabilitation exercise therapy to accelerate the rehabilitation rate. At the end of 2 weeks, both groups were reassessed, and the therapeutic effects within and between the two groups before and after treatment were compared. Results: After 2 weeks of early rehabilitation, the FMMS upper limb score in the experimental group was (29.36±15.27) points, while that in the observation group was (25.18±11.99) points, with no statistically significant difference observed between the groups. The FMMS lower limb score in the experimental group was (20.93±8.93) points, higher than that in the observation group (15.40±7.40) points, with a significant statistical difference between the two groups (P=0.002). The MBI score in the experimental group was (33.22±15.96) points, higher than that in the control group (28.56±14.68) points, but no statistical significance was observed. Conclusions: Our study indicates that early rehabilitation therapy has certain effects on upper limb function and activities of daily living in patients, particularly demonstrating significant rehabilitation effects in improving lower limb functional recovery in young and middle-aged stroke patients.

子午流注穴位按摩联合颈椎功能康复训练对神经根型颈椎病患者的康复效果分析

Analysis of rehabilitation effect of midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training on patients with cervical spondylotic radiculopathy

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目的 探讨子午流注穴位按摩联合颈椎功能康复训练对神经根型颈椎病(CSR)患者的康复效果。方法 以2023年1月-2025年6月我院收治的CSR患者(154例)为研究对象进行回顾性分析,根据干预方案分为参照组(77例,采取颈椎功能康复训练)、研究组(77例,采取子午流注穴位按摩联合颈椎功能康复训练)。比较两组临床疗效、复发率及干预前、后中医证候积分、疼痛视觉模拟评分(VAS)与颈椎功能障碍指数量表评分(NDI)、颈椎功能活动度、血液流变学指标[血浆黏度(PV)、全血低切黏度(LSWBV)、纤维蛋白原(FIB)、全血高切黏度(HSWBV)]。结果 与参照组总有效率(83.12%)相比,研究组(96.10%)明显升高(P<0.05);研究组干预后各中医证候积分均较参照组低(P<0.05);干预后,研究组VAS、NDI评分均低于参照组(P<0.05);研究组干预后颈椎活动度高于参照组(P<0.05);干预后,研究组LSWBV、PV、FIB、HSWBV水平均较参照组低(P<0.05);研究组干预后3个月复发率为2.72%(2/74),低于参照组的14.06%(9/64)(χ2=4.588,P<0.05)。结论 子午流注穴位按摩联合颈椎功能康复训练可提高CSR患者康复效果,改善临床症状、颈椎功能、颈椎活动度,调节血液流变学,降低颈椎疼痛程度、复发率。
Objective To explore the rehabilitation efficacy of midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training on patients with cervical spondylotic radiculopathy (CSR). Methods A retrospective analysis was conducted on CSR patients (154 cases) admitted to our hospital from January 2023 to June 2025, who were selected as the research subjects. According to the intervention plan, they were divided into reference group (77 cases, received cervical functional rehabilitation training) and study group (77 cases, received midnight-noon ebb-flow acupoint massage combined with cervical functional rehabilitation training). The clinical efficacy and recurrence rate were compared between the two groups, as well as the TCM syndrome scores, pain visual analogue score (VAS) and cervical dysfunction index score (NDI) scores, cervical spine function activity, hemorheology indexes [plasma viscosity (PV), whole blood low shear viscosity (LSWBV), fibrinogen (FIB), whole blood high shear viscosity (HSWBV)] before and after intervention. Results Compared with the total effective rate of the reference group (83.12%), the study group (96.10%) was significantly higher (P<0.05); after intervention, the scores of all?TCM syndromes in the study group were lower than those in the reference group (P<0.05), after intervention, the VAS and NDI scores of the study group were lower than those in the reference group (P<0.05); the cervical spine activity of the study group was higher than that of the reference group after intervention (P<0.05); after intervention, the levels of LSWBV, PV, FIB and HSWBV in the study group were lower than those in the reference group (P<0.05); the recurrence rate of the study group at 3 months after intervention was 2.72% (2/74), which was lower than 14.06% (9/64) in the reference group (χ2=4.588, P<0.05). Conclusion Midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training can improve the rehabilitation efficacy of CSR patients, improve clinical symptoms, cervical function, cervical mobility, regulate hemorheology, and reduce cervical pain and recurrence rate.

闭合复位弹性髓内钉固定术对小儿股骨骨折康复进程及关节功能的影响研究

Study on the effect of closed reduction and elastic intramedullary nail fixation on the rehabilitation process and joint function of pediatric femoral fractures

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目的:探讨闭合复位弹性髓内钉固定术(CR-ESIN)对股骨骨折患儿康复进程及关节功能的影响。方法:回顾性选取2024年4月~2025年6月至我院行内固定术治疗的102例股骨骨折患儿为研究对象,依据手术方案不同,将行CR-ESIN治疗的51例患儿列为CR-ESIN组,将剩余51例行传统切开复位接骨板内固定术(ORIF)治疗的患儿列为ORIF组,比较两组患儿的治疗情况、康复进程,手术并发症发生情况,关节功能恢复情况及内固定物取出阶段负担。结果:在不同手术方案下,CR-ESIN组的手术耗时、术中出血量、术后住院时间、支具使用时间、完全负重时间分别为(60.29±5.44)min、(50.52±5.49)mL、(6.22±1.34)d、(4.15±1.33)周、(6.81±1.34)周,均低于ORIF组[(76.33±8.29)min、(190.48±20.51)mL、(8.17±1.65)d、(6.32±1.48)周、(7.82±2.17)周](t=11.552,47.076,6.552,8.322,2.828;P<0.05)。CR-ESIN组的手术并发症发生率5.88%(3/51)低于ORIF组19.61%(10/51)(x2=4.320;P<0.05)。CR-ESIN组的髋关节前屈活动度、后伸活动度、儿童下肢功能量表(PODCI)评分分别为(132.44±22.52)°、(20.39±4.47)°、(75.14±6.29)分,均高于ORIF组[(120.28±20.37)°、(17.55±3.12)°、(70.31±5.36)分],术后双侧股骨长度差(1.52±0.39)cm低于ORIF组(3.08±0.44)cm(t=2.860,3.721,4.174,18.948;P<0.05)。CR-ESIN组的取出手术切口长度、取出手术耗时、取出手术出血量、再骨折率均低于ORIF组(t/x2=31.706,8.298,38.448,4.883;P<0.05)。结论:CR-ESIN能提高股骨骨折患儿手术效率并降低出血风险,与传统ORIF相比,此术式有利于加快患儿康复进程、降低术后并发症发生率、促进关节功能恢复并减轻内固定物取出阶段负担。
Objective:To explore the effects of closed reduction elastic intramedullary nail fixation (CR-ESIN) on the rehabilitation process and joint function of children with femoral fractures.Methods:A retrospective study was conducted on 102 children with femoral fractures who underwent internal fixation surgery in our hospital from April 2024 to June 2025. Based on different surgical plans, 51 children who underwent CR-ESIN treatment were included in the CR-ESIN group, and the remaining 51 children who underwent traditional open reduction plate internal fixation (ORIF) treatment were included in the ORIF group. The treatment status, rehabilitation process, incidence of surgical complications, joint function recovery, and burden during the removal of internal fixation materials were compared between the two groups of children.Results:Under different surgical plans, the surgical time, intraoperative blood loss, postoperative hospitalization time, brace use time, and complete weight-bearing time of the CR-ESIN group were (60.29 ± 5.44) min, (50.52 ± 5.49) mL, (6.22 ± 1.34) d, (4.15 ± 1.33) weeks, and (6.81 ± 1.34) weeks, lower than the ORIF group [(76.33 ± 8.29) min, (190.48 ± 20.51) mL, (8.17 ± 1.65) d, (6.32 ± 1.48) weeks, and (7.82 ± 2.17) weeks] (t=11.552,47.076,6.552,8.322,2.828; P<0.05). The incidence of surgical complications in the CR-ESIN group was 5.88% (3/51) lower than the ORIF group 19.61% (10/51) (x2=4.320; P<0.05). The hip flexion range of motion, extension range of motion, and PODCI scores of the CR-ESIN group were (132.44 ± 22.52) °, (20.39 ± 4.47) °, and (75.14 ± 6.29) points, higher than the ORIF group [(120.28 ± 20.37) °, (17.55 ± 3.12) °, and (70.31 ± 5.36) points]. The length difference between the bilateral femurs was (1.52 ± 0.39) cm, which was lower than the ORIF group (3.08 ± 0.44) cm (t=2.860,3.721,4.174,18.948; P<0.05). The length of the surgical incision, the duration of the extraction surgery, the amount of bleeding during the extraction surgery, and the rate of re fracture in the CR-ESIN group were all lower than the ORIF group (t/x2=31.706,8.298,38.448,4.883; P<0.05).Conclusion:CR-ESIN can improve the surgical efficiency and reduce the risk of bleeding in children with femoral fractures. Compared with traditional ORIF, this procedure is beneficial for accelerating the recovery process of children, reducing the incidence of postoperative complications, promoting joint function recovery, and reducing the burden of internal fixation removal stage.

子午流注穴位按摩联合颈椎功能康复训练对神经根型颈椎病患者的康复效果分析

Analysis of rehabilitation effect of midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training on patients with cervical spondylotic radiculopathy

:-
 
目的 探讨子午流注穴位按摩联合颈椎功能康复训练对神经根型颈椎病(CSR)患者的康复效果。方法 以2023年1月-2025年6月我院收治的CSR患者(154例)为研究对象进行回顾性分析,根据干预方案分为参照组(77例,采取颈椎功能康复训练)、研究组(77例,采取子午流注穴位按摩联合颈椎功能康复训练)。比较两组临床疗效、复发率及干预前、后中医证候积分、疼痛视觉模拟评分(VAS)与颈椎功能障碍指数量表评分(NDI)、颈椎功能活动度、血液流变学指标[血浆黏度(PV)、全血低切黏度(LSWBV)、纤维蛋白原(FIB)、全血高切黏度(HSWBV)]。结果 与参照组总有效率(83.12%)相比,研究组(96.10%)明显升高(P<0.05);研究组干预后各中医证候积分均较参照组低(P<0.05);干预后,研究组VAS、NDI评分均低于参照组(P<0.05);研究组干预后颈椎活动度高于参照组(P<0.05);干预后,研究组LSWBV、PV、FIB、HSWBV水平均较参照组低(P<0.05);研究组干预后3个月复发率为2.72%(2/74),低于参照组的14.06%(9/64)(χ2=4.588,P<0.05)。结论 子午流注穴位按摩联合颈椎功能康复训练可提高CSR患者康复效果,改善临床症状、颈椎功能、颈椎活动度,调节血液流变学,降低颈椎疼痛程度、复发率。
Objective To explore the rehabilitation efficacy of midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training on patients with cervical spondylotic radiculopathy (CSR). Methods A retrospective analysis was conducted on CSR patients (154 cases) admitted to our hospital from January 2023 to June 2025, who were selected as the research subjects. According to the intervention plan, they were divided into reference group (77 cases, received cervical functional rehabilitation training) and study group (77 cases, received midnight-noon ebb-flow acupoint massage combined with cervical functional rehabilitation training). The clinical efficacy and recurrence rate were compared between the two groups, as well as the TCM syndrome scores, pain visual analogue score (VAS) and cervical dysfunction index score (NDI) scores, cervical spine function activity, hemorheology indexes [plasma viscosity (PV), whole blood low shear viscosity (LSWBV), fibrinogen (FIB), whole blood high shear viscosity (HSWBV)] before and after intervention. Results Compared with the total effective rate of the reference group (83.12%), the study group (96.10%) was significantly higher (P<0.05); after intervention, the scores of all?TCM syndromes in the study group were lower than those in the reference group (P<0.05), after intervention, the VAS and NDI scores of the study group were lower than those in the reference group (P<0.05); the cervical spine activity of the study group was higher than that of the reference group after intervention (P<0.05); after intervention, the levels of LSWBV, PV, FIB and HSWBV in the study group were lower than those in the reference group (P<0.05); the recurrence rate of the study group at 3 months after intervention was 2.72% (2/74), which was lower than 14.06% (9/64) in the reference group (χ2=4.588, P<0.05). Conclusion Midnight-noon ebb-flow acupoint massage combined with cervical function rehabilitation training can improve the rehabilitation efficacy of CSR patients, improve clinical symptoms, cervical function, cervical mobility, regulate hemorheology, and reduce cervical pain and recurrence rate.
论著

肺癌根治术后患者康复期症状体验及心理感受的质性研究

Qualitative study on the symptom experience and psychological feelings of patients after radical resection of lung cancer during the rehabilitation period

:159-164
 
      目的 探讨肺癌根治术后患者康复期的症状体验与心理感受, 为完善症状管理和制定个性化康复干预方案提供依据。方法 采用现象学研究法,对15例肺癌根治术后康复期患者进行半结构式访谈, 运用Colaizzi 7步分析法进行归纳和提炼主题。结果 归纳出5个主题, 12个亚主题:多重躯体症状负担持续存在(术后疼痛综合征、顽固性刺激性咳嗽、劳力性呼吸困难、持续性疲劳感); 负性心理情绪困扰(病耻感、疾病不确定感与复发恐惧); 心理调适过程(诊断冲击与认知失调、角色适应与主动应对); 创伤后成长与健康行为转变(生命意义感提升、健康促进行为强化); 强烈的康复信息支持需求(自我保健知识需求、结构化康复锻炼指导需求)。结论 医护人员应关注肺癌根治术后患者康复期的症状体验, 动态评估患者的身心状况, 制定精准、有效的个性化干预方案, 帮助患者树立康复信心, 改善术后康复体验和提高生活质量。
       Objective  To explore the symptom experience and psychological feelings of patients during the rehabilitation period after radical resection of lung cancer, aiming to provide a basis for improving symptom management and formulating personalized rehabilitation interventions.Methods The phenomenological research method was used to conduct semi-structured interviews with 15 patients in the rehabilitation period after radical surgery for lung cancer.Colaizzi's 7-step analysis method was used to summarize and extract themes.Results Five themes and 12 sub-themes were summarized:Persistent burden of multiple physical symptoms(postoperative pain syndrome, refractory irritative cough, exertional dyspnea, persistent fatigue); negative emotional experiences(stigma of illness, illness uncertainty and fear of recurrence); psychological adjustment processes(diagnostic shock and denial, role acceptance and active coping); post-traumatic growth and health behavior transformation(enhanced sense of meaning in life, strengthened health-promoting behaviors); strong demand for rehabilitation information support(self-care knowledge, rehabilitation exercise knowledge).Conclusions Medical staff should pay attention to the symptom experience of patients during the recovery period after radical lung cancer surgery, dynamically assess their physical and mental conditions, develop precise and effective personalized intervention plans, help patients build confidence in recovery, and thereby improve their postoperative rehabilitation experience and quality of life.
医学教育

基于产教融合的康复治疗学专业创新创业人才培养模式的探索与实践——以广东药科大学为例

Exploration and practice of an industry-education integrated innovation and entrepreneurship talent cultivation model in rehabilitation therapy:A case study of Guangdong Pharmaceutical University

:111-116
 
       文章围绕康复治疗学专业创新创业人才培养模式展开研究,讨论了国内外高校创新创业人才培养现状。从教育理念、课程体系、师资力量、资源配套等方面探讨了人才培养所面临的问题。结合广东药科大学康复治疗学专业培养现状,从管理、教学、平台、服务四大体系明确了具体要求,有望为其他高校康复治疗学专业培养模式改革提供思路。
  The article focuses on innovative and entrepreneurial talent-cultivation models in the Rehabilitation Therapy specialty,discussing the current status of such cultivation in domestic and international universities.It explores challenges in talent development from perspectives including educational philosophy,curriculum system,faculty resources,and resource allocation.Based on the current training status of Guangdong Pharmaceutical University’s Rehabilitation Therapy Program,the study specifies detailed requirements through four major systems:management,teaching,platform,and service.This  research is expected to provide valuable insights for the  reform of talent cultivation models in  rehabilitation therapy programs at other higher education 
institutions.
医学教育

肌骨超声在慢性肌肉骨骼疼痛康复精准化教学中的应用研究

Application of musculoskeletal ultrasound in precise teaching for rehabilitation of chronic musculoskeletal pain

:1605-1610
 
       目的   探讨肌骨超声(MSUS)在慢性肌肉骨骼疼痛(CMP)康复精准化教学中的应用效果。方法   选取在广州市第一人民医院南沙医院康复医学科实习的43名大专及本科学生,对照组进行常规CMP康复精准化教学,MSUS组在常规教学基础上增加MSUS辅助教学。实习结束后,通过专业理论考试和实践考核观察教学效果,并以问卷调查学生对教学形式和效果的满意度。结果  MSUS组的理论考核成绩为(84.62±5.14)分,对照组为(81.45±6.21)分,两组间差异无统计学意义(P>0.05)。MSUS组的实践考核成绩(4.71±1.06)分高于对照组(3.64±1.14)分(P<0.05)。问卷调查显示,MSUS组学生的总体满意度(35.24±3.43)高于对照组(32.64±3.98),P<0.05。其中,对于教学方法的满意度,MSUS组(9.81±0.60)高于对照组(8.82±1.18)(P<0.05);对于综合分析与实践能力的满意度,MSUS组(7.43±1.91)高于对照组(6.18±1.62)(P<0.05)。结论  MSUS教学在夯实学生专业基础知识、深化临床实践、提高综合分析能力和学习积极性方面具有显著优势,为精准化康复教学提供了有效手段。
       Objective  To explore the application effect of musculoskeletal ultrasound(MSUS)in the precise teaching of chronic musculoskeletal pain(CMP)rehabilitation.Methods  Forty-three college and undergraduate  students interning in Rehabilitation Medicine Department of Nansha Hospital,Guangzhou First People’s Hospital were selected,control group conducted conventional CMP rehabilitation teaching,and the MSUS group  received additional MSUS-assisted teaching on the basis of the conventional teaching.After the internship,the teaching effectiveness was observed through professional theoretical examinations and practical assessments,and a questionnaire survey was conducted to evaluate students’satisfaction with the teaching methods and outcomes.Results  The theoretical assessment score of the MSUS group were(84.62±5.14)and(81.45±6.21)of the control group,there was no difference between the two groups(P>0.05).The practical assessment scores of the MSUS group(4.71±1.06)were higher than those of the control group(3.64±1.14),and a significant difference was found between the two groups(P<0.05).The questionnaire survey showed that the overall satisfaction of the MSUS group students(35.24±3.43)was higher than that of the control group(32.64±3.97)(P<0.05).Among them,satisfaction with the teaching method was higher in the MSUS group(9.81±0.60)than in the control group(8.82±1.18)(P<0.05),satisfaction with comprehensive analysis and practical ability was also higher in the MSUS group(7.43±1.91)than in the control group(6.18±1.62)(P<0.05).Conclusions  MSUS teaching has significant advantages in consolidating students’basic professional knowledge,deepening clinical practice,improving comprehensive analysis ability and learning enthusiasm.It provides an effective means for precise rehabilitation teaching.
论著

微波理疗联合康复训练对断指再植患者手指功能和日常生活能力的影响

Effect of microwave physiotherapy combined with rehabilitation training on finger function and daily living ability of patients with severed finger replantation

:1581-
 
       目的   探讨断指再植患者采用微波理疗联合康复训练的影响。方法   回顾性选取2022年1月—2023年12月于福州市第二总医院进行断指再植的患者,采用康复训练的50例患者纳入对照组,采用微波理疗联合康复训练的51例患者纳入观察组,对比两组干预1个月后的毛细血管反应情况、感知恢复情况、疼痛评分、手指功能及日常生活能力情况。结果   干预1个月后, 观察组患指的温度[(28.43±5.86)℃ vs (26.15±5.39)℃,t=2.025,P<0.001]、毛细血管反应[(9.76±2.63)cm/s vs(7.36±2.23)cm/s,t=4.922,P=0.046,]高于对照组(P<0.05);观察组的英国医学研究委员会感觉评分[(15.79±3.75)分 vs(11.88±3.13)分,t=5.660,P<0.001]高于对照组;观察组第2周[(3.72±0.88)vs(4.39±0.92)分,t=3.721,P<0.001]、4周后[(2.67±0.32)分 vs(3.03±0.52)分,t=4.169,P=0.001]的视觉模拟量表(VAS)评分低于对照组(P<0.05);观察组的密歇根手功能量表(MHQ)评分[(61.05±10.68)分 vs(52.58±10.21)分,t=4.054,P<0.001]高于对照组(P<0.05);观察组的生活质量综合评定表(GQLI-74)评分[(320.16±55.25)分 vs(270.85±50.06)分,t=4.677,P<0.001]高于对照组(P<0.05);观察组的Barthel指数[(75.71±12.84)分 vs(68.58±12.23)分,t=2.843,P=0.005]高于对照组(P<0.05)。结论   微波理疗联合康复训练能够提高断指再植患者的手指功能,减轻患者疼痛,改善日常生活质量。
       Objective  To explore the effect of microwave physiotherapy combined with  rehabilitation training on finger function and daily living ability of patients with severed finger replantation.Methods  Patients who underwent replantation of severed fingers in our hospital from January 2022 to December 2023 were selected retrospectively.Fifty patients who received rehabilitation training were included in the control group,51 patients who were intervened by microwave physiotherapy combined with rehabilitation training were included in the observation group.The blood circulation,sensory recovery,pain score,finger function and daily living ability of the two groups were compared.Results  The temperature([28.43±5.86]℃ vs [26.15±5.39]℃,t=2.025,P<0.001) and capillary reaction([9.76±2.63]cm/s vs [7.36±2.23]cm/s,t=4.922,P=0.046) of the affected fingers in the observation group were higher(P<0.05).The sensory score([15.79±3.75] vs [11.88±3.13],t=5.660,P<0.001)of the observation group was higher than that of the control group(P<0.05).The visual analogue scale(VAS)scores of the observation group at the second week([3.72±0.88] vs [4.39±0.92],t=3.721,P<0.001) and four weeks later([2.67±0.32]vs [3.03±0.52],t=4.169,P=0.001)were lower than those of the control group(P<0.05).The  score of Michigan Hand Outcome Questionnair(MHQ)([61.05±10.68] vs [52.58±10.21],t=4.054,P<0.001) in the observation group was higher(P<0.05).The GQLI-74 score([320.16±55.25] vs [270.85±50.06]) and Barthel index([75.71±12.84] vs[68.58±12.23],t=2.843,P=0.005)in the observation group were higher(P<0.05).Conclusions  Microwave physiotherapy combined with rehabilitation training can improve the finger function,relieve the pain and improve the quality of daily life of patients with severed fingers.
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