您的位置: 首页 > 2017年5月 第48卷 第3期 > 文字全文
2023年7月 第38卷 第7期11
目录

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

来源期刊: 广州医药 | 78-81 发布时间:2021-12-01 收稿时间:2025/11/13 17:12:42 阅读量:10
作者:
关键词:
骨折腕关节功能锁定加压钢板康复
FractureWrist functionlocking compression plate LCPRehabilitation
DOI:
10.3969/j.issn.1000-8535.2017.03.020
收稿时间:
2017-02-23 
修订日期:
 
接收日期:
 
引用总数:
0  
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。
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.
1、 汪志炯,严松鹤.中医特色治疗桡骨远端骨折的疗效分析[J]. 中国中医急症,2016, 25(11): 2168-2170. 汪志炯,严松鹤.中医特色治疗桡骨远端骨折的疗效分析[J]. 中国中医急症,2016, 25(11): 2168-2170.
2、 谢丽璋,林冬兰,莫连敏.康复护理对桡骨远端骨折病人的护理[J]. 护理实践与研究,2011,8(15):41-42.. 谢丽璋,林冬兰,莫连敏.康复护理对桡骨远端骨折病人的护理[J]. 护理实践与研究,2011,8(15):41-42..
3、 GARTLAND JJ JR WERLEY CW. Evaluation of healed Colles' fractures. J Bone Joint Surg(Am),1951,33-A(4):895-907. GARTLAND JJ JR WERLEY CW. Evaluation of healed Colles' fractures. J Bone Joint Surg(Am),1951,33-A(4):895-907.
4、 邱文董.不同方案治疗胫腓骨骨折患者肢体肿胀临床观察[J]. 中国实用医学,2016,43(20):100-101. 邱文董.不同方案治疗胫腓骨骨折患者肢体肿胀临床观察[J]. 中国实用医学,2016,43(20):100-101.
5、 疼痛评分,恽晓平.康复疗法评定学[M]. 北京:华夏出版社,2005:106-345. 疼痛评分,恽晓平.康复疗法评定学[M]. 北京:华夏出版社,2005:106-345.
6、 杨翔,赵友明,陈林,等.锁定加压钢板和外固定支架治疗桡骨远端C型骨折的疗效比较[J]. 中国骨伤,2013,26(12):997-1001. 杨翔,赵友明,陈林,等.锁定加压钢板和外固定支架治疗桡骨远端C型骨折的疗效比较[J]. 中国骨伤,2013,26(12):997-1001.
7、 JR S W. Complications and problems in the management of distal radius fractures[J]. Hand Clin, 1994, 10:117-123. JR S W. Complications and problems in the management of distal radius fractures[J]. Hand Clin, 1994, 10:117-123.
8、 李世锋,吴江,赵鹏飞,等.外固定支架与锁定加压钢板治疗C型桡骨远端骨折的疗效[J]. 中华手外科杂志,2016,18(9):522-525. 李世锋,吴江,赵鹏飞,等.外固定支架与锁定加压钢板治疗C型桡骨远端骨折的疗效[J]. 中华手外科杂志,2016,18(9):522-525.
9、 裴晓东,何利民,李锐,等.锁定加压钢板内固定治疗老年桡骨远端骨折[J]. 中国骨与关节损伤杂志, 2008,23(11):924-925. 裴晓东,何利民,李锐,等.锁定加压钢板内固定治疗老年桡骨远端骨折[J]. 中国骨与关节损伤杂志, 2008,23(11):924-925.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录