摘要
目的探讨阶段式功能康复锻炼在肱骨近端骨折术后患者中的应用效果.方法选取该院2021年5月—2023年4月收治的86例肱骨近端骨折患者为研究对象,采取随机数字表法将患者分为对照组和观察组,各43例.对照组在术后护理中采用常规康复锻炼,观察组在术后护理中采用阶段式功能康复锻炼,比较两组患者骨折愈合时间﹑肩关节功能及临床疗效.结果观察组患者骨折临床愈合时间与影像学完全愈合时间分别为(7.83±0.64)周﹑(9.78±0.93)周,均短于对照组的(9.28±1.05)周﹑(11.39±1.46)周,组间差异有统计学意义(P<0.05).术前,两组肩关节功能评分﹑Neer评分比较,组间差异无统计学意义(P>0.05);术后6个月,观察组患者肩关节功能中疼痛﹑肌力﹑稳定性﹑活动度及关节功能评分及Neer评分分别为(78.27±4.95)分﹑(80.25±6.14)分﹑(76.49±5.31)分﹑(80.82±6.14)分﹑(81.14±6.34)分﹑(85.15±7.47)分,均高于对照组的(69.64±3.26)分﹑(75.43±4.19)分﹑(70.75±3.85)分﹑(73.81±4.32)分﹑(75.42±4.65)分﹑(78.46±6.39)分,组间差异有统计学意义(P<0.05).观察组临床总有效率为90.70%,高于对照组的72.09%,差异有统计学意义(P<0.05).结论在肱骨近端骨折术后护理中采取阶段式功能康复锻炼可快速促进骨折愈合,保证术后关节功能良好恢复,促使获得更好的术后康复效果.
Objective To explore the application effect of staged functional rehabilitation exercise in postoperative care of proximal humeral fractures.Methods 86 patients with proximal humeral fractures admitted to the hospital from May 2021 to April 2023 were selected as the research subjects,and they were divided into a control group and an observation group according to the random number table method,with 43 patients in each group.The control group received routine rehabilitation exercises during postoperative care,while the observation group received staged functional rehabilitation exercises during postoperative care.The postoperative fracture healing time,shoulder joint function,and clinical efficacy between two groups of patients were compared.Results The clinical healing time and imaging complete healing time of the observation group were(7.83±0.64)weeks and(9.78±0.93)weeks,which were shorter than(9.28±1.05)weeks and(11.39±1.46)weeks of the control group,and the differences between the groups were statistically significant(P<0.05).Before surgery,there was no statistically significant difference in the shoulder joint function score and the Neer score between the two groups(P>0.05).At 6 months after surgery,the pain,muscle strength,stability,range of motion,and joint function of shoulder joint function,and Neer score of the observation group were(78.27±4.95)points,(80.25±6.14)points,(76.49±5.31)points,(80.82±6.14)points,(81.14±6.34)points,and(85.15±7.47)points,which were higher than(69.64±3.26)points,(75.43±4.19)points,(70.75±3.85)points,(73.81±4.32)points,(75.42±4.65)points,and(78.46±6.39)points of the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 90.70%,which was higher than 72.09%in the control group,and the difference was statistically significant(P<0.05).Conclusion Adopting staged functional rehabilitation exercises in postoperative care of proximal humeral fractures can quickly promote fracture healing,ensure good postoperative joint function recovery,and promote better postoperative rehabilitation outcomes.
作者
肖同玲
XIAO Tongling(Department of Traumatology and Orthopedics,Xintai People's Hospital,Xintai Shandong,271200,China)
出处
《反射疗法与康复医学》
2023年第20期56-59,共4页
Reflexology And Rehabilitation Medicine
关键词
肱骨近端骨折
阶段式康复
临床护理
功能康复
Proximal humeral fracture
Stage based rehabilitation
Clinical nursing
Functional rehabilitation
