摘要
目的观察先天性马蹄内翻足矫形术的护理及康复指导的效果。方法选择2014年1月至2016年1月辽宁省残疾人康复中心收治住院的先天性马蹄内翻足患儿30例(38足),根据不同情况进行相应的手术治疗,术前实施心理护理、生活护理、手法按摩,术后行体位护理、石膏护理、疼痛护理、康复指导等措施,矫形术前后应用美国矫形足踝协会(AOFAS)踝与后足评分系统进行功能评价。结果所有病例均得到随访,随访时间10个月至2年,AOFAS综合评分优13例17足,良15例18足,可1例2足,差1例1足,优良率为92.1%。术后AOFAS评分为(86.9±8.5)分,显著高于术前(57.3±10.7)分,差异有统计学意义(P<0.05)。结论先天性马蹄内翻足矫形术患儿的系统性护理及康复指导疗效满意,对手术成功和患儿康复意义重大。
Objective To observe the effect of nursing and rehabilitation guidance in children receiving orthopedic surgery for congenital clubfoot.Methods A total of 30 children(38 feet)with congenital clubfoot were selected,who were treated in Liaoning Rehabilitation Center for the Disable from Jan.2014 to Jan.2016.They received surgical treatment according to different conditions.Before surgery,psychological nursing,life nursing and manual massage were performed;after treatment,posture nursing,plaster nursing,pain nursing,and rehabilitation guidance were carried out.The ankle and hind foot scoring system of the American Orthopedic Foot and Ankle Society(AOFAS)was used to evaluate the functions before and after orthopedic surgery.Results All the cases were followed up,which lasted from 10 months to two years.The AOFAS score was excellent in 13 cases(17 feet),good in 15 cases(18 feet),fair in one case(2 feet)and bad in one case(one foot),the rate of excellence was 92.1%.AOFAS score was 86.9±8.5 after surgery,significantly higher than the score before surgery(57.3±10.7),and the difference was statistical(P<0.05).Conclusion Systematic nursing and rehabilitation guidance has good effect on children receiving orthopedic surgery for congenital clubfoot,which is of great significance in the success of surgery and rehabilitation of children.
作者
刘颖
LIU Ying(Rehabilitation Center for the Disabled in Liaoning Province,Shenyang 110015,China)
出处
《中国中西医结合儿科学》
2018年第1期81-83,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
马蹄内翻足
矫形术
护理
康复
Clubfoot
Orthopedic surgery
Nursing
Rehabilitation
