摘要
目的分析分阶段综合康复训练疗法对肩袖损伤术后患者康复的促进效果。方法选择120例接受关节镜修复术治疗的肩袖损伤术后患者为研究对象,采用随机数表法分为观察组(分阶段综合康复组)与对照组(常规康复组),各60例,对照组予以早期肩关节制动及康复训练,观察组予以分阶段综合康复训练,2组均治疗16周,并于术后随访6个月。观察2组术后6个月的疗效,比较2组术前、术后3、6个月的肩关节功能、肩关节活动度及血清炎性因子水平。结果术后6个月,观察组总有效率(96.67%,58/60)高于对照组(81.67%,49/60)(P<0.05)。术前、术后3、6个月,2组肩关节外展、肩关节后伸、肩关节前屈角度及肩关节Constant Murley score量表(CMS)评分均逐渐升高,且术后3、6个月,观察组肩关节外展、肩关节后伸、肩关节前屈角度及CMS评分均高于对照组(P<0.05)。术前、术后3、6个月,2组血清肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)水平逐渐降低,且术后3、6个月,观察组血清TNF-α、IL-6水平均低于对照组(P<0.05)。结论分阶段综合康复训练疗法可降低肩袖损伤术后患者血清TNF-α、IL-6水平,抑制炎症反应,可缓解其肩关节疼痛程度,有效改善肩袖损伤术后患者肩关节功能和肩关节活动度,疗效显著。
Objective To analyze the promoting effect of the staged comprehensive rehabilitation training therapy on the postoperative rehabilitation of patients with rotator cuff injury.Methods A total of 120 patients with rotator cuff injury who received an arthroscopic repair in our hospital from January 2018 to June 2020 were selected as the research subjects.They were divided into an observation group(staged comprehensive rehabilitation group)and a control group(routine rehabilitation group)by the random number table method,with 60 cases in each group.The control group received an early shoulder immobilization and a rehabilitation training,while the observation group received a comprehensive rehabilitation training by stages.Both groups were treated for 16 weeks,and followed up for 6 months after operation.The curative effects of the two groups were observed 6 months after operation,and the shoulder joint function,shoulder joint range of motion and levels of the serum inflammatory factors were compared between the two groups before operation and 3 and 6 months after operation.Results Six months after operation,the total effective rate in the observation group(96.67%,58/60)was higher than that in the control group(81.67%,49/60)(P<0.05).The shoulder abduction,shoulder extension,shoulder flexion angle and the scores of the Constant Murley Score(CMS)of the two groups increased gradually before operation and 3 and 6 months after operation,and the above indicators in the observation group were higher than those in the control group 3 and 6 months after operation(P<0.05).The levels of serum tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the two groups gradually decreased before operation and 3 and 6 months after operation,and the levels of TNF-αand IL-6 in the observation group were lower than those in the control group 3 and 6 months after operation(P<0.05).Conclusion The staged comprehensive rehabilitation training therapy can reduce the levels of serum factor-αand IL-6 in patients after rotator cuff injury,inhibit inflammatory responses,relieve the pain degree of shoulder joints,and effectively improve the shoulder joint function and shoulder joint range of motion.
作者
田磊
张娟
张明
苏清伦
赵秦
TIAN Lei;ZHANG Juan;ZHANG Ming;SU Qinglun;ZHAO Qin(Department of Rehabilitation Medicine,the First Affiliated Hospital of Kangda College,Nanjing Medical University,Lianyungang222000,China;Department of Rehabilitation Medicine,Xuzhou Central Hospital,Xuzhou 221000,China)
出处
《长春中医药大学学报》
2022年第10期1144-1147,共4页
Journal of Changchun University of Chinese Medicine
基金
江苏省青年医学重点人才培养项目(QNRC2016376)。
关键词
肩袖损伤
关节镜修复术
分阶段综合康复训练
肩关节
活动度
炎性因子
rotator cuff injury
arthroscopic repair
staged comprehensive rehabilitation training
shoulder joint
range of motion
inflammatory factors
