摘要
目的:分析早期运动指导对手部肌腱骨折神经血管急性损伤修复术后患者手功能的影响。方法:选取2020年2月—2023年8月东莞市石排医院接收的56例手部肌腱骨折神经血管急性损伤患者,并通过随机数表法分成观察组和对照组,各28例。对照组给予常规治疗,观察组在常规治疗的基础上进行早期运动指导干预,比较两组手指功能恢复效果、手功能[上肢动作研究量表(Carroll手功能评估表)]、手指活动度(掌指关节屈曲度、近端指间关节屈曲度、远端指间关节屈曲度、掌指关节背伸度)。结果:治疗后,观察组的手指功能恢复率高于对照组,Carroll评分高于对照组,掌指关节屈曲度、近端指间关节屈曲度、远端指间关节屈曲度、掌指关节背伸度均高于对照组,差异有统计学意义(P<0.05)。结论:早期运动指导可提高手部肌腱骨折神经血管急性损伤修复术后患者的手部、手掌指关节、指间关节主动活动度,促进患者手指功能的恢复。
Objective:To analyze the effect of early exercise guidance on hand function in patients after repair of acute neurovascular injury of hand tendon fracture.Method:Fifty-six patients with acute neurovascular injury of hand tendon fracture admitted to Shipai Hospital of Dongguan City from February 2020 to August 2023 were selected and divided into observation group and control group by random number table method,with 28 cases in each group.The control group received routine treatment,and the observation group received early exercise guidance intervention on the basis of routine treatment.The recovery effect of finger function,hand function[upper limb movement study scale(Carroll hand function assessment scale)]and finger motion(metacarpophalangeal joint flexion,proximal interphalangeal joint flexion,distal interphalangeal joint flexion,metacarpophalangeal joint dorsal extension)were compared between the two groups after treatment.Result:After treatment,the functional recovery rate of fingers in the observation group was higher than that in the control group,the Carroll score was higher than that in the control group,and the degrees of metacarpophalangeal joint flexion,proximal interphalangeal joint flexion,distal interphalangeal joint flexion and metacarpophalangeal joint dorsal extension were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Early exercise guidance can improve the active range of motion of hand,palmphalangeal joint and interphalangeal joint of patients after acute neurovascular injury of hand tendon fracture,and promote the recovery of finger function.
作者
陈章秋
曾伟
曾锐彬
郑倍奋
李凤仪
CHEN Zhangqiu;ZENG Wei;ZENG Ruibin;ZHENG Beifen;LI Fengyi(Shipai Hospital of Dongguan City,Dongguan 523000,China;不详)
出处
《中外医学研究》
2024年第16期162-165,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
早期运动指导
手部肌腱骨折神经血管急性损伤
手功能
Early exercise guidance
Hand tendon fracture neurovascular acute injury
Hand function
