摘要
目的探讨循经按摩联合系统康复功能训练对下肢骨肿瘤患者人工假体置换术后肢体功能康复、Barthel指数(BI)及生活质量等的影响。方法选取81例行人工假体置换术的下肢骨肿瘤患者。根据随机数字表法,将患者分为观察组40例和对照组41例。观察组患者术后采用循经按摩联合系统康复功能训练干预,对照组患者术后采用系统康复功能训练干预。采用Enneking评分、BI评分、世界卫生组织生活质量量表(WHOQOL-100)、视觉模拟评分法(VAS)分别评估并比较两组患者的肢体功能康复情况、日常生活能力、生活质量、患肢的疼痛程度。结果干预3个月后,观察组患者肢体功能康复的优良率为97.50%,明显高于对照组的73.17%(P﹤0.01);干预3个月后,观察组患者的BI评分为(72.32±15.21)分,高于对照组的(65.25±15.24)分(P﹤0.05);干预3个月后,观察组患者的生理、心理、独立性、社会关系、环境、精神宗教评分均高于对照组(P﹤0.05);干预1个月、3个月后,观察组患者的患肢VAS评分均低于对照组(P﹤0.05)。结论循经按摩联合系统康复功能训练可促进下肢骨肿瘤患者人工假体置换术后患肢的功能康复,缓解肢体疼痛,提高日常生活能力和生活质量。
Objective To explore the effect of meridian massage combined with systematic training on functional recovery in limb functional rehabilitation, Barthel index (BI) and quality of life in patients with lower limb bone tumors after prosthesis replacement. Method Eighty-one patients with lower limb bone tumors treated with prosthesis replacement were included in the research, and were stratified using a random number table as study group (40 cases) and control group (41 cases), receiving meridian massage combined with systematic training on functional recovery or systematic functional training alone, respectively. The recovery of limb function, activities of daily living, quality of life, and degree of pain in affected limb were evaluated using Enneking score, BI score, World Health Organization quality of life scale- 100 (WHOQOL-100), and visual analogue scale (VAS). Result After 3 months of intervention, the rate of excellent and good recovery was 97.50% in study group, and was significantly higher than that in control group at 73.17%(P<0.01);the BI score was (72.32±15.21) in study group, and was higher than that in control group at (65.25±15.24)(P<0.05);additionally, after 3 months of intervention, the physiological, psychological, level of independence, social relations, environment and spirituality religious scores assessed using WHOQOL-100 were all higher in study group than those in control group (P<0.05);in 1 and 3 months after intervention, the VAS score of affected limb in study group was lower compared to control group (P<0.05). Conclusion Meridian massage combined with systematic training on functional recovery can promote the recovery of limb function, reduce limb pain, and improve the activities of daily living and also the quality of life in patients with lower limb bone tumor after prosthesis replacement.
作者
何玲
童文先
黄亮
HE Ling;TONG Wenxian;HUANG Liang(Department of Recovery,Fifth Hospital in Wuhan,Wuhan 430050,Hubei,China;Department of Oncology,Fifth Hospital in Wuhan,Wuhan 430050,Hubei,China;Department of Orthopaedics,Fifth Hospital in Wuhan,Wuhan 430050,Hubei,China)
出处
《癌症进展》
2019年第13期1609-1612,共4页
Oncology Progress
关键词
骨肿瘤
保肢
康复
循经按摩
功能训练
下肢
bone tumor
rehabilitation
meridian massage
functional training
lower limb
