摘要
目的比较不同护理模式在肘关节恐怖三联征术后的应用效果。方法选取2017年1月~2018年12月我院收治的60例肘关节恐怖三联征患者作为研究对象,按照随机数字表法将其分为治疗组和对照组,每组各30例。对照组患者采用常规骨科护理,治疗组患者在对照组的基础上采用延续性康复护理。于干预前和干预后第6、12周,观察两组患者的肘关节活动度、肘关节Mayo功能评分及De Boer YA肘关节功能评分,末次随访记录两组患者的并发症总发生率。结果两组患者干预前的肘关节屈曲、关节过伸、前臂旋前、前臂旋后、关节屈伸范围及肘关节Mayo功能、De Boer YA肘关节功能评分比较,差异无统计学意义(P>0.05);两组患者干预后第6、12周的肘关节屈曲、关节过伸、前臂旋前、前臂旋后、关节屈伸范围及肘关节Mayo功能、De Boer YA肘关节功能评分均高于干预前,差异有统计学意义(P<0.05);治疗组患者干预后第6、12周的肘关节屈曲、关节过伸、前臂旋前、前臂旋后、关节屈伸范围及肘关节Mayo功能、De Boer YA肘关节功能评分均高于对照组,差异有统计学意义(P<0.05)。治疗组患者的并发症总发生率为6.67%,低于对照组的16.67%,差异有统计学意义(P<0.05)。结论延续性康复护理可促进肘关节恐怖三联征患者功能恢复,降低并发症发生率,值得临床推广应用。
Objective To compare the application effect of different nursing modes in the postoperative terrible triad of the elbow.Methods Sixty patients with terrible triad of elbow admitted to our hospital from January 2017 to December 2018 were enrolled in the study.They were divided into the treatment group and the control group according to the random number table method,30 cases in each group.Patients in the control group were given conventional orthopedics nursing,and patients in the treatment group were given continuous rehabilitation nursing on the basis of the control group.Before intervention and at the sixth and twelfth weeks after intervention,the elbow joint mobility,the elbow Mayo function and the De Boer YA elbow joint function scores in the two groups were observed.The total incidence rate of complications in the two groups of patients was recorded at the final follow-up.Results There were no significant differences in elbow flexion,joint hyperextension,forearm pronation,forearm supination,joint flexion and extension range,elbow Mayo function and De Boer YA elbow joint function scores before intervention(P>0.05).The elbow flexion,joint hyperextension,forearm pronation,forearm supination,joint flexion and extension range,elbow Mayo function and De Boer YA elbow joint function scores in the two groups at the sixth and twelfth weeks after intervention were higher than those before intervention,and the differences were statistically significant(P<0.05).The elbow flexion,joint hyperextension,forearm pronation,forearm supination,joint flexion and extension range,elbow Mayo function and De Boer YA elbow joint function scores in the treatment group at the sixth and twelfth weeks after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the treatment group was 6.67%,which was lower than that in the control group(16.67%),and the difference was statistically significant(P<0.05).Conclusion Continuous rehabilitation nursing can promote the functional recovery of the terrible triad of the elbow,reduce the incidence rate of complications,and it is worthy of clinical application.
作者
吴彩勤
范秀英
WU Cai-qin;FAN Xiu-ying(Orthopaedics Center,Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan,528000,China)
出处
《中国当代医药》
2019年第33期223-226,共4页
China Modern Medicine
关键词
延续性康复护理
肘关节恐怖三联征
功能恢复
康复锻炼
Continuous rehabilitation nursing
Terrible triad of the elbow
Functional recovery
Rehabilitation exercise
