摘要
目的评估手指屈肌腱断裂患者实施改良缝合与早期功能锻炼联合治疗的应用价值。方法方便选取该院2020年2月—2021年2月收治的72例手指屈肌腱断裂患者为研究对象,以随机数表法分为对照组(n=36,采取津下氏双套圈法缝合与早期功能锻炼治疗)和观察组(n=36,采取改良缝合与早期功能锻炼治疗),统计对比两组手术前后相关量表评分、各阶段疼痛感分值及术后并发症情况。结果两组患者术前相关量表评分、疼痛感评分比较,差异无统计学意义(P>0.05)。观察组术后手功能量表评分较对照组高,术后汉密尔顿焦虑量表评分和术后24 h、3 d、30 d疼痛感评分较对照组低,差异有统计学意义(P<0.05)。观察组术后关节僵硬、水肿、粘连、关节畸形并发症发生率(8.33%)较对照组(30.56%)低,差异有统计学意义(χ^(2)=5.674,P=0.017)。结论手指屈肌腱断裂患者行改良缝合与早期功能锻炼联合治疗效果确切,能够明显提升患者手功能,降低患者疼痛感与术后并发症发生率。
Objective To evaluate the application value of combined treatment of modified suture and early func⁃tional exercise in patients with finger flexor tendon rupture.Methods Conveniently selected 72 patients with finger flexor tendon rupture who were treated in the hospital from February 2020 to February 2021 as the research objects,and were divided into the control group(n=36,taken Jinshita double loop suture and early functional exercise treat⁃ment)and observation group(n=36,treated with modified suture and early functional exercise)according to the ran⁃dom number table method.The scores of related scales before and after surgery,pain scores at each stage and postop⁃erative complications were statistically and compared between the two groups.Results There was no statistically sig⁃nificant difference in preoperative related scale scores and pain scores between the two groups(P>0.05).The postop⁃erative surgical function scale score in the observation group was higher than that in the control group,and the Hamil⁃ton anxiety scale score after surgery and the pain score after 24 h,3 d,and 30 d after surgery were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications such as joint stiffness,edema,adhesion and joint deformity in the observation group(8.33%)was lower than that in the control group(30.56%),and the difference was statistically significant(χ^(2)=5.674,P=0.017).Conclusion The combined treatment of modified suture and early functional exercise in patients with finger flexor tendon rupture is effective,which can significantly improve the patient's hand function and reduce the patient's pain and the inci⁃dence of postoperative complications.
作者
张文峰
ZHANG Wenfeng(Department of Emergency,Rizhao Central Hospital,Rizhao,Shandong Province,276800 China)
出处
《中外医疗》
2022年第16期59-62,共4页
China & Foreign Medical Treatment
关键词
手指屈肌腱断裂
改良缝合术
早期功能锻炼
Digital flexor tendon rupture
Modified suture
Early functional exercise
