復雜肘關節骨折術后行早期綜合康復護理和延遲康復護理的效果對比

陳育珠++++++張素容

[摘要]目的 探討復雜肘關節骨折術后行早期綜合康復護理和延遲康復護理的效果對比。方法 選擇2014年12月～2016年7月在我院進行復雜肘關節骨折手術的患者89例作為研究對象，根據其入院日期，單號日作為實驗組，共44例，雙號日作為對照組，共45例。前者施以早期綜合康復護理，后者施以延遲康復護理。比較兩組患者康復護理前后的肘關節功能情況、康復治療效果及肘關節活動表（ROM）評分情況。結果 干預后實驗組患者的肘關節功能評分及Rom評分高于對照組，差異有統計學意義（P<0.05），干預前兩組患者肘關節功能評分及Rom評分差異無統計學意義（P>0.05）。且實驗組治療優良率高于對照組，差異有統計學意義（P<0.05）。結論 復雜肘關節骨折術后行早期綜合康復有利于其肘功能恢復，提高肘關節活動度，值得推廣。

[關鍵詞]肘關節；骨折；早期綜合康復；延遲康復

[中圖分類號] R473.6 [文獻標識碼] A [文章編號] 1674-4721（2017）11（c）-0174-03

Comparison of early comprehensive rehabilitation and delayed rehabilitation nursing of complex elbow fractures

CHEN Yu-zhu ZHANG Su-rong

Department of Surgery，Puning Overseas Chinese Hospital，Guangdong Province，Puning 515300，China

[Abstract]Objective To investigate the effect of early comprehensive rehabilitation and delayed rehabilitation nursing after complex elbow fracture.Methods From December 2014 to July 2016，89 patients with complex elbow fractures were selected as the study subjects.According to their date of admission，single day as experimental group，44 cases double day as control group，a total of 45 cases.The former applied to the early comprehensive rehabilitation carethe latter to delay the rehabilitation of care.The elbow joint function，the rehabilitation effect and the elbow ROM score were compared between the two groups before and after rehabilitation.Results The elbow function score and Rom score of the experimental group were higher than those in the control group after intervention，the difference was statistically significant （P<0.05）.Before intervention，the difference of the elbow function score and Rom score between the two groups was no significant（P>0.05）.And the excellent rate of treatment in the experimental group was higher than that in the control group，the difference was statistically significant（P<0.05）.Conclusion The early comprehensive rehabilitation of complex elbow fractures is helpful for the recovery of elbow function and the improvement of elbow joint activity.

[Key words]Elbow joint fracture；Early comprehensive rehabilitation；Delayed rehabilitation

肘關節是人體重要的上肢關節，主要用于前臂伸屈活動及旋轉運動等[1]。由于其生理結構，其骨折發生率為骨關節骨折之首[2]。目前臨床上主要對其采取手術治療[3]，但由于肘關節骨質重疊較多等因素，且肘關節骨折不穩定，特別是在康復期不恰當的干預更易引起肘關節的功能異常，影響其預后[4]。傳統的康復護理干預一般于術后3個月取下外固定后進行，本研究為使復雜肘關節骨折術后患者達到更好的治療效果及康復，將早期綜合康復護理及延遲康復護理分別運用于復雜肘關節骨折手術的患者中，現報道如下。

1資料與方法

1.1一般資料

選擇2014年12月～2016年7月在我院進行復雜肘關節骨折手術的患者89例作為研究對象，根據入院日期，單號日作為實驗組，44例，雙號日作為對照組，45例。前者施以早期綜合康復護理，后者施以延遲康復護理。所有患者均知情同意，且本研究經醫院醫學倫理委員會批準。納入標準已排除合并嚴重內科合并癥、嚴重心肺肝腎功能障礙患者。實驗組男30例，女14例；年齡19～66歲，平均（42.98±1.34）歲；肱骨踝間骨折16例，肱骨踝上骨折13例，肱骨小頭骨折9例，尺骨鷹嘴骨折4例，尺骨冠突骨折2例。對照組男28例，女17例；年齡21～64歲，平均（44.10±1.02）歲；肱骨踝間骨折15例，肱骨踝上骨折16例，肱骨小頭骨折7例，尺骨鷹嘴骨折5例，尺骨冠突骨折2例。兩組患者一般資料比較差異無統計學意義（P>0.05），具有可比性。endprint