康复护理对肘关节骨折术后功能恢复影响.docVIP

康复护理对肘关节骨折术后功能恢复影响 　　[摘要] 目的:探讨康复护理对肘关节骨折术后功能恢复的影响。方法:将260例肘关节骨折患者分为康复组(n=150)和对照组(n=110)。对照组接受常规治疗和护理,而康复组接受个体化康复护理干预。结果:术后3个月,康复组的疼痛、活动范围、活动能力等肘关节评分明显高于对照组,且在肘关节屈曲、伸直、前臂旋前和前臂旋后等肘关节关节活动方面明显高于对照组,差异均有明显统计学意义,P0.01。结论:个体化康复护理干预有助于改善肘关节骨折患者术后关节功能,促进肘关节功能康复。 　　[关键词] 肘关节骨折;肘关节功能;康复护理 　　[中图分类号] R473.6 [文献标识码]C [文章编号]1673-7210(2010)06(b)-082-03 　　 　　Impact of rehabilitation nursing on postoperative function recovery in elbow fracture 　　XIE Liyun 　　(The Peoples Hospital of Yiyang City in Hu′nan Province, Yiyang413001, China) 　　[Abstract] Objective: To examine the effect of rehabilitation nursing on postoperative function recovery in elbow fracture. Methods: 260 cases of elbow fracture patients were divided into the rehabilitation group (n=150) and control group (n=110). The control group received the routine therapy and nursing, while the rehabilitation group received individualized rehabilitation nursing interventions. Results: The elbow scores of the pain, movement range and activity ability were markedly higher in the rehabilitation group 3 months after operation were markedly higher than in the control group, and elbow ROM was considerably improved, demonstrating significant differences, P0.01. Conclusion: Individualized rehabilitation nursing intervention can improve the postoperative elbow function of the elbow fracture patients, facilitating the functional recovery. 　　[Key words] Elbow fracture; Elbow function; Rehabilitation nursing 　　 　　肘关节骨折是影响肢体关节功能的常见损伤。与上肢其他关节相比,肘关节因其解剖特性,创伤后更易发生功能障碍[1]。康复护理在临床护理学中占有重要的地位,其目的是使患者的残存功能和能力得到最大限度的改善,重建患者身心平衡,最大限度地恢复其生活自理的能力。正确的康复护理是骨科手术成功的重要环节[2],对恢复肘关节骨折患者的肘关节功能具有重要的意义。为防止肘关节骨折后并发功能障碍,作者对150例肘关节骨折患者实施个体化的康复护理,取得满意效果。现报道如下: 　　1对象与方法 　　1.1研究对象 　　选择2007年8月～2009年8月收治260例肘关节骨折患者。康复组:为我院2008年8月～2009年8月收治的行康复护理的肘关节骨折患者150例,其中,男103例,女47例,年龄10～79(39.8±11.6)岁;骨折类型:肱骨远端骨折107例,鹰嘴骨折30例,冠突骨折9例,桡骨小头骨折4例。对照组:为我院2007年8月～2008年7月收治但未行康复护理的肘关节骨折患者110例。其中,男69例,女41例,年龄12～75(41.2±13.3)岁;骨折类型:肱骨远端骨折72例,尺骨鹰嘴骨折33例,尺骨冠突骨折8例,桡骨小头骨折3例。手术患者均于受