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蜡疗静态进展性牵伸治疗上肢骨折术后肘关节功能障碍的临床疗效 被引量:7

Clinical effectiveness of Kerotherapy static progressive stretching in the treatment of elbow joint dysfunction after upper extremity fracture
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摘要 目的观察蜡疗静态进展性牵伸治疗上肢骨折术后肘关节功能障碍的临床疗效。方法选取2011-10至2016-01东宁市人民医院收治的56例肘关节功能障碍患者为研究对象,按随机数字表法分为治疗组和对照组,每组28例。治疗组采用蜡疗静态进展性牵伸治疗,对照组采用常规蜡疗治疗,两组均治疗8周。比较两组康复介入前,康复治疗后4周、8周的Mayo肘关节功能评分(Mayo elbow-performance score,MEPS)及临床疗效。结果 (1)两组治疗后各时间点MEPS较康复介入前均明显升高(F=602.650,P<0.001)。经LSD-t检验提示,治疗组治疗后4周、8周MEPS较对照组升高更显著(P<0.001);(2)临床疗效方面,治疗组优于对照组,差异有统计学意义(U=2.146,P=0.032)。结论对于上肢骨折术后肘关节功能障碍患者,蜡疗静态进展性牵伸治疗方法简单实用、价格低廉,与常规蜡疗相比效果更为显著,值得基层医院大力推广。 Objective This study was conducted to investigate the clinical effectiveness of Kerotherapy static progressive stretching in the treatment of elbow joint dysfunction after upper extremity fracture. Methods A total sample of 56 elbow joint dysfunction patients in the People's Hospital of Dongning City from October 2011 to January 2016 were chosen as study objects and divided into a treatment group and a control group by means of the random number table method, with 28 cases in each group. The treatment group was treated with Kerotherapy static progressive stretch therapy while the control group was given conventional Kerotherapy technique. Both groups were treated for 8 weeks. The Mayo elbow-performance score (MEPS) and clinical effectiveness before rehabilitation, 4 weeks and 8 weeks after rehabilitation was compared between two groups. Results (1) The MEPS at each time point after rehabilitation of the two groups was significantly increased than that before treatment (F=602.650, P〈0.001). The LSD-t test showed that, compared with the control group, the MEPS at the 4th and 8th week after rehabilitation of the treatment group increased more significantly (P〈0.001). (2) The clinical efficacy of the treatment group was better than the control group, the difference was statistically significant (U=2.1456, P=0.0319). Conclusions For patients with elbow joint dysfunction after upper extremity fracture, Kerotherapy static progressive stretch therapy has the advantage of simplicity and practicality, low cost, and the effect is more significant than conventional Kerotherapy, therefore its clinical application should be popularized in grass-roots hospitals.
出处 《中华灾害救援医学》 2017年第8期454-456,共3页 Chinese Journal of Disaster Medicine
关键词 蜡疗 静态进展性牵伸 肘关节功能障碍 Keritherapy static progressive stretching elbow joint dysfunction
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