综合训练应用于桡骨远端骨折复位后手部功能恢复的效果观察

Observation on effect of comprehensive training on recovery of hand function after the reposition of distal radial fracture

目的观察综合训练对桡骨远端骨折复位后手部功能恢复的效果。方法对80例桡骨远端骨折患者,去除石膏或小夹板等外固定后随机分为2组,即常规治疗组（A组）和常规治疗加综合训练组（B组）,每组40例,每组患者进行腕关节及手部功能测定后A组患者进行常规的腕关节功能训练;B组患者进行综合训练。经3个疗程后,评定2组患者治疗前、后的手部功能,包括：腕部疼痛、腕关节活动度、手部握力等。结果2组患者经训练后其腕关节屈、伸、旋前、旋后、尺偏、桡偏角度均较训练前有显著改善,训练前后差异具有统计学意义（P〈0.05）;2组训练后其腕关节屈、伸、旋前、旋后、尺偏、桡偏角改善B组优于A组,差异具有统计学意义（P〈0.05）。结论综合训练对桡骨远端骨折患者手部功能恢复具有较好的疗效。

Objective To explore the effect of comprehensive training on the recovery of hand function after the reposition of distal radial fracture. Methods 80 patients of distal radius fracture were randomly divided into 2 groups of the normal treatment group （Group A） and the normal treatment plus comprehensive training group （Group B）, with 40 cases in each group. After the measure of wrist and hand functionamong the patients of each group, patients in Group A received the normal training of wrist function, and patients in Group B received the comprehensive training. After three courses, the hand functions including wrist pain, wrist movement and handgrip force were evaluated before and after the treatment. Results In the two groups, wrist flexion, extension, pronation, supination, scapho--lunate and radio--lunate angles had significant improvements compared to those before the training, and the difference had statistical meaning （P〈0.05）. Group B was superior to group A in these improvements, and the difference had statistical meaning （P 〈 0.05）. Conclusions The comprehensive training has better effect for the recovery of hand function of patients with distal radial fracture.