早期系统康复治疗对手外伤术后患者的影响

Effect of Early Systematic Rehabilitation Therapy for Patients with Hand Injuries

目的:观察手外伤术后住院患者规范的早期综合康复治疗的临床疗效。方法:368例手部外伤术后患者在手外科常规治疗的基础上给予规范的早期主被动活动,中期主动运动及后期抗阻练习等,并配合相应的物理因子和支具治疗。治疗2及4个月时分别进行手关节总主动活动度(TAM)评定、明尼苏达手灵巧度(MMDT)、普渡手精细运动(PPT)及临床疗效评定。结果:与术后2个月时比较,治疗4个月后,368例患者MMDT评定时间明显缩短,PPT及TAM明显提高(均P<0.05);临床疗效显示,优良率91.3%。结论:规范早期综合康复治疗能预防手外伤术后患者的关节僵硬及肌腱粘连,显著提高手的运动功能。

Objective： To investigate the therapeutic effect of early systematic standard rehabilitation therapy for inpatients with hand injuries. Methods： 368 patients with hand injuries were treated with early systematic standard rehabilitation therapies following routine treatment of hand surgery, including active-passive motion at early stage, active motion at middle stage, resistance exercises at late stage, physical therapy and braces support at each stage. After treatments for 2 months and 4 months, the assessments were conducted by total active motion （TAM）, Min- nesota manual dexterity test （MMDT）, Purdue pegboard test （PPT） and clinical efficacy. Results Compared with those 2 months after operation, after treatment for 4 months, the time for evaluation of MMDT was significantly shortened, PPT and TAM scores were significantly increased, and the excellent rate of clinical efficacy was 91.3 %. Conclusion Early systematic standard rehabilitation therapy for patients with hand injuries could prevent postoperative joint immobility and tendon adhesion, and improve motor function of hands.