关节镜下肩袖修补术患者的护理

Perioperative Nursing of Arthroscopic Treatment of Rotator Cuff Repair

目的探讨关节镜下肩袖修补术患者肩关节康复与护理方法。方法回顾性分析2008年11月至2010年8月在上海市第六人民医院骨科行关节镜下缝合锚肩袖修补术的110例患者的临床资料。所有患者术前均制定系统的康复护理计划,术后尽早进行循序渐进的主被动功能锻炼,分别在术前和最终随访时采用美国加州大学肩关节功能评分系统(University ofCalifornia at Los Angeles shoulder scores,UCLA)对其进行评价。结果患者随访时间为6～19个月,术前、术后UCLA评分分别为(14.3±3.6)和(33.4±1.4)分,差异有统计学意义(P<0.01)。术后患者肩关节功能优65例、良25例、可20例。结论关节镜下行肩袖修复术具有创伤小、恢复快等优点,及时进行个性化康复护理是恢复肩关节功能的有效方法,对功能康复具有重要作用。

Objective To investigate perioperative rehabilitation and nursing of arthroscopic rotator cuff repair.Methods From November 2008 to August 2010,110 patients with rotator cuff injury were treated with arthroscopic rotator cuff repair in our hospital.The rehabilitation care plans were made for all the patients before surgery.Progressive passive functional exercises for the patients were urged as soon as possible.The shoulder function was evaluated by University of California at Los Angeles（UCLA） scoring system before surgical treatment and at the last follow-up,respectively.Results All the patients were followed up for 6 to 19 months,with an average of 12.7 months.The average scores were 14.3±3.6 and 33.4±1.4 for pre-operation and post-operation,respectively.The difference was statistically significant（P0.01）.The results showed excellent shoulder function in 65 cases,good in 25 cases and moderate in 20 cases.Conclusion Arthroscopic rotator cuff repair has advantage of less trauma and faster recovery.Appropriate perioperative rehabilitation and nursing is an effective way to restore shoulder function,which plays an important role in functional recovery.