儿童肱骨髁上骨折早期康复护理干预对预后的影响

Influence of nursing intervention on early rehabilitation of supracondylar fracture of humerus of children

目的探讨早期康复护理干预对儿童肱骨髁上骨折预后的影响。方法将156例肱骨髁上骨折患儿随机分为干预组和对照组各78例,对照组按肱骨髁上骨折复位固定后常规护理,行简单的康复训练指导,干预组则针对不同的患儿采取有效的个性化护理干预,让患儿尽早进行主动、被动功能锻炼,观察其临床效果。结果干预组患儿在肘关节功能恢复优良率、肘内翻发生率以及肘关节僵硬发生率等方面均优于对照组,2组比较差异有统计学意义(P<0.05),2组均未见骨化性肌炎发生。结论合理有效的早期康复训练可减少儿童肱骨髁上骨折并发症的发生,改善肘关节功能,促进患儿早日康复。

Objective To explore the influence of nursing intervention on early rehabilita-tion of supracondylar fracture of humerus in children.Methods 156 humeral supracondylar frac-ture children were randomly divided into intervention group and control group with 78 cases in each group.The control group applied routine nursing of supracondylar fractures after fixation and reha-bilitation training and guidance.The intervention group was taken personalized nursing interven-tion according to different children.Let the children take early active,passive function to observe the clinical effect of exercise.Results The excellent rate of recovery of elbow function and the in-cidence rate of cubitus varus in the intervention group were all higher than that in the control group.So the difference was significant between two groups （P ＆lt;0.05）.And there were no pa-tients with myositis ossificans.Conclusion Early rehabilitation training could effectively reduce complications of humeral supracondylar fracture and improve the function of elbow joint.