肩关节被动运动对起搏器术后肩周炎的影响研究

Study on effect of passive shoulder movement on scapulohumeral periarthritis for patients after pacemaker implantation

目的观察肩关节被运动对起搏器术后肩周炎发生率的影响。方法按随机数字表将160例患者分为对照组和观察组,各80例,脱落4例,实际对照组77例、观察组79例。制定肩关节运动方法,术后24h对两组患者按运动方法进行宣教及指导,对照组鼓励自主运动,观察组由护士协助进行肩关节被动运动。比较两组患者术后7d及6个月肩关节功能,评估肩周炎的发生率。结果术后7d肩关节功能得分观察组(86.40±5.53)分、对照组(82.84±7.08)分,经比较,P<0.05;术后6个月肩关节功能得分观察组(97.30±2.64)分、对照组(92.80±6.14)分,经比较,P<0.05。术后肩周炎观察组3例(3.8%)、对照组12例(15.6%),x2=6.2333,P<0.05。结论起搏器术后1~7d进行肩关节被动运动能降低患者肩周炎发生率。

Objective To observe the effect of passive shoulder movement on scapulohumeral periarthritis for patients after pacemaker implantation.Method Divide 160 patients into observation group and control group equally by random number table.Except 4 cases of pacemaker implantation failure,77 cases are chosen in observation group and 79 cases are chosen in control group finally.Guide patients in two groups by shoulder joint movement method 24 hafter operation.Patients in control group are encouraged to make independent movement and patients in observation group receive passive movement assisted by nurses.Compare function of shoulder joint 7 dand 6 months after operation between two groups and assess incidence of scapulohumeral periarthritis.Result Score on function of shoulder joint 7 dafter operation are(86.40±5.53)for observation group and(82.84±7.08)for control group,P<0.05.Score on function of shoulder joint 6 months after operation are(97.30±2.64)for observation group and(92.80±6.14)for control group,P<0.05.3 cases of scapulohumeral periarthritis are found in observation group(3.8%)and 12 cases are found in control group(15.6%),x2=6.2333,P<0.05.Conclusion Passive shoulder movement 1~ 7 d after operation can reduce the incidence of scapulohumeral periarthritis.