肘关节骨折术后早期康复治疗对功能恢复的影响

Effect of Early Rehabilitation Therapy on Functional Recovery after Elbow Fracture Operation

目的:观察早期康复治疗对肘关节骨折术后肘关节功能恢复的影响。方法:选取42例肘关节骨折术后患者,将其随机分成对照组和观察组。对照组单纯采用手术治疗,观察组在手术治疗的基础上,术后3 d开始联合康复治疗。比较两组患者术后6个月肘关节活动度(Rom),肘关节Mayo评分、骨折愈合时间及术后并发症发生情况。结果:42例患者术后均获得随访,随访时间7～12个月,平均(8.7±1.2)个月。(1)术后6个月,对照组患者肘关节活动度(98.14±10.52)°,小于观察组的(105.2±15.34)°,差异有统计学意义(t=2.135,P<0.05)。(2)术后6个月,对照组患者肘关节Mayo评分优良率61.90%,低于观察组的95.23%,差异有统计学意义(x^2=4.59,P<0.05)。(3)对照组骨折平均愈合时间(13.7±1.4)周,长于观察组的(12.5±1.7)周,差异有统计学意义(t=2.851,P<0.05)。(4)两组术后并发症比较,差异无统计学意义(P>0.05)。结论:肘关节骨折术后早期康复治疗能促进骨折愈合,患者可获得良好的肘关节活动性,提高肘关节运动功能的恢复程度,临床上值得推广。

Objective：To observe the effect of early rehabilitation on functional recovery of elbow joint after elbow fracture.Method：A total of 42 patients with elbow fracture were selected and randomly divided into observation group and control group,21 cases in each group.The observation group was treated by surgery only.On the basis of operation treatment,the control group started on the 3 rd day after operation rehabilitation treatment was performed to compare elbow mobility（Rom）,elbow Mayo score,fracture healing time and incidence of postoperative complications at 6 months after operation.Result：All the 42 patients were followed up for 7-12 months with an average of（8.7±1.2）months.（1）The elbow mobility（98.14±10.52）° in the observation group was significantly higher than（105.2±15.34）° in the control group,the difference was statistically significant（t=2.135,P〈0.05）.（2）After 6 months,the excellent rate of the Mayo score of the elbow joint in the observation group was 61.90%,significantly lower than 95.23% of the control group,the difference was statistically significant（ x2=4.59,P〈0.05）.（3）The average fracture healing time of（13.7±1.4）weeks in the observation group was longer than（12.5±1.7）weeks in the control group,the difference was statistically significant（t=2.851,P〈0.05）.（4）Compared the postoperative complications between the two groups,the difference had no significant difference（P〉0.05）.Conclusion：Early rehabilitation treatment of elbow joint fracture can promote fracture healing.Patients can obtain good elbow joint activity and improve the recovery of movement function of elbow joint.It is worth popularizing in clinic.