早期功能锻炼对肘关节不稳患者预后的影响

Effect of early functional exercise on prognosis of elbow joint in reconstruction of internal and external collateral ligament for elbow instability

目的探讨早期功能锻炼对内外侧副韧带重建治疗肘关节不稳患者肘关节预后的影响。方法选取采取内外侧副韧带重建治疗的肘关节不稳患者46例为研究对象,将其随机分为两组,每组23例。对照组给予常规护理,观察组采取早期功能锻炼干预,比较两组肘关节预后情况。结果两组干预前后肘关节的疼痛、屈伸功能、日常生活功能、关节稳定性及总分比较,P均<0.05。两组干预后1个月、6个月肘关节疼痛、屈伸功能、日常生活功能、关节稳定性评分及总分比较P均<0.05;干预后6个月,两组肘关节优良率比较P<0.05;两组满意度比较P<0.05。结论早期功能锻炼应用于内外侧副韧带重建治疗的肘关节不稳患者中,有助于改善其肘关节功能,提高临床疗效,且对提高患者护理满意度有重要作用。

Objective To investigate the effect of early functional exercise on prognosis of patients with unstable elbow joints treated by internal and external collateral ligament reconstruction. Methods 46 cases of patients with unstable elbow joints were selected and randomly divided into two groups, 23 cases in each group. The control group received routine nursing, while the observation group took early functional exercise intervention. The prognosis of the two groups was compared. Results The pain, flexion and extension function, daily living function, joint stability and total score of the elbow joint at 1 month and 6 months after interventionin were significantly higher than those before the intervention in the observation group （P〈0.05）. Besides the stability of the joints, the other scores in the observation group were significantly higher than those in the control group with P〈0.05. At 6 months after intervention, the excellent and good rate of elbow joint in the observation group was 91.3%, which was significantly higher than that in the control group （65.2%）, P〈0.05. The sarisfaction rate of the observation group was 95.7%, which was significantly higher than that of the control group （65.2%）, P〈 0.05. Conclusion Early functional exercise is applied to the patients with elbow joint instability treated with internal and external collateral ligament reconstruction, which can improve the function of the elbow joint and improve the clinical effect. It has an important role in improving the patient＇s nursing satisfaction.