眶壁骨折术后康复训练时机对功能恢复的影响与护理对策

Influence of Rehabilitation Training Timing on Functional Recovery after Orbital Wall Fracture Surgery and Nursing Countermeasures

目的研究眶壁骨折术后康复训练时机对功能恢复的影响,确定有效的护理对策。方法选取吉林省人民医院2015年2月至2018年2月收治的80例眶壁骨折术后有复视的患者,随机分为第1天(27例)、第3天(26例)、第5天训练组(27例),进行眼球康复训练。比较比较3组的康复前、术后第7、14及21天的自觉症状、肌力、同视机斜视度及复像的改善结果。结果第1天训练组与第3天训练组的效果明显优于第5天训练组(P<0.05),而前两组效果无显著差异(P>0.05)。结论为更好的提高患者康复训练的依从性,并与无痛护理管理措施相结合,最适宜的康复训练时机应选在术后第3天进行。

Objective To study the influence of rehabilitation training timing on functional recovery after orbital wall fracture surgery and to determine the effective nursing measures.Methods Eighty patients with diplopia after orbital wall fracture surgery admitted to our hospital from February 2015 to February 2018 were randomly assigned to the 1st day(27 cases),the 3rd day(26 cases)and the 5th day training groups(27 cases)for eyeball rehabilitation training.The improvement results of self-conscious symptoms,muscle strength,strabismus of synoptophore and stereopsis before rehabilitation,on the 7th,14th and 21st days after surgery in the three groups were recorded and compareed.Results The effect of above indices in the 1st day training group and 3rd day training group was significantly better than that in the 5th day training group(P<0.05),but there was no significant difference between the former two groups in functional recovery(P>0.05).Conclusion In order to increase the compliance of rehabilitation training for patients with orbital wall fracture and combined with painless nursing management,the most appropriate timing for rehabilitation training should be the 3rd day after operation.