功能性贴扎技术对投弹骨折新兵术后上肢肿胀、疼痛及肘关节功能的影响

Effect of functional movement taping on early postoperative swelling,pain and elbow dysfunction in throwing fracture patients

目的探讨功能性贴扎技术在投弹骨折患者术后早期康复治疗中的疗效与应用。方法将2013年—2017年解放军第989医院收治的发生投弹骨折的56例新兵患者,随机分为对照组(28例)和功能性贴扎组(28例)。对照组给予常规康复治疗组,功能性贴扎组在此基础上给予功能性贴扎。于术后肌内贴扎治疗前、术后第1、3、5、7天记录两组肿胀程度,疼痛程度。术后1周及2周评价肘关节功能。结果术后治疗前及治疗开始后第1天两组肿胀程度及疼痛程度差异无统计学意义(P>0.05)。治疗开始后第3、5、7天功能性贴扎组的上肢周径差均低于对照组(P<0.05)。但仅第5天、第7天功能性贴扎组肿胀程度低于对照组(P<0.05),功能性贴扎组在第七天时肿胀基本消退。治疗开始后第3天、第5天功能性贴扎组的疼痛程度低于对照组(P<0.05)。第7天对照组和功能性贴扎组的疼痛程度差异无统计学意义(P>0.05),两组患者基本处于无痛状态。术后第1周虽然肘关节HSS评分差异无统计学意义(P>0.05),但肘关节HSS2评分差异有统计学意义(P<0.05)。术后第2周肘关节HSS、HSS2评分功能性贴扎组比对照组均效果好,评分差异均有统计学意义(P<0.05)。结论早期应用肌内效贴贴扎技术辅助常规康复治疗可有效缩短投弹骨折患者术后肿胀、疼痛时间,减轻患者术后肿胀、疼痛程度,有利于患者早期进行肘关节功能锻炼,促进患者早期肘关节功能恢复。

Objective To investigate the curative effect and application of functional movement taping effect paste in early postoperative rehabilitation of throwing fracture patients.Methods From 2013 to 2017,56 throwing fractures patients admitted to the No.989 Hospital of PLA were randomly divided into control group(28 cases)and functional movement taping(FMT)group(28 cases).The control group was given a routine rehabilitation treatment group,on the basis of which the FMT group was given functional movement taping.The swelling degree,pain degree and elbow joint function were recorded in the two groups before and after postoperative treatment(the 1st,3rd,5th and 7th days after operation).The function of elbow joint was evaluated one week and two weeks after operation.Results There was no significant difference in swelling degree and pain degree between the two groups,i.e.before and the 1st day after treatment(P>0.05).The peripheral diameter difference of upper limbs was lower in the 3rd,5th and 7th days after the treatment than that in the control group(P<0.05).However,the swelling degree of the FMT group was lower than that of the control group(P<0.05)on the 5th and 7th days,and the swelling of the FMT group subsided basically in the 7th day.The pain level of the FMT group was lower on the 3rd day and 5th day after the treatment than that in the control group(P<0.05).There was no significant difference in pain degree between the control group and the FMT group on the 7th day(P>0.05),and the two groups were basically in a painless state.Although there was no statistically significant difference in HSS score between elbow joints in the 1st week after operation(P>0.05),there was a statistically significant difference in the HSS2 score of elbow Joint(P<0.05).The 2nd week of postoperative elbow HSS and HSS2 score FMT group had better effect than the control group,and the score difference was statistically significant(P<0.05).Conclusions Early application of functional movement taping to assist routine rehabilitation treatment can effectively shorten the postoperative swelling and pain time of throwing fracture patients,reduce the degree of postoperative swelling and pain,and facilitate the early exercise of elbow joint function in patients,and promote the recovery of early elbow function in patients.