静态进展性牵伸支具治疗创伤术后肘关节僵硬患者的临床疗效观察

Observation on the clinical effect of static-progressive stretch splinting on stiff elbow patients after trauma surgery

目的探讨应用静态进展性牵伸支具(SPSS)治疗创伤术后肘关节僵硬患者的临床疗效。方法选择2018-06~2020-05在上海交通大学医学院附属第九人民医院就诊的肘部创伤术后关节僵硬患者55例,根据患者自愿使用SPSS情况将其分为观察组(使用SPSS,28例)和对照组(不使用SPSS,27例)。对照组予常规康复治疗(包括物理治疗、手法治疗和运动治疗),观察组在对照组方案基础上加用SPSS治疗。比较两组治疗前、治疗结束时和治疗后6个月的屈肘角度、伸肘角度、Mayo评分,以及两组治疗时长。结果治疗前两组屈肘角度、伸肘角度和Mayo评分比较差异无统计学意义(P>0.05)。在治疗结束时和治疗结束6个月后,观察组的伸肘角度显著小于对照组(P<0.05),而屈肘角度和Mayo评分显著大于对照组(P<0.05)。两组治疗时长比较差异无统计学意义[(8.3±3.2)周vs(9.6±3.6)周;t=1.417,P=0.163]。结论使用SPSS有利于改善创伤术后肘关节僵硬患者的关节运动功能。

Objective To investigate the clinical effect of using static-progressive stretch splinting(SPSS)in treatment of stiff elbow patients after trauma surgery.Methods Fifty-five stiff elbow patients after trauma surgery were selected from Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine during June 2018 and May 2020.According to the voluntary use of SPSS,the patients were divided into the observation group(using SPSS,28 cases)and the control group(not using SPSS,27 cases).The control group was given conventional rehabilitation treatment(including physical therapy,manual therapy and exercise therapy),and the observation group received the same treatment as the control group plus the SPSS treatment.The elbow flexion angle,elbow extension angle,Mayo score and the duration of treatment were compared between the two groups before treatment,at the end of treatment and 6 months after treatment.Results Before treatment,there were no significant differences in the elbow flexion angle,elbow extension angle and Mayo score between the two groups(P>0.05).At the end of the treatment and 6 months after the treatment,the elbow extension angle of the observation group was significantly smaller than that of the control group(P<0.05),while the elbow flexion angle and Mayo score of the observation group were significantly greater than those of the control group(P<0.05).There was no significant difference in the duration of treatment between the observation group and the control group[(8.3±3.2)weeks vs(9.6±3.6)weeks;t=1.417,P=0.163].Conclusion Use of SPSS is beneficial to improving the joint motion function of stiff elbow patients after trauma surgery.