Buerger运动锻炼在闭合性胫腓骨中下段骨折患者中的应用价值

The application value of Buerger exercise in patients with closed tibiofibular middle and lower segment fracture

目的研究闭合性胫腓骨中下段骨折患者进行Buerger运动锻炼后对足背动脉血流动力学参数、踝关节活动度及肢体功能的影响。方法选取我院收治的97例闭合性胫腓骨中下段骨折患者作为研究对象,采用随机数字表法分为观察组和对照组。对照组48例给予常规运动锻炼,观察组49例给予Buerger运动锻炼,对比两组患者的踝关节活动度、肢体功能恢复情况及足背动脉血流动力学参数。结果观察组干预后踝关节进行伸、屈、旋后、旋前、负重时外翻、负重时内翻活动度优于对照组(P<0.05);收缩期峰值血流速度、舒张期峰值血流速度、最小血流速度、平均血流速度、搏动指数高于对照组,阻力指数低于对照组(P<0.05);观察组肢体功能恢复优良率高于对照组(P<0.05)。结论Buerger运动锻炼能够有效改善患肢循环状态,提高踝关节活动度和肢体功能恢复情况。

Objective To study the effect of Buerger exercise on the blood flow parameters of dorsal foot artery,motion range of ankle and the recovery rate of limb function in patients with closed tibiofibular middle and lower segment fracture.Methods A total of 97 cases of closed tibiofibular middle and lower segment fracture in our department were selected and randomly divided into two groups.48 cases in the control group were given routine nursing care and routine exercise after surgery,and 49 cases in the observation group were given Buerger exercise on the basis of the control group.The motion range of ankle joint,the recovery rate of limb function and the blood flow parameters of dorsal foot artery were compared between the two groups.Results After intervention,the extension,flexion,supination,pronation,eversion with weight and evertion with weight of the ankle in the observation group were significantly better than those in the control group(P<0.05).After intervention,the peak systolic blood flow velocity,peak diastolic blood flow velocity,minimum blood flow velocity,mean blood flow velocity and pulse index in the observation group were higher than those of control group,while the resistance index in the observation group was lower than that of control group(P<0.05).The recovery rate of limb function in the observation group was significantly higher than that in control group(P<0.05).Conclusion Buerger exercise can effectively improve the circulatory state of the affected limb,improve the motion range of ankle joint and the recovery rate of limb function.