治疗性游戏在肱骨髁上Ⅱ、Ⅲ型骨折患儿中的应用价值

The Application Value of Therapeutic Games in Children with Type Ⅱand Ⅲ Supracondylar Fractures of the Humerus

目的:探讨治疗性游戏在肱骨髁上Ⅱ、Ⅲ型骨折患儿中的应用价值.方法:选择2020年1月—2020年12月我院收治的56例肱骨髁上Ⅱ、Ⅲ型骨折患儿为研究对象,按计算机分组法将其分为传统组和游戏组,各28例.传统组采用常规护理干预,游戏组采用治疗性游戏干预.比较2组的焦虑程度、应激反应、功能锻炼配合度、肘关节功能、肿胀程度及上肢功能恢复情况.结果:干预后,游戏组在麻醉诱导时及术后苏醒时的焦虑程度、心率、平均动脉压均低于传统组,组间差异有统计学意义(P<0.05);游戏组功能锻炼配合度得分高于传统组,差异有统计学意义(P<0.05);游戏组生活能力、肘关节疼痛、活动范围、稳定程度得分均高于传统组,组间差异有统计学意义(P<0.05);游戏组患肢肿胀程度低于传统组,差异有统计学意义(P<0.05);游戏组UEFT评分高于传统组,DASH评分均低于传统组,组间差异有统计学意义(P<0.05).结论:治疗性游戏能减轻肱骨髁上Ⅱ、Ⅲ型骨折患儿的焦虑及应激反应,可提高功能锻炼配合度,降低肿胀度,缓解疼痛,并能促进肘关节及上肢功能恢复.

Objective:To explore the application value of therapeutic games in children with type Ⅱand Ⅲ supracondylar fractures of the humerus.Methods:56 children with humeral supracondylar type Ⅱand Ⅲ fractures admitted to our hospital from January 2020 to December 2020 were selected as the research subjects,divided them into a traditional group and a game group according to computer grouping method,with 28 cases in each group.The traditional group received routine nursing intervention,while the game group received therapeutic gaming intervention.The levels of anxiety,stress response,coordination of functional exercise,elbow joint function,swelling,and recovery of upper limb function between two groups were compared.Results:After the intervention,the anxiety level,heart rate,and mean arterial pressure of the gaming group during anesthesia induction and postoperative recovery were lower than those of the traditional group,and the differences between the two groups were statistically significant(P<0.05).The score of functional exercise coordination in the game group was higher than that in the traditional group,with statistically significant(P<0.05).The scores of life ability,elbow joint pain,range of activity,and stability in the game group were higher than those in the traditional group,and the differences were statistically significant(P<0.05).The degree of limb swelling in the gaming group was lower than that in the traditional group,with statistically significant(P<0.05).The UEFT score of the gaming group was higher than that of the traditional group,and the DASH score was lower than that of the traditional group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Therapeutic games can reduce anxiety and stress reaction of children with typeⅡandⅢsupracondylar fracture of condyle of humerus,improve functional exercise cooperation,reduce swelling,relieve pain,and promote the recovery of elbow joint and upper limb function.