阶段式康复护理联合手指操对屈指肌腱狭窄性腱鞘炎术后患者疼痛程度及手部功能的影响

Effect of Stage Rehabilitation Nursing Combined with Finger Exercises on Pain Degree and Hand Function in Patients with Stenosing Tenosynovitis of Flexor Tendon after Operation

目的探讨阶段式康复护理联合手指操在屈指肌腱狭窄性腱鞘炎(ST)术后患者中的应用效果。方法选择2019年2月—2023年2月该院收治的84例屈指肌腱ST患者为研究对象,按随机数字表法将其分为对照组与观察组。两组均行手术治疗,对照组(n=42)实施常规康复护理,观察组(n=42)实施阶段式康复护理联合手指操,对比两组疼痛程度、病情恢复、指关节活动度、手部功能。两组均持续随访3个月。结果护理后,观察组疼痛视觉模拟评分法、手指功能分级评分分别为(1.24±0.31)分、(1.45±0.20)分,均低于对照组的(2.77±0.52)分、(2.76±0.22)分,组间差异有统计学意义(P<0.05);观察组指关节活动度为(70.73±5.47)°,大于对照组的(60.62±4.79)°,差异有统计学意义(P<0.05);观察组手部功能中的捡小物体、翻纸牌、模拟进食及移动罐头方面评分分别为(6.05±1.05)s、(5.44±0.65)s、(4.22±0.65)s、(6.87±1.19)s,均短于对照组的(7.25±1.34)s、(6.96±0.68)s、(5.49±0.68)s、(8.14±1.25)s,组间差异有统计学意义(P<0.05)。结论阶段式康复护理联合手指操在屈指肌腱ST术后患者中具有较好的应用效果,有利于减轻其疼痛程度,促进病情康复,增加指关节活动度,改善手部功能。

Objective To explore the application effect of staged rehabilitation nursing combined with finger exercises in postoperative patients with stenosing tenosynovitis(ST)of flexor tendon.Methods A total of 84 patients with ST of flexor tendon admitted to this hospital from February 2019 to February 2023 were selected as the research objects and divided into a control group and an observation group according to the random number table method.The control group(n=42)was given routine rehabilitation nursing,and the observation group(n=42)was given staged rehabilitation nursing combined with finger exercises.The degree of pain,disease recovery,range of motion of finger joints and hand function were compared between the two groups.Both groups were followed up for 3 months.Results After nursing,the pain Visual Analogue Scale and finger function grading score of the observation group were(1.24±0.31)points and(1.45±0.20)points,respectively,which were lower than(2.77±0.52)points and(2.76±0.22)points of the control group,and the differences were statistically significant(P<0.05).The finger joint activity of the observation group was(70.73±5.47)°,which was greater than(60.62±4.79)°of the control group,and the difference was statistically significant(P<0.05).The hand function scores of the observation group in picking up small objects,turning cards,simulated eating and moving cans were(6.05±1.05)s,(5.44±0.65)s,(4.22±0.65)s and(6.87±1.19)s,which were shorter than(7.25±1.34)s,(6.96±0.68)s,(5.49±0.68)s,(8.14±1.25)s of the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion The staged rehabilitation nursing combined with finger exercises has a good application effect in patients with ST of flexor tendon after operation,which is beneficial to reduce the degree of pain,promote the recovery of the disease,increase the range of motion of the finger joint,and improve the hand function.