刘晨光山东省拳击跆拳道运动管理中心医疗康复科，山东济南 250102

骨伤过程中动静结合运动的康复效果探讨

刘晨光
山东省拳击跆拳道运动管理中心医疗康复科，山东济南 250102

目的 探讨骨伤过程中动静结合运动的康复效果。方法 选取2010年5月～2015年6月在我院住院接受骨伤康复治疗的患者85例，按照患者个人意愿分为观察组43例与对照组42例。对照组采用常规方法，进行石膏固定；观察组采用小夹板固定，并结合早期活动，即所谓的动静结合运动。观察两组患者的临床疗效、并发症及出院时间和住院费用。结果 观察组的总有效率为93.02%，明显高于对照组的80.95%，两组比较差异有统计学意义（P<0.05）；观察组患者并发症发生率低于对照组，出院时间（4.71±1.33）周，早于对照组的（13.59±3.12）周，住院费用少于对照组，两组比较差异有统计学意义（P<0.05）。结论 骨伤过程中动静结合运动的康复效果良好，可降低患者的经济负担，减少并发症，值得临床推广应用。

骨伤；动静结合运动；康复效果；康复方法；肌力

[Abstract]Objective To explore the effect of rehabilitation exercise in the process of combining static and dynamic fracture.Methods From May 2014 to June 2015,a total of 85 patients with acute cerebral infarction were collected,according to the individual wishes of patients,the patients were divided into observation group(43 cases)and the control group(42 cases).Control group was fixed with plaster.The observation group was used small splint fixation,and combined with early activities,namely the so-called movement of the combined movement.The clinical efficacy,complications,hospital discharge time and hospitalization costs of the two groups were all observed.Results The total effective rate of the observation group was 93.02%,which was significantly higher than that of the control group(80.95%),the difference between the two groups was significant(P<0.05).The incidence rate of complications in the observation group was lower than that of the control group,the discharge time[(4.71±1.33)weeks vs(13.59±3.12 weeks)],the hospitalization expense was less than the control group(P<0.05).Conclusion Bone fracture in the process of combining static and dynamic motion rehabilitation effect good,it can reduce the economic burden of patients,reduce the complications, it is worthy of clinical application.

[Key words]Orthopedics;Movement of static and dynamic combination;Rehabilitation effect;Rehabicitation methods; Muscle strength

在骨伤患者的治疗及后期康复过程中，前期的复位及固定、后期的功能锻炼是必须的。三者必须主动配合才可以。但临床上很多患者存在一些顾虑，担心后期的功能锻炼会影响骨折部位的固定，或者担心移位等，不主动配合功能锻炼，从而导致骨折的愈合速度慢、肌肉萎缩，出现关节僵硬、关节粘连、骨质疏松等并发症[1]。我国古代骨伤医学家一直以来重视根据“动静结合”治疗骨科疾病，中医养生学认为“动者生阳，静者养阴”，利用阴阳平衡的理念调节机体生理的平衡，在现代医学上可以认为是促进人体的内环境的稳定。“动静结合”是中国接骨学重要理论基础之一，近年来越来越多地运用于临床[2，3]。本研究探讨骨伤过程中动静结合运动的康复效果，现报道如下。……