陈育珠++++++张素容

[摘要]目的 探讨复杂肘关节骨折术后行早期综合康复护理和延迟康复护理的效果对比。方法 选择2014年12月～2016年7月在我院进行复杂肘关节骨折手术的患者89例作为研究对象，根据其入院日期，单号日作为实验组，共44例，双号日作为对照组，共45例。前者施以早期综合康复护理，后者施以延迟康复护理。比较两组患者康复护理前后的肘关节功能情况、康复治疗效果及肘关节活动表（ROM）评分情况。结果 干预后实验组患者的肘关节功能评分及Rom评分高于对照组，差异有统计学意义（P<0.05），干预前两组患者肘关节功能评分及Rom评分差异无统计学意义（P>0.05）。且实验组治疗优良率高于对照组，差异有统计学意义（P<0.05）。结论 复杂肘关节骨折术后行早期综合康复有利于其肘功能恢复，提高肘关节活动度，值得推广。

[关键词]肘关节；骨折；早期综合康复；延迟康复

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0174-03

Comparison of early comprehensive rehabilitation and delayed rehabilitation nursing of complex elbow fractures

CHEN Yu-zhu ZHANG Su-rong

Department of Surgery，Puning Overseas Chinese Hospital，Guangdong Province，Puning 515300，China

[Abstract]Objective To investigate the effect of early comprehensive rehabilitation and delayed rehabilitation nursing after complex elbow fracture.Methods From December 2014 to July 2016，89 patients with complex elbow fractures were selected as the study subjects.According to their date of admission，single day as experimental group，44 cases double day as control group，a total of 45 cases.The former applied to the early comprehensive rehabilitation carethe latter to delay the rehabilitation of care.The elbow joint function，the rehabilitation effect and the elbow ROM score were compared between the two groups before and after rehabilitation.Results The elbow function score and Rom score of the experimental group were higher than those in the control group after intervention，the difference was statistically significant （P<0.05）.Before intervention，the difference of the elbow function score and Rom score between the two groups was no significant（P>0.05）.And the excellent rate of treatment in the experimental group was higher than that in the control group，the difference was statistically significant（P<0.05）.Conclusion The early comprehensive rehabilitation of complex elbow fractures is helpful for the recovery of elbow function and the improvement of elbow joint activity.

[Key words]Elbow joint fracture；Early comprehensive rehabilitation；Delayed rehabilitation

肘關节是人体重要的上肢关节，主要用于前臂伸屈活动及旋转运动等[1]。由于其生理结构，其骨折发生率为骨关节骨折之首[2]。目前临床上主要对其采取手术治疗[3]，但由于肘关节骨质重叠较多等因素，且肘关节骨折不稳定，特别是在康复期不恰当的干预更易引起肘关节的功能异常，影响其预后[4]。传统的康复护理干预一般于术后3个月取下外固定后进行，本研究为使复杂肘关节骨折术后患者达到更好的治疗效果及康复，将早期综合康复护理及延迟康复护理分别运用于复杂肘关节骨折手术的患者中，现报道如下。

1资料与方法

1.1一般资料

选择2014年12月～2016年7月在我院进行复杂肘关节骨折手术的患者89例作为研究对象，根据入院日期，单号日作为实验组，44例，双号日作为对照组，45例。前者施以早期综合康复护理，后者施以延迟康复护理。所有患者均知情同意，且本研究经医院医学伦理委员会批准。纳入标准已排除合并严重内科合并症、严重心肺肝肾功能障碍患者。实验组男30例，女14例；年龄19～66岁，平均（42.98±1.34）岁；肱骨踝间骨折16例，肱骨踝上骨折13例，肱骨小头骨折9例，尺骨鹰嘴骨折4例，尺骨冠突骨折2例。对照组男28例，女17例；年龄21～64岁，平均（44.10±1.02）岁；肱骨踝间骨折15例，肱骨踝上骨折16例，肱骨小头骨折7例，尺骨鹰嘴骨折5例，尺骨冠突骨折2例。两组患者一般资料比较差异无统计学意义（P>0.05），具有可比性。endprint