摘要
目的探讨多样化护理联合早期针对性康复训练对掌指骨骨折患者康复效果的影响.方法选取2019年10月—2023年10月该院收治的82例掌指骨骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例.对照组实施多样化护理,观察组在对照组基础上实施早期针对性康复训练.对比两组干预前后掌指关节屈伸范围、手部功能恢复情况、并发症发生率.结果干预前,两组掌指关节屈伸范围对比,差异无统计学意义(P﹥0.05);干预3个月后,两组掌指关节屈伸范围均大于干预前,且观察组掌指关节屈伸范围大于对照组,差异有统计学意义(P﹤0.05).观察组手部功能恢复情况优于对照组,差异有统计学意义(P﹤0.05).观察组并发症总发生率为4.88%,低于对照组的21.95%,差异有统计学意义(P﹤0.05).结论多样化护理联合早期针对性康复训练能够促进掌指骨骨折患者掌指关节屈伸范围及手部功能的恢复,降低并发症发生率.
Objective To explore the effect of diversified nursing combined with early targeted rehabilitation training on the rehabilitation of patients with Metatarsal and phalangeal fractures.Methods A total of 82 patients with metacarpophalangeal bone fracture admitted to our hospital from October 2019 to October 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received diversified nursing,and the observation group received early targeted rehabilitation training on the basis of the control group.The flexion and extension range of metacarpophalangeal joint,the recovery of hand function and the incidence of complications were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in the flexion and extension range of metacarpophalangeal joints between the two groups(P﹥0.05);after 3 months of intervention,the flexion and extension range of metacarpophalangeal joints in both groups was greater than before intervention,and the flexion and extension range of metacarpophalangeal joints in the observation group was greater than that in the control group,with statistical significance(P﹤0.05).The recovery of hand function in the observation group was better than that in the control group,and the difference was statistically significant(P﹤0.05).The total incidence of complications in the observation group was 4.88%,lower than 21.95%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Diversified nursing combined with early targeted rehabilitation training can promote the recovery of metacarpophalangeal joint flexion and extension range and hand function in patients with Metatarsal and phalangeal fractures,and reduce the incidence of complications.
作者
孙翠
SUN Cui(Department of Hand and Foot Surgery,Liaocheng Traditional Chinese Medicine Hospital,Liaocheng Shandong,252000,China)
出处
《反射疗法与康复医学》
2024年第1期143-146,共4页
Reflexology And Rehabilitation Medicine
关键词
掌指骨骨折
多样化护理
早期针对性康复训练
关节屈伸范围
手部功能
Metatarsal and phalangeal fractures
Diversified nursing
Early targeted rehabilitation training
Joint flexion and extension range
Hand function