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动力型矫形器在跟腱修复术后患者康复治疗中的应用价值

Application Value of Dynamic Orthosis in Rehabilitation Treatment of Patients after Achilles Tendon Repair
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摘要 目的探究动力型矫形器在跟腱修复术后患者康复治疗中的临床疗效.方法选择2019年3月—2020年8月我院收治的60例跟腱修复术后患者作为研究对象,按随机数表法分为两组,各30例.对照组予以常规矫形器外固定,研究组早期应用动力型矫形器,均持续治疗6周,随访22周.比较两组踝关节功能、跟腱功能、日常生活能力及并发症发生率.结果治疗2、4、6、12、28周末,研究组美国足踝外科学会踝-后足评分系统、维多利亚运动学院跟腱评分问卷、日常生活能力量表评分均高于对照组,并发症发生率6.67%,低于对照组的30.00%,组间差异有统计学意义(P<0.05).结论动力型矫形器能够增强跟腱修复术后患者踝关节功能,改善跟腱功能,提高日常生活能力,减少并发症的发生. Objective To explore the clinical effect of dynamic orthosis in the rehabilitation treatment of patients after Achilles tendon repair.Methods 60 patients who after Achilles tendon repair in our hospital from March 2019 to August 2020 were selected as the research subjects,and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with external fixation with conventional orthosis,while the study group was treated with dynamic orthosis in the early stage.The treatments were continued for 6 weeks,and followed ups were for 22 weeks.The ankle joint function,Achilles tendon function,the ability of daily living and the incidence of complications were compared between the two groups.Results At the end of the 2nd,4th,6th,12th and 28th week after treatment,the scores of American Orthopaedic Foot and ankle society,Victorian Institute of Sports Assessment-Achilles questionnaire and activities of daily living scale in the study group were higher than those in the control group,and the incidence of complications 6.67%,was lower than 30.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The dynamic orthosis can enhance the ankle joint function of patients after Achilles tendon repair,improve the function of the Achilles tendon,improve the ability of daily living and reduce the incidence of complications.
作者 王丽丽 唐林俊 赵徐英 李林 钟泽兰 WANG Lili;TANG Linjun;ZHAO Xuying;LI Lin;ZHONG Zelan(Department of Rehabilitation Medicine,Sichuan Modern Hospital,Chengdu Sichuan,610045,China)
出处 《反射疗法与康复医学》 2021年第22期123-126,共4页 Reflexology And Rehabilitation Medicine
关键词 跟腱修复术 动力型矫形器 踝关节功能 跟腱功能 日常生活能力 Achilles tendon repair Dynamic orthosis Ankle function Achilles tendon function Ability of daily living
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