摘要
目的:手部屈肌修复术后手部精细动作功能恢复的练习方式很多,但适合儿童特性的训练方法较少。探讨针对儿童天性顽皮、练习不能持久、遵医行为较差等特点寻求儿童手外伤后手功能恢复的有效途径。方法:对2000-01/2003-12商丘市第一人民医收治手外伤屈肌离断患儿62例随机分为实验组和对照组各31例。实验组采用综合分析、个案处理、家长培训及寓教于乐的作业练习方式进行康复训练。对照组则采用常规的综合训练方式。结果:实验组31例患儿35指屈肌腱损伤中功能恢复优良率为96.7%。对照组31例患儿37指屈肌腱损伤中功能恢复优良率为87.1%。经检验(χ2=42.848,P<0.01)差异具有显著性意义。结论:根据儿童特点,以家长为轴心,选择适合儿童心理乐趣的训练方式为儿童手外伤后手功能恢复的最佳途径。
AIM: There are many exercise methods for the functional recovery of the delicate activities of hand after surgical repair for injury of hand flexor tendon, but fewer of them were suitable for the special training of children. The purpose of this paper is to seek the effective methods for the recovery of hand in children after surgical repair for injury of hand flexor tendon considering their characteristics of naughty and impish nature, inpersistent in practice and bad medical compliance. <METHODS: Totally 62 children with injury of hand flexor tendon hospitalized in the First People' s Hospital of Shangqiu City from January 2000 to December 2003 were divided randomly into study group (n=31) and control group (n=31). Patients in the study group received rehabilitation exercises by occupational therapy with comprehensive analysis, case treatment, genearch training and learning from playing, while those in the control group received only routine comprehensive training.<RESULTS: The excellent rate of injury of hand flexor tendon in the 35 fingers of the study group was 96.7% , while that in the 37 fingers of the control group was 87.1% , and there was significant difference between the two groups(χ 2=42.848,P< 0.01).<CONCLUSION: The best method for the recovery of hand function after surgical repair for injury of hand flexor tendon is the training that is suitable for the psychological interests with the parents as the core according to the characteristics of children.
出处
《中国临床康复》
CSCD
2004年第36期8300-8301,共2页
Chinese Journal of Clinical Rehabilitation
