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便携式腕关节持续被动运动装置对上肢骨折术后患者上肢功能及生活质量的影响 被引量:8

Effects of portable wrist joint continuous passive motion device on upper limb function and quality of life in patients with upper limb fractures
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摘要 目的观察便携式腕关节持续被动运动(continuous passive motion,CPM)装置对上肢骨折术后患者上肢功能及生活质量的影响。方法选取2017-04~2018-05该院收治的96例上肢骨折术后患者,按随机数字表法分成观察组(n=48)和对照组(n=48)。对照组行常规护理及功能锻炼,观察组在此基础上应用便携式腕关节CPM装置干预,比较两组干预效果。结果两组干预前外展、屈曲、掌屈、背伸各项关节活动度(range of motion,ROM)评分差异无统计学意义(P>0.05),干预后观察组外展、屈曲、掌屈、背伸各项ROM评分均高于对照组(P<0.05)。观察组干预后生理职能、精神健康、社会功能、躯体疼痛各项生活质量评分均高于对照组(P<0.05)。结论应用便携式腕关节CPM装置可促进上肢骨折术后患者上肢功能的恢复,改善生活质量,值得应用及推广。 Objective To observe the effects of portable wrist joint continuous passive motion(CPM)device on upper limb function and quality of life in patients with upper limb fractures.Methods Ninety-six patients with upper limb fractures were selected in our hospital from April 2017 to May 2018,and were randomly divided into observation group(n=48)and control group(n=48)by random number table method.The control group received routine nursing and functional exercise,and the observation group received the same treatment as the control group plus the intervention of portable wrist joint CPM device.The intervention effect was compared between the two groups.Results There were no significant differences in the range of motion(ROM)scores of abduction,flexion,metacarpal flexion and dorsiflexion between the two groups before intervention(P>0.05).The ROM scores of abduction,flexion,metacarpal flexion and dorsiflexion in the observation group were significantly higher than those in the control group after intervention(P<0.05).The scores of physiological function,mental health,social function and body pain in the observation group were significantly higher than those in the control group after intervention(P<0.05).Conclusion The application of portable wrist joint CPM device can promote the recovery of upper limb function and improve the quality of life in the patients with upper limb fractures after operation,which is worthy of application and promotion.
作者 朱晓龙 王玉龙 陈文生 ZHU Xiao-long;WANG Yu-long;CHEN Wen-sheng(Department of Rehabilitation Medicine,Shenzhen Second People′s Hospital(the First Affiliated Hospital of Shenzhen University),Guangdong 518000,China)
出处 《中国临床新医学》 2020年第2期180-182,共3页 CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词 便携式 腕关节 持续被动运动装置 上肢骨折 生活质量 Portable Wrist joint Continuous passive motion(CPM)device Upper limb fracture Quality of life
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