摘要
目的:探讨足踝锻炼器配合康复锻炼对Pilon骨折(指累及胫距关节面的胫骨远端骨折)患者术后踝关节功能的影响。方法:选取2019年1月—2020年11月九江市中医医院收治的88例Pilon骨折患者作为研究对象,按随机数表法分为对照组和观察组,每组各44例。对照组给予常规护理,观察组在常规护理基础上实施足踝锻炼器配合康复锻炼。对比两组患者骨折部位疼痛程度、踝关节功能、并发症发生率与生活质量评分。结果:干预4周后,观察组骨折部位疼痛程度轻于对照组,差异有统计学意义(Z=4.716,P<0.05);干预4周后,两组患者Mazur评分及踝关节背伸角度、跖屈角度、内翻角度、外翻角度均高于干预前,且观察组高于对照组,差异有统计学意义(t=7.459、8.549、5.576、9.950、9.608,P<0.05);两组患者并发症发生情况比较,观察组低于对照组,差异有统计学意义(χ^(2)=4.456,P<0.05);干预前,两组患者生活质量各领域评分比较,差异无统计学意义(t=0.174、0.145、0.435、0.727,P>0.05);干预后,两组患者各领域高于干预前,且观察组评分高于对照组,差异有统计学意义(t=7.294、6.658、5.218、6.466,P<0.05)。结论:足踝锻炼器配合康复锻炼可有效减轻Pilon骨折患者术后骨折部位疼痛症状,增加踝关节主动活动范围,减少并发症,提高踝关节功能,改善患者生活质量。
Objective:To investigate the effect of Ankle exerciser combined with rehabilitation exercise on ankle function in patients with Pilon fracture(distal tibial fracture involving Tibial talar joint)after operation.Methods:A total of 88 patients with Pilon fractures admitted to the hospital from January 2019 to November 2020 were selected and divided into the control group and the observation group according to the random number table method,with 44 cases in each group.The control group was given routine nursing,and the observation group was given foot and ankle exerciser and rehabilitation training on the basis of routine nursing.The degree of pain at the fracture site,ankle function,complication rate and quality of life scores were compared between the two groups.Results:After 4 weeks of intervention,the degree of fracture pain in the observation group was less than that in the control group,and the difference was statistically significant(Z=4.716,P<0.05).After 4 weeks of intervention,the Mazur score,ankle dorsiflexion angle,plantar flexion angle,varus angle,and valgus angle in the two groups were all higher than those before intervention,and the observation group was higher than the control group,and the difference was statistically significant(t=7.459,8.549,5.576,9.950,9.608,P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.456,P<0.05).Before intervention,there was no statistically significant difference in the scores of quality of life between the two groups(t=0.174,0.145,0.435,0.727,P>0.05).After the intervention,the scores of all areas in the two groups were higher than those before the intervention,and the scores in the observation group were higher than those in the control group,with statistically significant differences(t=7.294,6.658,5.218,6.466,P<0.05).Conclusion:Foot and ankle exerciser combined with rehabilitation exercises can effectively relieve the pain at the fracture site of Pilon fractu
作者
戴莉佳
周欢欢
DAI Li-jia;ZHOU Huan-huan(Jiujiang Traditional Chinese Medicine Hospital,Jiujiang,Jiangxi,332000,China)
出处
《黑龙江医学》
2022年第11期1374-1376,共3页
Heilongjiang Medical Journal
关键词
PILON骨折
足踝锻炼器
康复锻炼
踝关节功能
疼痛
并发症
生活质量
Pilon fracture
Foot and ankle exerciser
Rehabilitation exercise
Ankle joint function
Pain
Complications
Quality of life
