| 赵玉婷.静态进展型矫形器对Ⅱ区手指屈肌腱断裂术后肌腱挛缩的矫正效果分析[J].中国烧伤创疡杂志,2020,(6):426~429. |
| DOI： |
| 中文关键词: 静态进展型矫形器 Ⅱ区手指屈肌腱 肌腱断裂 肌腱挛缩 康复 效果 |
| 英文关键词:Static progressive orthosis Finger flexor tendon in zone II Tendon rupture Tendon contracture Rehabilitation Effect |
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| 中文摘要: |
| 【摘要】目的 对比分析静态进展型矫形器对Ⅱ区手指屈肌腱断裂术后肌腱挛缩的矫正效果。方法 选取2015年7月至2019年7月郑州大学附属洛阳中心医院收治的49例Ⅱ区单一手指屈肌腱断裂术后肌腱挛缩患者作为研究对象，并按照随机数表法将其随机分为观察组25例与对照组24例，其中观察组患者予以常规康复治疗联合静态进展型矫形器进行矫正，对照组患者单纯予以常规康复治疗进行矫正，对比两组患者伤指主动关节活动度（active range of motion，AROM）、被动关节活动度（passive range of motion，PROM）及其优良情况。结果 治疗后，两组患者AROM、PROM均逐渐升高（观察组：F=213.700、203.000，P均=0.000；对照组：F=127.800、49.500，P均=0.000），且治疗第2、4周观察组患者AROM、PROM均明显高于对照组（第2周：t=6.013、6.305，P均=0.000；第4周：t=5.030、7.819，P均=0.000）；治疗4周后，观察组患者AROM、PROM优良情况均明显优于对照组（Z=-3.810、-2.108，P=0.000、0.035）。结论 与常规康复治疗相比，Ⅱ区手指屈肌腱断裂术后并发肌腱挛缩患者联合应用静态进展型矫形器进行治疗能够更好地增加肌腱韧性，促进肌张力及肌力恢复，改善肌腱挛缩程度，提高指关节活动度，临床应用价值更高。 |
| 英文摘要: |
| 【Abstract】Objective To compare and analyze the correction effect of static progressive orthosis on tendon contracture after the surgery for finger flexor tendon rupture in zone II. Methods Forty-nine patients with tendon contracture after the surgery for single finger flexor tendon rupture in Zone II, admitted to the Luoyang Central Hospital Affiliated to Zhengzhou University from July 2015 to July 2019, were selected as research subjects, and they were divided, according to the random number table, into an observation group (25 cases) and a control group (24 cases). Patients in the observation group received the conventional rehabilitation therapy combined with the static progressive orthosis for correction, whereas patients in the control group were treated with the conventional rehabilitation therapy only. The active range of motion (AROM), passive range of motion (PROM), and the condition of AROM and PROM were compared between the two groups. Results After treatment, the AROM and PROM in the two groups both increased gradually (observation group: F=213.700 and 203.000, both P=0.000; control group: F=127.800 and 49.500, both P=0.000), and the AROM and PROM at week 2 and 4 of treatment in the observation group were significantly higher than that in the control group (week 2: t=6.013, 6.305, both P=0.000; week 4: t=5.030, 7.819, both P=0.000). After 4 weeks of treatment, the condition of AROM and PROM in the observation group were significantly better than that in the control group (Z=-3.810 and -2.108, P=0.000 and 0.035). Conclusion Compared with the conventional rehabilitation therapy in correcting tendon contracture after the surgery for finger flexor tendon rupture in zone II, static progressive orthosis can realize better effects such as increasing tendon resilience, promoting muscle tension and the recovery of myodynamia, reducing the degree of tendon contracture and increasing the motion range of knuckles, presenting a higher value of clinical application. |
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