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简易进展型腕手矫形器在手部屈肌腱损伤功能康复中的应用分析
Effect Analysis of Applying Simple and Progressive Wrist-hand Orthosis to the Rehabilitation of Hand Function after Flexor Tendon Injuries

杨建军,王　亮.简易进展型腕手矫形器在手部屈肌腱损伤功能康复中的应用分析[J].中国烧伤创疡杂志,2021,(6):409~412.

DOI：

英文关键词:Wrist-hand orthosis Flexor tendon injury Active motion range of wrist-hand joint Hand function

基金项目:

作者	单位
杨建军	068150　河北　承德，隆化县医院骨科
王　亮

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中文摘要:

【摘要】目的分析探讨简易进展型腕手矫形器在手部屈肌腱损伤康复中的应用效果。方法采用便利抽样法选取2018 年5 月至2020 年5 月隆化县医院收治的86 例手部屈肌腱损伤患者作为研究对象, 并按照随机数表法将其随机分为研究组与对照组, 每组43 例。对照组患者在常规早期康复锻炼及物理治疗的基础上应用阶段性传统腕手矫形器, 研究组患者在常规早期康复锻炼及物理治疗的基础上应用阶段性简易进展型腕手矫形器, 分别于术后4、8、12 周评估两组患者腕手关节主动活动度(包含腕掌屈主动活动度、腕背屈主动活动度、屈掌指主动活动度) 及手功能Carroll 评分。结果术后4、8、12 周, 随着治疗时间的不断延长, 两组患者腕掌屈主动活动度、腕背屈主动活动度、屈掌指主动活动度均明显增大, 手功能Carroll 评分均明显升高(研究组： F =14.760、27.290、11.350、34.990, 对照组： F = 9.898、34.800、8.280、32.980, P 均< 0.001), 但术后8、12周研究组患者腕掌屈主动活动度、腕背屈主动活动度、屈掌指主动活动度均明显大于对照组(8 周： t = 2.191、2.231、2.089, P=0.031、0.028、0.040; 12 周： t =2.383、2.564、2.985, P =0.019、0.012、0.004)、手功能Carroll 评分明显高于对照组(t= 2.241、2.015, P= 0.028、0.047)。结论与传统腕手矫形器相比, 手部屈肌腱损伤患者在常规早期康复锻炼及物理治疗的基础上应用阶段性简易进展型腕手矫形器, 更能有效促进腕手功能康复, 提高治疗效果。

英文摘要:

【Abstract】 Objective To analyze the effect of simple and progressive wrist-hand orthosis on the rehabilitation of hand function after flexor tendon injuries. Methods 86 patients with hand flexor tendon injuries， admitted to Longhua Hospital from May 2018 to May 2020， were selected as research subjects by convenience sampling， and divided into studygroup (n =43) and control group (n =43) using random number table. In addition to routine early rehabilitation exercises and physical therapy， patients in control group were treated with staged traditional wrist-hand orthosis， whereas patients in study group with staged simple and progressive wrist-hand orthosis. 4， 8， and 12 weeks after surgery， the active motion range of wrist joints (including wrist palmarflexion， wrist dorsiflexion， flexor metacarpophalangeal joint) and the Carroll hand function score were evaluated in the two groups. Results With the progression of treatment at week 4， 8 and 12 after surgery， the active motion ranges of wrist palmarflexion， wrist dorsiflexion， and flexor metacarpophalangeal joint enlarged greatly， and the Carroll hand function scores all markedly elevated (study group： F =14.760， 27.290， 11.350， 34.990，control group： F =9.898， 34. 800， 8.280， 32. 980， all P < 0.001). At week 8 and 12 after surgery， the active motion ranges of wrist palmarflexion， wrist dorsiflexion， and flexor metacarpophalangeal joint of patients in study group were greater than control group ( week 8： t =2.191， 2.231， 2.089， P =0.031，0.028， 0.040; week 12：t =2.383， 2.564， 2.985，P =0.019，0.012，0.004)， and the Carroll hand function scores were significantly higher than control group (t =2.241，2.015，P=0.028，0.047). Conclusion Compared with traditional wrist-hand orthosis， the application of staged simple and progressive wrist-hand orthosis， apart from routine early rehabilitation exercises and physical therapy， in the treatment of patients with flexor tendon injuries has better therapeutic effect and can more effectively promote the rehabilitation of wrist and hand functions.