肘关节镜下关节松解术患者的康复护理

Rehabilitation nursing in patients undergoing elbow arthroscopic arthrolysis

  • 摘要:
    目的 探讨康复护理模式在肘关节镜下关节松解术患者中的应用效果。
    方法 选取86例行康复护理的肘关节镜下关节松解术患者,于术后24、48、72 h和4、7 d评估患肢肿胀程度、疼痛程度,于术前1 d、术后2个月记录患者的肘关节功能及活动范围。分析患者肘关节活动度与临床资料的相关性。
    结果 患者术后肘横纹围度、肘横纹上5 cm、肘横纹下5 cm以及视觉模拟评分法(VAS)评分呈时间依赖性降低,差异有统计学意义(P < 0.01)。术后2个月,患者屈曲活动度大于术前,伸直活动度小于术前,差异有统计学意义(P < 0.01)。患者术后2个月的屈曲活动度与术前伸直活动度呈负相关(P < 0.01), 与术前屈曲活动度呈正相关(P < 0.01)。无外伤史、有高血压、有糖尿病患者术后肘关节活动度恢复程度差于有外伤史、无高血压、无糖尿病患者,差异有统计学意义(P < 0.05)。
    结论 康复护理模式可缓解肘关节镜下关节松解术后患者的疼痛、肿胀程度。术前活动度差、无外伤史、高血压及糖尿病患者术后肘关节活动度恢复差,康复护理时应予以重视。

     

    Abstract:
    Objective To explore the effect of rehabilitation nursing mode in patients undergoing elbow arthroscopic arthrolysis.
    Methods A total of 86 patients with elbow arthroscopic arthrolysis were selected for rehabilitation nursing. The degree of swelling and pain were evaluated at 24, 48, 72 hours and 4, 7 days postoperatively and elbow function and range of motion were recorded 1 day before surgery and 2 months after surgery. The correlation between elbow range of motion and clinical data was analyzed.
    Results Postoperative cubital crease circumference, 5 cm above as well as 5 cm below the cubital crease and Visual Analogue Scale (VAS) score decreased in a time-dependent manner (P < 0.01). Two months after surgery, the range of flexion activity was significantly higher than that before surgery, and the range of extension activity was significantly lower than that before surgery (P < 0.01). The range of flexion activity two months after surgery was negatively correlated with the preoperative range of extension activity (P < 0.01), and was positively correlated with the preoperative range of flexion activity (P < 0.01). Postoperative elbow range of motion in patients with no history of trauma, with hypertension and diabetes was significantly worse than that in patients with history of trauma and those without hypertension and diabetes (P < 0.05).
    Conclusion Rehabilitation nursing mode can relieve the pain and swelling degree of patients undergoing elbow arthroscopic arthrolysis. Poor preoperative range of motion, no history of trauma, hypertension and diabetes patients have poor postoperative elbow range of motion recovery, thus rehabilitation nursing should be paid attention to them.

     

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