陈育珠++++++张素容
[摘要]意图 讨论杂乱肘关节骨折术后走前期归纳恢复护理和推迟恢复护理的作用比照。办法 挑选2014年12月～2016年7月在我院进行杂乱肘关节骨折手术的患者89例作为研讨目标，依据其入院日期，单号日作为实验组，共44例，双号日作为对照组，共45例。前者施以前期归纳恢复护理，后者施以推迟恢复护理。比较两组患者恢复护理前后的肘关节功用状况、恢复医治作用及肘关节活动表（ROM）评分状况。成果 干涉后实验组患者的肘关节功用评分及Rom评分高于对照组，差异有统计学含义（P<0.05），干涉前两组患者肘关节功用评分及Rom评分差异无统计学含义（P>0.05）。且实验组医治优良率高于对照组，差异有统计学含义（P<0.05）。定论 杂乱肘关节骨折术后走前期归纳恢复有利于其肘功用恢复，进步肘关节活动度，值得推行。
[关键词]肘关节；骨折；前期归纳恢复；推迟恢复
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0174-03
Comparison of early comprehensive rehabilitation and delayed rehabilitation nursing of complex elbow fractures
CHEN Yu-zhu ZHANG Su-rong
Department of Surgery，Puning Overseas Chinese Hospital，Guangdong Province，Puning 515300，China
[Abstract]Objective To investigate the effect of early comprehensive rehabilitation and delayed rehabilitation nursing after complex elbow fracture.Methods From December 2014 to July 2016，89 patients with complex elbow fractures were selected as the study subjects.According to their date of admission，single day as experimental group，44 cases double day as control group，a total of 45 cases.The former applied to the early comprehensive rehabilitation carethe latter to delay the rehabilitation of care.The elbow joint function，the rehabilitation effect and the elbow ROM score were compared between the two groups before and after rehabilitation.Results The elbow function score and Rom score of the experimental group were higher than those in the control group after intervention，the difference was statistically significant （P<0.05）.Before intervention，the difference of the elbow function score and Rom score between the two groups was no significant（P>0.05）.And the excellent rate of treatment in the experimental group was higher than that in the control group，the difference was statistically significant（P<0.05）.Conclusion The early comprehensive rehabilitation of complex elbow fractures is helpful for the recovery of elbow function and the improvement of elbow joint activity.
[Key words]Elbow joint fracture；Early comprehensive rehabilitation；Delayed rehabilitation
肘關节是人体重要的上肢关节，首要用于前臂伸屈活动及旋转运动等[1]。因为其生理结构，其骨折发生率为骨关节骨折之首[2]。现在临床上首要对其采纳手术医治[3]，但因为肘关节骨质堆叠较多等要素，且肘关节骨折不稳定，特别是在恢复期不恰当的干涉更易引起肘关节的功用反常，影响其预后[4]。传统的恢复护理干涉一般于术后3个月取下外固定后进行，本研讨为使杂乱肘关节骨折术后患者到达更好的医治作用及恢复，将前期归纳恢复护理及推迟恢复护理别离运用于杂乱肘关节骨折手术的患者中，现报导如下。
1材料与办法
1.1一般材料
挑选2014年12月～2016年7月在我院进行杂乱肘关节骨折手术的患者89例作为研讨目标，依据入院日期，单号日作为实验组，44例，双号日作为对照组，45例。前者施以前期归纳恢复护理，后者施以推迟恢复护理。一切患者均知情赞同，且本研讨经医院医学道德委员会同意。归入规范已扫除兼并严峻内科兼并症、严峻心肺肝肾功用妨碍患者。实验组男30例，女14例；年纪19～66岁，均匀（42.98±1.34）岁；肱骨踝间骨折16例，肱骨踝上骨折13例，肱骨小头骨折9例，尺骨鹰嘴骨折4例，尺骨冠突骨折2例。对照组男28例，女17例；年纪21～64岁，均匀（44.10±1.02）岁；肱骨踝间骨折15例，肱骨踝上骨折16例，肱骨小头骨折7例，尺骨鹰嘴骨折5例，尺骨冠突骨折2例。两组患者一般材料比较差异无统计学含义（P>0.05），具有可比性。endprint
