手伸指肌腱修复术后康复方案临床疗效对比观察

目的对比观察手伸指肌腱损伤修复术后采取早期动态支具被动式活动方案与普通延迟活动方案的临床疗效。方法选择2008年12月-2011年10月接受手伸指肌腱修复术后进行康复治疗的患者78例，随机分为两组，分别采用早期动态支具被动式活动方案（治疗组，n=36）及延迟活动方案（对照组，n=42）进行康复治疗，于术后第6周及第8周采用总主动活动度（TAM）评定和功能独立性评分（FIM）对患者康复情况进行评估。结果术后第6周及第8周，治疗组患者TAM评定明显优于对照组，FIM评分明显高于对照组（P〈0．01）。结论手伸指肌腱损伤修复术后采取早期动态支具被动式活动方案可提高患者康复疗效，值得推广。

Comparison of the Clinical Effects of Different Rehabilitation Programs after Repair of the Extensor Tendon

Objective To compare the clinical effects of early dynamic brace passive activity program and average delay activity program after the repair of extensor tendon. Methods Seventy-eight patients undergoing repair of the extensor tendon during the period from December 2008 to October 2011 in our hospital were randomly divided into two groups. The treatment group had 36 patients who were treated with early dynamic brace passive activity program, and the other 42 patients belonged to the control group and they accepted delay activity program, TAM and FIM were used to evaluate their clinical effects six and eight weeks after surgery, respectively. Results The results of TAM and FIM of the treatment group were significantly better than those of the control group （P 〈 0.01）. Conclusion The early dynamic brace passive activity after extensor tendon injury repair can improve the clinical effect and is worth popularizing.