康复护理干预对关节镜下微创手术治疗肩袖损伤病人术后肩关节功能恢复状况的影响

目的 探讨康复护理干预对关节镜下微创手术治疗肩袖损伤病人术后肩关节功能恢复状况的影响。方法 选取2014年7月至2016年6月九〇三医院肩袖损伤病人90例,采用随机数字表法分为观察组和对照组,每组各45例。对照组给予常规护理,观察组在常规护理的基础上实施针对性的康复护理。比较两组护理前后的美国肩肘外科协会(ASES)评分、美国加州大学(UCLA)肩关节评分、主动前屈角度(前屈ROM)、体侧外旋角度(体侧外旋ROM),并随访观察两组出院6个月后的生活质量评价量表-36(SF-36)得分、治疗优良率以及并发症率。结果 两组护理后的ASES、UCLA评分、前屈ROM、体侧外旋ROM均高于护理前,并且观察组(91.17±6.28)分、(34.82±5.71)分、(152.49±9.46)°、(44.37±4.92)°]显著高于对照组(72.73±5.30)分、(18.43±3.06)分、(136.81±7.37)°、(35.43±3.21)°],差异有统计学意义(P<0.05)；观察组6个月后的F-36总体健康得分(87.09±6.40)分均明显高于对照组(76.81±5.32)分,差异有统计学意义(P<0.05)；观察组出院6个月后的治疗优良率(93.33%)高于对照组(75.56%),差异有统计学意义(P<0.05)；观察组并发症发生率(4.44%)低于对照组(22.22%),差异有统计学意义(P<0.05)。结论 对实施关节镜下微创手术的肩袖损伤病人实施针对性的康复护理干预有助于促进病人肩关节功能恢复,提高治疗优良率,改善生活质量,值得在临床推广应用。

Effect of rehabilitation nursing intervention on shoulder joint function after arthroscopic minimally invasive surgery for rotator cuff injury

Objective To analyze the effect of rehabilitation nursing intervention on shoulder joint function after arthroscopic minimally invasive surgery for rotator cuff injury.Methods A total of 90 patients with rotator cuff injury were enrolled from July 2014 to June 2016.All patients were randomly divided into study group and control group,45 cases in each group.The patients in the control group were given routine care.The study group was treated with routine nursing care on the basis of routine nursing.The ASES score,UCLA score,flexion ROM and lateral rotation ROM were compared between the two groups before and after rehabilitation.The SF-36 score and the excellent rate of treatment were observed after 6 months of discharge.Results Two groups of patients after nursing ASES,UCLA score,flexion ROM,body side external rotation ROM were higher than before care.The study group (91.77±6.28) points,(34.82±5.71) points,(152.49±9.46)°,(44.37±4.92)° were significantly higher than those in the control group (72.73±5.30) points,(18.43±3.06)points,(136.81±7.37)°,(35.43±3.21)°,the difference was statistically significant (P<0.05).The scores of F-36 scores after 6 months in the study group (87.09±6.40) points were significantly higher than those in the control group (76.81±5.32) points,the difference was statistically significant (P<0.05).The excellent and good rate of treatment (93.33%) in the study group was significantly higher than that in the control group (75.56%) after 6 months of discharge,the difference was statistically significant (P<0.05).The incidence of complications in the study group (4.44%) was lower than that in the control group (22.22%),which was statistically significant (P<0.05).Conclusion The implementation of targeted rehabilitation nursing care for patients undergoing arthroplastic minimally invasive surgery can help to promote the recovery of shoulder function,improve the quality of treatment and improve the quality of life.It is worthy to be widely used in clinical practice.