首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >关节镜下肩袖修补术后快速康复护理路径的应用效果观察
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关节镜下肩袖修补术后快速康复护理路径的应用效果观察

机译:关节镜下肩袖修补术后快速康复护理路径的应用效果观察

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Abstract:Objective To investigate the effect of clinical nursing pathway based on fast-track rehabilitation for patients with rotator cuff repair under arthroscopy. Methods 〓Totally 78 patients with rotator cuff injury were enrolled in the randomized controlled trials. Patients were randomly divided into group A and group B, with 39 cases in each group. Patients of group A received clinical nursing pathway based on fast-track rehabilitation after the operation, and those in of group B received routine nursing interventions after the operation. The recovery of muscle strength was evaluated. The visual analogue scale(VAS)on pain and range of motion(ROM)were observed and compared between two groups. Results 〓The total effective rate of muscle strength recovery in group A was higher than that in group B(94.87% vs. 79.49%, P0.05). There was no significant difference in VAS scores between two groups before treatment and 5 weeks after treatment(P0.05). At 10 weeks after operation, the VAS score of group A was lower than that of group B(P0.01); The ROM scores of group A at 5 and 10 weeks after operation were higher than those of group B, with a significance difference(P0.01). Conclusion The clinical nursing pathways based on fast-track rehabilitation is helpful to relieve postoperative pain and facilitate functional training in patients undergoing arthroscopic rotator cuff repair. Early implementation of functional training can improve the muscle strength and joint activity of patients.
机译:摘要:目的探讨关节镜下基于快速康复的临床护理路径对肩袖修复的疗效。方法〓本研究共纳入78例肩袖损伤患者。将患者随机分为A组和B组,每组39例。手术后A组患者接受了基于快速康复的临床护理途径,B组患者术后接受了常规护理干预。评价肌肉力量的恢复。观察并比较两组的疼痛视觉模拟量表(VAS)和运动范围(ROM)。结果〓A组的肌肉力量恢复总有效率高于B组(94.87%vs. 79.49%,P <0.05)。治疗前和治疗后5周两组间VAS评分无明显差异(P> 0.05)。术后10周,A组的VAS评分低于B组(P <0.01)。术后5周和10周A组ROM评分均高于B组,差异有统计学意义(P <0.01)。结论基于快速通道康复的临床护理途径有助于缓解关节镜下肩袖修复患者的术后疼痛,促进功能训练。早期实施功能训练可以改善患者的肌肉力量和关节活动。

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