持续性被动锻炼康复护理对行跟骨外侧壁骨皮瓣截骨入路跟骨关节内骨折患者的效果

《持续性被动锻炼康复护理对行跟骨外侧壁骨皮瓣截骨入路跟骨关节内骨折患者的效果》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、持续性被动锻炼康复护理对行跟骨外侧壁骨皮瓣截骨入路跟骨关节内骨折患者的效果角、Gissane角、及Maryland足部评分系统评分及切口相关并发症发生率；术后6个月时应用SF-36生活质量量表对两组患者的生活质量进行评估。结果观察组患者骨折愈合时间明显短于对照组，Bohler角、Gissane角恢复情况明显优于对照组，切口相关并发症发生率明显低于对照组；观察组患者跟骨高度和宽度的复位率明显优于对照组；术后观察组患者Maryland足部评分明显优于对照组；两组患者护理干预后各项生活质量评分均明显提高，且观察组各项评分均明显高于对照组。结论持续性被动锻炼联合康复护理应用于行跟骨外侧壁骨皮瓣截骨

2、入路术的跟骨关节内骨折患者效果显著，可获得满意的复位效果，能有效减少软组织并发症的发生，促进患者术后躁关节功能的恢复，还可大幅改善患者的生活质量，临床应用价值较高，值得推广应用。［关键词］跟骨关节内骨折；骨折内固定；持续性被动锻炼；康复护理［中图分类号］R687.3［文献标识码］B［文章编号］1673-970113-0139-05[Abstract]ObjectiveToobservetheeffectofcontinuepassivemotionrehabilitationcareonthetreatmentofintraarticularcalcanealfracturepatient

3、swhounderwenttheapproachofcalcaneallateralwallflaposteotomy.MethodsAtotalof114patientswithintra-articularfracturestreatedwithsurgeryinourhospitalfromApril2014toDecember2015werechosen.Allpatientsunderwentan“L”-shapedincisionandthecalcaneallateralwallflaposteotomyapproach.Thepatientswererandomlydivi

4、dedintocontrolgroupandobservationgroup，with57casesineachgroup.Thepatientsinthecontrolgroupweretreatedwithroutinenursingcare.Thepatientsintheobservationgroupreceivedcontinuepassivemotioncombinedwithrehabilitationnursing.Thehealingtimebetweenthetwogroupswascompared.Thepatientsinthetwogroupswerefollo

5、weduptocomparecalcaneusreductionrate，Bohlerangle，Gissaneangle，andMarylandfootscoringsystemscoreandincision-relatedcomplicationrateat12monthsafteroperation.Meanwhile，thequalityoflifeinpatientsbetweenthetwogroupswasassessedbytheSF-36QualityofLifeScaleat6monthsaftersurgery.ResultsThetimeoffracturehea

6、lingwassignificantlyshorterintheobservationgroupthanthatinthecontrolgroup，andtherecoverystatusofBohlerangleandGissaneanglewassignificantlybetterthanthatofthecontrolgroup.Theincidenceofincision-relatedcomplicationswassignificantlylowerthanthatofthecontrolgroup.Theresectionrateofcalcaneusheightandwi

7、dthintheobservationgroupwassignificantlybetterthanthatinthecontrolgroup.TheMarylandfootscoreoftheobservationgroupwassignificantlybetterthanthatofthecontrolgroup.Thescoresofthequalityoflifeinthetwogroupsweresignif