动静平衡原则对小儿肱骨髁上骨折术后关节功能恢复的影响

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摘要目的探讨动静平衡原则对小儿肱骨髁上骨折术后关节功能恢复的影响。方法选择2015年2月~2016年8月上海中医药大学附属曙光医院收治的肱骨髁上骨折患儿72例，均实施切开复位经皮克氏针固定术治疗。将所有患儿根据随机数字表法分为两组，每组各36例。实验组根据动静平衡原则实施功能康复锻炼，对照组根据传统功能康复原则实施功能锻炼。记录两组患儿骨折功能康复时间、肘关节屈伸活动角度、术后2周疼痛程度[视觉模拟评分法（VAS）、儿童疼痛行为量表（FLACC）]、术后12周肘关节功能康复情况以及并发症发生情况。结果实验组中骨折功能康复时间显著短于对照组，肘关节屈伸活动角度大于对照组，差异有高度统计学意义（P ＜ 0.01）；实验组中肘关节功能康复优良率为97.22%（35/36）显著高于对照组的80.56%（29/36），差异有统计学意义（P ＜ 0.05）；术后2周实验组VAS、FLACC评分均低于对照组，差异有高度统计学意义（P ＜ 0.01）；对照组并发症发生率高于实验组，但比较差异无统计学意义（P > 0.05）。结论对小儿肱骨髁上骨折术后根据动静平衡原则实施功能锻炼，能有效缩短骨折功能康复时间、促进肘关节功能康复，增大肘关节屈伸活动角度，降低患者术后疼痛程度，减少并发症发生，安全性较高。

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	程鑫张琴飞

关键词 ：动静平衡原则, 小儿, 肱骨髁上骨折, 关节功能

Abstract：Objective To investigate the effect of dynamic-static equilibrium principle on postoperative recovery of joint function in children with supracondylar fracture of humerus (SFH). Methods 72 SFH children in our hospital from February 2015 to August 2016 were selected, and they were treated with open reduction and percutaneous Kirschner internal fixation. All the children were divided into two groups by random number table, 36 cases in each group. Experimental group was given functional rehabilitation based on dynamic-static equilibrium principle, while control group was given functional rehabilitation based on traditional rehabilitation principle. The rehabilitation time of fracture, flexion-extension angle of elbow joint, postoperative two-week pain degree [visual analogue scale score (VAS), the face, legs, activity, cry, consolability behavioral tool (FLACC)], postoperative twelve-week rehabilitation of elbow joint, complications in two groups were recorded. Results The rehabilitation time of fracture in experimental group was shorter than control group, while the flexion-extension angle of elbow joint was larger than control group, the differences were statistically significant (P < 0.01); the excellent rate of rehabilitation of elbow joint in experimental group was 97.22% (35/36), which was higher than 80.56% (29/36) in control group, the differences were statistically significant (P < 0.05); after surgery for two weeks, the scores of VAS, FLACC in experimental group were lower than control group, the differences were statistically significant (P < 0.01); the incidence of complications in control group was higher than that in experimental group, but there was no statistical difference (P > 0.05). Conclusion Functional exercise based on dynamic-static equilibrium principle for SFH children can shorten the rehabilitation time of fracture, promote recovery of elbow joint, enlarge the flexion-extension angle of elbow joint, decrease postoperative pain, reduce complications and have higher safety.

Key words： Dynamic-static equilibrium principle Children Supracondylar fracture of humerus Joint function

引用本文:

程鑫张琴飞. 动静平衡原则对小儿肱骨髁上骨折术后关节功能恢复的影响[J]. 中国医药导报, 2017, 14(33): 114-117.
CHENG Xin ZHANG Qinfei. Effect of dynamic-static equilibrium principle on postoperative recovery of joint function in children with supracondylar fracture of humerus. 中国医药导报, 2017, 14(33): 114-117.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2017/V14/I33/114

[1] 李欣，刘宏，肖晟，等.有限切开复位经皮克氏针内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折[J].中国骨伤，2017，30（1）:60-63.
[2] 辛文琼，刘凤，李宇，等.小切口穿针术治疗儿童Gartland Ⅲ型肱骨髁上骨折的护理对策[J].西南国防医药，2017，27（4）:400-401.
[3] 吕秀娟.儿童肱骨髁上骨折早期康复护理干预对预后的影响[J].实用临床医药杂志，2014，18（14）:71-73.
[4] 邢爱春，左玉明，窦静，等.六A整体护理模式在肱骨髁上骨折患儿中的应用[J].中国煤炭工业医学杂志，2016， 19（12）:1781-1783.
[5] 黎立，任修刚，张俊忠.动静平衡原则对发育性髋关节脱位术后患者功能恢复的影响[J].山东中医药大学学报，2016，40（1）:32-33.
[6] 王磊，张俊忠.动静平衡原则指导下动力髋装置治疗Pauwels Ⅲ型股骨颈骨折25例[J].湖南中医杂志，2016，32（3）:84-86.
[7] 陆廷仁.骨科康复学[M].北京：人民卫生出版社，2007：393.
[8] 付莲英，段淑云，万水珍.视觉模拟评分法在病人满意度调查中的应用[J].中国护理管理，2008，8（9）:68-69.
[9] 王娟，丁敏，刘小琴，等.FLACC量表用于学龄前儿童术后疼痛评估的信效度评价[J].江苏医药，2015，41（11）:1298-1300.
[10] Keskin D，Sen H.The comparative evaluation of treatment outcomes in pediatric displaced supracondylar humerus fractures managed with either open or closed reduction and percutaneous pinning [J]. Acta Chir Orthop Traumatol Cech，2014，81（6）:380-386.
[11] 康登顺侯玉彩.小切口张力带内固定治疗儿童肱骨髁上骨折[J].创伤外科杂志，2017，19（6）:433-435.
[12] 张彦，马长生，杨泽晋，等.平乐郭氏手法复位半交叉钢针固定治疗儿童肱骨髁上骨折的临床观察[J].中国骨与关节损伤杂志，2015，30（5）:533-534.
[13] 马长生，苏驰.手法整复与经皮钢针内固定治疗儿童Gartland Ⅲ型肱骨髁上骨折1100例[J].临床小儿外科杂志，2015，14（3）:231-233.
[14] 康宇翔，卫小春，李海明.闭合复位石膏托固定加石膏外牵引治疗儿童肱骨髁上骨折的病例对照研究[J].中国骨伤，2014，27（7）:555-559.
[15] 水小龙，张建军，孔建中，等.急诊手法复位石膏固定后延期经皮克氏针固定治疗儿童Ⅲ型肱骨髁上骨折[J].中华小儿外科杂志，2014，35（3）:208-211.
[16] Park MJ，Ho CA，Larson AN. AAOS Appropriate Use Criteria:Management of Pediatric Supracondylar Humerus Fractures [J]. J Am Acad Orthop Surg，2015，23（10）:e52-e55.
[17] 吴文英，钱定金，许蓉，等.游戏式功能锻炼在儿童肱骨髁上骨折康复锻炼中的应用[J].中国康复，2014，29（2）:113-114.
[18] 杨欢，王朋，张坤.动静结合理论在儿童肱骨髁上骨折术后康复中的应用[J].现代中西医结合杂志，2017，26（22）:2446-2448.
[19] 文玉伟，王强.儿童肱骨髁上骨折的诊疗进展[J].中华小儿外科杂志，2017，38（5）:390-394.
[20] 孙科儿，王海燕.胫骨平台骨折术后患者动静平衡康复训练的实施[J].护理学杂志，2014，29（2）:81-83.
[21] 李昭,王琳,姚毅,等.两种入路术式治疗小儿肱骨髁上骨折的临床效果[J].西部医学，2015，27（8）：1141-1143, 1147.