Effect of early rehabilitation on functional recovery of wrist after distal radius fracture
早期康复治疗对桡骨远端骨折术后腕关节功能恢复的影响

摘要

目的 探究对桡骨远端骨折术后患者实施早期康复治疗的效果以及对腕关节功能恢复的影响。方法 此次研究中纳入共计76例研究对象，为骨科收治，经影像学诊断后确诊为桡骨远端骨折，并需对其行手术治疗。为达成本次研究目的，将76例患者分配为了两个小组，即对照组、观察组，每组内38例，前一组中使用常规康复治疗，后一组则使用早期康复治疗，比较分析其具体效果。结果 使用Cooney腕关节评分法评估了两组患者的腕关节功能，同时选用改良Barthel指数（MBI）评分对两组患者的日常生活活动能力进行了评估，结果显示在治疗后观察组患者的Cooney评分、MBI评分分别为（98.2±8.6）分、（57.0±8.4）分，明显优于对照组（81.2±2.9）分、（40.6±6.2）分，（P＜0.05）；同时，还对两组患者治疗前、后的掌倾角、尺倾角及满意度情况进行了评估比较，其中观察组明显更优，（P＜0.05）。结论 及时对桡骨远端骨折术后患者实施早期康复治疗，有助于促进腕关节功能恢复。

Abstract

Objective To explore the effect of early rehabilitation on patients with distal radius fracture and the effect on functional recovery of wrist joint.
Methods A total of 76 subjects were included in this study. They were admitted to the department of Orthopedics and were diagnosed with distal radius fracture after imaging diagnosis and required surgical treatment. In order to achieve the purpose of this study, 76 patients were divided into two groups, namely the control group and the observation group, with 38 cases in each group. The former group received conventional rehabilitation treatment, while the latter group received early rehabilitation treatment, and the specific effects were compared and analyzed.
Results Cooney wrist joint score was used to evaluate the wrist joint function of the two groups, and modified Barthel index (MBI) score was used to evaluate the ability of the two groups of patients to perform activities of daily living. The results showed that after treatment, the Cooney score and MBI score of the observation group were (98.2±8.6) points and (57.0±8.4) points, which were significantly better than that of the control group (81.2±2.9) points and (40.6±6.2) points, (P < 0.05). At the same time, the palmar inclination, ulnar inclination and satisfaction of the two groups were evaluated and compared before and after treatment, and the observation group was significantly better (P < 0.05).
Conclusion   Timely early rehabilitation treatment for patients with distal radius fracture is helpful to promote functional recovery of wrist joint.