玩具球配合早期功能锻炼对伸指肌腱损伤修复术后手功能影响探究

曾伟 余萧玉 刘联华 施良森

【摘要】目的：研究玩具球配合早期功能锻炼对伸指肌腱损伤修复术后手功能影响。方法：选择本院2018年6月至2020年8月收治的50例伸指肌腱损伤修复术患者作为研究对象，采用数字表法将其随机分为参照组与研究组，参照组实施常规功能锻炼，研究组实施早期功能锻炼联合玩具球干预，每组各25例。观察和比较两组患者康复效果和干预前后手功能评分。结果：研究组康复优良率高于参照组，差异具有统计学意义（P<0.05）。研究组干预前的手功能评分与参照组比较，差异无统计学意义（P>0.05）；研究组干预后的手功能评分高于参照组，差异具有统计学意义（P<0.05）。结论：对伸指肌腱损伤修复术患者实施玩具球配合早期功能锻炼干预，可有效提高患者康复优良率，还能显著改善手功能独立性评分。

【关键词】玩具球；早期功能锻炼；伸指肌腱损伤

[中图分类号]R687.2 [文献标识码]A [文章编号]2096-5249（2021）07-0032-02

The effect of toy ball combined with early functional exercise on hand function after repairing finger extensor tendon injury

ZENG Wei1， YU Xiao-yu2， LIU Lian-hua1， Shi Liangsen1（1. Department of Hand Surgery， Shipai Hospital， Dongguan City， Dongguan Guangdong 523000； 2. Medical Affairs Office of Shipai Hospital， Dongguan City， Dongguan Guangdong 523000， China）

[Abstract] Objective： To study the effect of toy ball combined with early functional exercise on hand function after repair of extensor tendon injury. Methods： 50 cases of extensor tendon injury repair patients admitted to our hospital from June 2018 to August 2020 were selected as the research objects， and they were randomly divided into the reference group and the study group by the digital table method， and they performed routine functional exercises， Early functional exercise combined with toy ball intervention， 25 cases in each group. Observe and compare the rehabilitation effects and hand function scores before and after intervention between the two groups. Results： The recovery rate of the study group was higher than that of the reference group， and the difference was statistically significant （P<0.05）. The hand function score of the study group before intervention was not statistically different from that of the reference group （P>0.05）； the hand function score of the study group after intervention was higher than that of the reference group， and the difference was statistically significant （P<0.05）. Conclusions： The implementation of toy balls and early functional exercise intervention for patients with extensor tendon injury repair can effectively improve the recovery rate of patients and significantly improve the independence score of hand function.

[Key words] Toy ball； Early functional exercise； Extensor tendon injury

伸指肌腱損伤是外伤性因素导致伸指肌腱断裂而不能屈曲的开放性损伤，常合并骨关节受损、神经血管伤，会严重影响手部关节活动能力，甚至出现畸形。虽然伸指肌腱损伤未出现完全断裂，关节还存在屈曲活动功能，但经抗阻力试验后发现手部会出现疼痛、无力等症状，这给患者日常工作和生活造成严重影响[1]。因此，需要及时对伸指肌腱损伤患者实施治疗，给予其肌腱修复，有利于患者早期功能训练，预防肌腱粘连。临床治疗该损伤需要根据患者的损伤区域，选择不同的治疗方法。在治疗过程中需配合有效的护理措施，确保患者手功能得到有效恢复[2]。有研究[3]表示在早期功能锻炼中应用玩具球可以更好地提高功能锻炼效果，故本文对玩具球配合早期功能锻炼对伸指肌腱损伤修复术后手功能影响进行探究，现报告如下。……