文章摘要
血流限制训练对肩袖损伤术后患者康复效果观察
Observation on the rehabilitation effect of blood flow restriction training on postoperative patients with rotator cuff injury
投稿时间:2023-08-30  
DOI:10.3969/j.issn.1000-0399.2024.03.018
中文关键词: 血流限制训练  肩袖损伤术后  术后康复
英文关键词: Blood flow restriction training  After surgery for rotator cuff injury  Postoperative rehabilitation
基金项目:山东省医药卫生科技项目(编号:2019WS106)
作者单位E-mail
张峥 252600 山东聊城 聊城市第二人民医院关节外科  
郭立芬 252600 山东聊城 聊城市第二人民医院关节外科 469569856@qq.com 
潘冰晶 252600 山东聊城 聊城市第二人民医院关节外科  
陈安忠 252600 山东聊城 聊城市第二人民医院康复医学科  
朱红霞 252600 山东聊城 聊城市第二人民医院超声科  
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中文摘要:
      目的 探讨血流限制训练在肩袖损伤术后患者中的应用效果。方法选取2021年6至2023年6月聊城市第二人民医院收治的140例肩袖损伤术后的患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组70例。对照组患者接受骨科术后常规护理,观察组患者在对照组基础上实施血流限制训练,采用UCLA肩关节功能评分、肩关节活动度、视觉模拟疼痛评分(VAS)评分和SF-36健康状况量表比较两组干预4周和8周后的康复效果。结果 重复测量方差分析结果显示,两组患者干预前的各项评价指标均有所改善。干预结束后,观察组患者UCLA肩关节功能评分、肩关节前屈、外展、外旋和内旋活动度和生活质量评分均较干预前明显增加(P<0.05),且观察组均高于对照组(P<0.001);两组患者VAS得分均低于干预前,观察组患者VAS得分均低于对照组(P<0.001)。结论 血流限制训练可提高肩袖损伤患者术后关节活动度,减轻术后疼痛,并改善其生活质量,为此类患者的康复治疗提供新的思路。
英文摘要:
      Objective Objective To explore the application effect of blood flow restriction training in postoperative patients with rotator cuff injury. Methods A total of 140 patients with rotator cuff injury undergoing shoulder arthroscopy admitted to the Liaocheng Second Hospital of Shandong First Medical University from June 2021 to June 2023 were selected as the study subjects. They were randomly divided into a control group and the observation group using a random number table method, with 70 patients in each group. The control group received routine postoperative care in orthopedic surgery, while the observation group received blood flow restriction training on the basis of the control group. UCLA shoulder joint function score, shoulder joint range of motion, VAS score, and SF-36 health status scale were used to compare the rehabilitation effects of the two groups after 4 to 8 weeks of intervention. Results The results of repeated measurement analysis of variance showed that the evaluation indicators of both groups of patients before intervention had improved. After the intervention, the UCLA shoulder joint function score, shoulder joint flexion, abduction, external and internal rotation range of motion, and quality of life score of the observation group was significantly increased compared to before the intervention (P<0.05), and the observation group was higher than the control group (P< 0.001); Both groups of patients had lower VAS scores than before intervention, and the observation group had lower VAS scores than the control group (P<0.001). Conclusions Blood flow restriction training has a significant improvement effect on shoulder joint function in patients with rotator cuff injury after surgery, significantly increasing joint mobility, reducing postoperative pain, improving patient quality of life, and providing new ideas for rehabilitation treatment of rotator cuff injury patients after surgery.
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