护士主导的早期康复治疗对预防指屈肌腱断裂后肌腱粘连的效果分析：一项随机临床试验。
Analysis of the Effects of Early Rehabilitation Treatment Conducted by Nurses on the Prevention of Tendon Adhesion after Finger Flexor Tendon Rupture: A Randomized Clinical Trial.
机构信息
Department of Hand and Foot Surgery, Taizhou People's Hospital, Taizhou, Jiangsu, China.
出版信息
Int J Clin Pract. 2022 Aug 9;2022:8284646. doi: 10.1155/2022/8284646. eCollection 2022.
OBJECTIVE
This study aims to analyze the application of predictive nursing in the prevention of tendon adhesion, after the anastomosis of finger flexor tendon rupture, so as to provide a basis for clinical nursing.
METHODS
A total of 80 patients with anastomoses of flexor tendon ruptures, investigated in our hospital from December 2017 to December 2018, were enrolled in this study. Their data formed the basis of this research. They were divided into two groups, the routine (control) group ( = 40) and the nursing group ( = 40), by the random number table method. Basic nursing methods only were used in treating the routine group, while the nursing group received basic nursing in combination with early active function exercise. The contrast indices between the two groups were recovery quality of finger flexion and extension, incidence of tendon adhesion, and nursing satisfaction rate.
RESULTS
The probability of tendon rupture and adhesion in the (predictive) nursing group was lower than that found in the control group. The outcomes with predictive nursing were more desirable. The levels of finger flexion and extension in the nursing group were significantly better than those of the control group( < 0.05).
CONCLUSION
The application of predictive nursing, after the anastomosis of finger flexor tendon rupture, is good for preventing tendon adhesion. Better levels of finger flexion and extension after the operation are guaranteed, and the overall recovery outcomes are better. The satisfaction levels of patients who received predictive nursing were also high, and this method is highly valued and promoted within clinical practice.
目的
本研究旨在分析预测性护理在预防指屈肌腱断裂吻合术后肌腱粘连中的应用，为临床护理提供依据。
方法
选取 2017 年 12 月至 2018 年 12 月在我院接受吻合术的 80 例屈肌腱断裂患者，采用随机数字表法将其分为常规（对照组，n=40）和护理（观察组，n=40）两组。对照组采用常规护理方法，观察组在常规护理基础上结合早期主动功能锻炼。对比两组患者手指屈伸恢复质量、肌腱粘连发生率和护理满意度。
结果
观察组肌腱断裂和粘连的概率均低于对照组，预测护理的结果更理想。观察组手指屈伸的水平明显优于对照组（<0.05）。
结论
指屈肌腱断裂吻合术后应用预测性护理有利于预防肌腱粘连，保证术后手指屈伸的良好水平，整体恢复效果更好。接受预测性护理的患者满意度也很高，这种方法在临床实践中受到高度重视和推广。
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