摘要
目的 探究早期功能锻炼对于改善腹部皮瓣移植术患者术后手功能的作用。方法 2021年1月至2022年2月期间在海军第九七一医院烧伤整形外科中实施腹部皮瓣移植术治疗的64例患者，经双盲法分组后，其中32例为对照组，开展传统式的护理措施；另32例为研究组，在对照组之上开展早期功能锻炼。比较两组术后肩关节及肘关节的功能情况，对比两组术后疼痛评分及并发症发生率。结果 研究组在术后肩关节、肘关节及疼痛评分方面的表现更优，且并发症发生率为6.25%，显著低于对照组25%，差异P<0.05。结论 腹部皮瓣移植术患者实施早期功能锻炼有利于促进手功能恢复，值得临床借鉴推行。
关键词： 皮瓣移植术；腹部；手功能；疼痛
Abstract
Objective To explore the effect of early functional exercise on improving hand function after abdominal flap transplantation. Methods From January 2021 to February 2022, 64 patients underwent abdominal flap transplantation in the Department of burn and Plastic Surgery, 971 Navy Hospital. After double-blind grouping, 32 of them were the control group, and traditional nursing measures were carried out. The other 32 patients were the study group and received early functional exercise above the control group. The function of shoulder and elbow joints were compared between the two groups, and the postoperative pain score and complication rate were compared between the two groups. Results The study group had better performance in shoulder joint, elbow joint and pain score after surgery, and the complication rate was 6.25%, which was significantly lower than that of control group 25%, the difference was P<0.05. Conclusion Early functional exercise is beneficial to the recovery of hand function in patients undergoing abdominal flap transplantation, which is worthy of clinical reference.
Key words： flap grafting; The abdomen; Hand function; pain
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