Effect of early rehabilitation function training on hand function recovery of patients undergoing abdominal skin flap transplantation
早期康复功能训练对手外伤腹部皮瓣移植术患者手功能恢复的影响

摘要

目的 探讨早期康复功能训练对手外伤腹部皮瓣移植术后患者手功能恢复的影响。方法 将64例手外伤行腹部皮瓣移植术患者随机分为对照组和观察组各32例，对照组按正常的方式接受康复训练，观察组在此基础上对患者进行早期康复训练。结果 观察组手术后2周肌腱总活动度好于对照组（P＜0.05），术后3个月的手部功能评估较对照组有显著提高（P＜0.01）。结论 早期康复功能训练对患肢肌力酸痛、肌腱萎缩、关节粘连僵硬、活动障碍等并发症有很好的改善作用，有利于患指感觉功能的恢复，使患手的功能得以最大限度地恢复。

Abstract

Objective To investigate the effect of early rehabilitation function training on the recovery of hand function after abdominal skin flap transplantation.
Methods 64 cases of patients with hand trauma who underwent abdominal skin flap transplantation were randomly divided into control group and observation group, 32 cases in each group. The control group received rehabilitation training according to normal way, and the observation group received early rehabilitation training on the basis of this.
Results The total tendon motion of the observation group was better than that of the control group at 2 weeks after operation (P < 0.05), and the hand function evaluation at 3 months after operation was significantly improved (P < 0.01).
Conclusion   Early rehabilitation function training can improve the muscle pain, tendon atrophy, joint adhesion stiffness, movement disorder and other complications of the affected limb, which is conducive to the recovery of the sensory function of the affected finger and the function of the affected hand to the maximum.