《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

断臂再植术后上肢功能恢复的相关因素分析①

曾蕾，柳晨，王骏   

  1. 无锡市第九人民医院，江苏无锡市214000。
  • 出版日期:2016-10-25 发布日期:2016-12-05

Relative Factors of Functional Recovery after Upper Limb Replantation

ZENG Lei, LIU Chen, WANG Jun   

  1. Department of Rehabilitation,Wuxi Ninth People's Hospital,Wuxi, Jiangsu 214000, China
  • Published:2016-10-25 Online:2016-12-05

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摘要： 目的探讨断臂再植术后影响上肢功能恢复的相关因素。方法回顾分析2009 年9 月~2014 年3 月24 例断臂再植患者的临床资料，以末次随访的上肢功能评定表(DASH)对断臂再植术后上肢功能恢复情况进行随访评定。采用Logistic 回归模型对性别、年龄、受伤时间、断臂离断水平、离断方式、缺血时间、损伤是否为优势手、有无康复训练及住院康复周期等因素与术后DASH评分的相关性进行分析。结果本组患者术后DASH值>28.50 分15 例，DASH值≤28.50 分9 例。单因素Logistic 回归分析结果显示，离断方式、有无康复训练对上肢功能恢复影响较大(χ2>7.360, P<0.05)，其他均无明显相关性(χ2<3.789, t=1.515, P>0.05)。结论断臂的离断方式及术后的康复治疗是影响断臂再植术后上肢功能恢复的主要因素。

关键词: 断臂再植, 功能恢复, 上肢功能评定表, 相关因素

Abstract: Objective To analyze the relative factors of functional recovery after upper limbs replantation. Methods From September, 2009 to March, 2014, 24 consecutive patients after upper limb replantation for amputation were retrospectively analyzed. The Disability of Arm Shoulder and Hand (DASH) was used to assess the functional recovery of the upper limbs at the last follow-up. The non-conditional Logistic regression was used to analyze the correlation of gender, age, time from injury to surgery, amputated level, amputated method, ischemia hours, dominant hand or not, rehabilitation treatment, rehabilitation duration, and the DASH scores. Results The DASH score was > 28.50 in 15 patients, while ≤28.50 in 9 patients. The Logistic regression analysis demonstrated that amputated method and rehabilitation treatment correlated with the functional recovery of upper limbs (χ2>7.360, P<0.05), and no correlation was found in the other factors (χ2< 3.789, t=1.515, P>0.05). Conclusion The amputated method and rehabilitation treatment after operation are the factors related to the functional recovery after upper limb replantation.

Key words: amputated upper limb replantation, functional recovery, Disability of Arm Shoulder and Hand, relative factors