《中国康复理论与实践》

《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

镜像疗法结合感觉再教育训练对足趾移植再造拇指术后复合感觉的效果①

傅育红，莫兰，李月玲   

  1. 无锡市第九人民医院，江苏无锡市214062。
  • 出版日期:2016-07-25 发布日期:2016-09-22

Effect of Mirror Therapy and Sensory Reeducation on Sensation Recovery after Thumb Reconstruction with Second Toe Transplantation

FU Yu-hong, MO Lan, LI Yue-ling   

  1. Wuxi No.9 Hospital,Wuxi, Jiangsu 214062, China
  • Published:2016-07-25 Online:2016-09-22

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摘要： 目的观察镜像疗法结合感觉再教育训练对第二足趾再造拇指术后感觉功能恢复的疗效。方法2011 年1 月~2014 年1 月行第二足趾移植再造拇指术后患者40 例分为对照组(n=20)和训练组(n=20)。两组均接受常规护理和康复训练，训练组增加镜像疗法和感觉再教育训练。术后随访6~18 个月，平均9.3 个月，测量移植趾腹两点辨别觉(2-PD)。结果训练组移植趾腹2-PD 为(7.15±1.15) mm，显著低于对照组(10.23±2.23) mm (t=5.4898, P<0.001)。结论镜像疗法结合感觉再教育训练可有效地改善移植足趾再造手指指腹感觉功能。

关键词: 足趾移植拇指再造术, 感觉, 镜像疗法, 感觉再教育, 康复护理

Abstract: Objective To observe the effect of mirror therapy and sensory reeducation on sensory function recovery after thumb reconstruction with second toe transplantation. Methods Forty patients after thumb reconstruction with second toe transplantation from January, 2011 to January, 2014 were divided into control group (n=20) and training group (n=20). Both groups accepted routine nursing and rehabilitation, while the training group accepted mirror therapy and sensory reeducation training in addition. They were followed up for six to eighteen months after operation (average 9.3 months) with the two- point discrimination (2-PD) of transplanted toe pulp. Results 2-PD was (7.15±1.15) mm in the training group, very shorter than (10.23±2.23) mm of the control group (t=5.4898, P<0.001). Conclusion The mirror therapy combined with sensory reeducation training can improve the sensory function of the finger pulp that transplanted from the second toe.

Key words: thumb reconstruction with toe transplantation, sensation, mirror therapy, sensory reeducation, rehabilitation nursing