Objective To explore the effect of sequential rehabilitation nursing on upper limb function after complete replacement of forearm.Methods A total of 33 patients from September, 2010 to December, 2013 with successful forearm replacement were selected as the control group, and 32 same patients from January, 2014 to January, 2016 were selected as treatment group. The control group received routine care, while the treatment group received sequential rehabilitation nursing. Postoperative visit was paid to two groups. Their upper limb function was compared with total active motion measurement, strength measurement, sensory assessment and hand function assessment.Results All the indexes were better in the treatment group than in the control group (P<0.05).Conclusion Sequential rehabilitation nursing can effectively improve the upper limb function after complete replacement of forearm.
FU Yu-hong
,
ZHU Lin-yi
,
MO Lan
,
JIANG Yun-wen
,
RUI Yong-jun
. Sequential Rehabilitation Nursing for Upper Limb Function after Complete Replacement of Forearm[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(10)
: 1221
-1225
.
DOI: 10.3969/j.issn.1006-9771.2017.10.020
[1] Atzei A, Pignatti M, Maria Baldrighi C, et al. Long-term results of replantation of the proximal forearm following avulsion amputation [J]. Microsurgery, 2005, 25(4): 293-298.
[2] 闫伟强,张敏. 部分损毁性前臂中远段离断再植与手功能重建[J]. 中华手外科杂志, 2013, 29(4): 250-252.
[3] Atkins SE, Winterton RI, Kay SP. Upper limb amputations: where, when and how to replant [J]. Curr Orthop, 2008, 22(1): 31-41.
[4] 曾蕾,柳晨,王骏. 断臂再植术后上肢功能恢复的相关因素分析[J]. 中国康复理论与实践, 2016, 22(10): 1214-1217.
[5] 潘达德,顾玉东,侍德,等. 中华医学会手外科学会上肢部分功能评定试用标准[J]. 中华手外科杂志, 2000, 16(3): 130-135.
[6] Walker HK, Hall WD, Hurst JW. Clinical Methods: the History, Physical, and Laboratory Examinations [M]. 3rd. Boston: Butterworths, 1990: 344.
[7] Jebsen RH, Taylor N, Trieschmann RB, et al. An objective and standardized test of hand function [J]. Arch Phys Med Rehabil, 1969, 50(6): 311-319.
[8] Sturm SM, Oxley SB, Van Zant RS, et al. Rehabilitation of a patient following hand replantation after near-complete distal forearm amputation [J]. J Hand Ther, 2014, 27(3): 217-223.
[9] 傅育红,徐敏,朱丽萍. 前臂再植术后患者早期预防手内在肌挛缩的康复护理[J]. 中华护理杂志, 2013, 48(6): 492-493.
[10] 蒋树中,刘茹,韩冰. 影响颈动脉斑块检出率的相关因素分析[J]. 中华手外科杂志, 2014, 94(23): 1788-1790.
[11] 陈月珍,周蕾,冯祯根,等. 针对预防断指再植术后疼痛的效果观察[J]. 中华现代护理杂志, 2015, 21(10): 1143-1145.
[12] 徐鹏,郭俊光,岳红,等. 自控镇静对断指再植患者血管危象发生率的影响[J]. 实用手外科杂志, 2013, 27(1): 50-52.
[13] 傅育红,莫兰,李月玲. 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[J]. 中国康复理论与实践, 2016, 22(7): 852-854.
[14] 莫兰,李惠玲,傅育红,等. 基于德尔菲法的断指再植患者镜像疗法康复护理方案的构建[J]. 中华现代护理杂志, 2016, 22(29): 4193-4195.
[15] 俞君,朱毅,王骏,等. 手外科术后关节活动能力与功能的相关性[J]. 中国康复医学杂志, 2013, 28(12): 1118-1121.
[16] Jablecki J, Kaczmarzyk L, Patrzalek D, et al. A detailed comparison of the functional outcome after midfoream replantations versus midfoream transplantation [J]. Transplant Proc, 2009, 41(2): 513-516.
[17] 周明霞,傅育红,莫兰. 神经肌腱滑动练习用于急性腕管综合征的康复护理[J]. 护士进修杂志, 2015, 30(19): 1815-1816.
[18] 李曾慧平,亚德 ? 伊娃 ? 俄兰德深,王骏. 手功能康复手册[M]. 北京:人民卫生出版社, 2016: 111-113.
[19] 陶泉. 手部损伤康复[M]. 上海:上海交通大学出版社, 2006: 33-34.
[20] 陈中伟,鲍约瑟,钱允庆,等. 前臂创伤性完全截肢的再植：一例成功报告[J]. 中华外科杂志, 1963, 11(10): 767-772.
[21] 顾玉东. 手与上肢功能康复展望[J]. 中国康复医学杂志, 2011, 26(2): 99.
[22] 俞君,王骏,朱毅. 前臂完全离断再植术后患者远期疗效分析[J]. 中华手外科杂志, 2015, 31(1): 38-40.
[23] 田万成,卢全中,范钦平,等. 断指再植一体化系列功能康复[J]. 中华显微外科杂志, 1995 (3) :173-175.
[24] 裴国献. 10指离断再植[J]. 中华手外科杂志, 1999, 15(4): 195-197.
[25] 张力丹,曹立峰,高志强,等. 700例健康人双手握力的测定及分析[J]. 山东医药, 2011, 51(4): 88-90.
[26] 张耀丹,王晓明,黄更珍. 周围神经损失修复技术的研究进展[J]. 中华损伤与修复杂志, 2013, 8(2): 74-76.
[27] Macknnon SE, Dellon AL. 周围神经外科学[M]. 朱家恺,卢传新,王收成,译. 海口:海南三环出版社, 1991: 55-57.
