早期康复护理干预在关节镜下肩袖损伤术后肩关节功能恢复中的影响
Influence of Early Rehabilitation Nursing Intervention on Shoulder Joint Function Recovery after Rotator Cuff Injury under Arthroscopy
DOI: 10.12677/acm.2024.1441212, PDF,   
作者: 曹亚君, 李潇瑜*：新疆医科大学第四附属医院骨二科(关节外科)，新疆 乌鲁木齐
关键词: 早期康复护理；肩袖损伤；关节镜；肩关节功能；护理；Early Rehabilitation Nursing； Rotator Cuff Injury； Arthroscopy； Shoulder Joint Function； Nurse
摘要: 目的：比较早期康复护理干预在关节镜下肩袖损伤术后肩关节功能恢复中的影响分析。方法：本研究回顾性分析2019年1月至2022年12月本院收治的因肩袖损伤行肩关节镜下肩袖损伤修补术的患者60例为研究对象，采用VAS评分评估干预前、干预后患肢疼痛分级并进行比较，采用SAS评分、SDS评分、AS-ES评分、JOA评分评估患者干预前、干预后关节功能以及患者心理状态。结果：观察组与对照组分别在干预前，干预后进行统计学分析，干预前两组未见统计学差异(P > 0.05)。干预后比较差异具有统计学意义(P < 0.05)。观察组与对照组分别在干预前，干预后3天，干预后2周进行统计学分析，干预前两组未见统计学差异(P > 0.05)。干预后3天，干预后2周比较差异具有统计学意义(P < 0.05)。结论：综上所述，对肩关节镜下开展修复手术治疗的肩袖损伤患者开展早期康复护理，可有效促进患者功能恢复，改善肩关节活动度，提高日常生活能力。
Abstract: Objective: To compare the effect of early rehabilitation nursing intervention on the functional recovery of shoulder joint after arthroscopic rotator cuff injury. Methods: This study retrospectively analyzed 60 patients admitted to our hospital from January 2019 to December 2022 who underwent shoulder arthroscopic repair for rotator cuff injury, and compared the pain grade of affected limb evaluated by VAS score before and after intervention. SAS score, SDS score, AS-ES score and JOA score were used to evaluate joint function and psychological state of patients before and after intervention. Results: Statistical analysis was performed before and after intervention in the observation group and the control group respectively, and no statistical difference was found between the two groups before intervention (P > 0.05). The comparison difference after intervention was statistically significant (P < 0.05). The observation group and the control group were statistically analyzed before intervention, 3 days after intervention and 2 weeks after intervention, respectively, and there was no statistical difference between the two groups before intervention (P > 0.05). There were significant differences between 3 days after intervention and 2 weeks after intervention (P < 0.05). Conclusion: In summary, early rehabilitation nursing for patients with rotator cuff injury undergoing arthroscopic repair surgery can effectively promote functional recovery of patients, improve shoulder joint motion and enhance daily living ability.
文章引用：曹亚君, 李潇瑜. 早期康复护理干预在关节镜下肩袖损伤术后肩关节功能恢复中的影响[J]. 临床医学进展, 2024, 14(4): 1695-1700. https://doi.org/10.12677/acm.2024.1441212

参考文献

[1] 李晓. 早期康复护理干预在关节镜下前交叉韧带重建术后膝关节功能恢复中的影响[J]. 吉林医学, 2023, 44(11): 3224-3227.
[2] Fitzpatrick, L.A., Atinga, A., White, L., et al. (2022) Rotator Cuff Injury and Repair. Seminars in Musculoskeletal Radiology, 26, 585-596. [Google Scholar] [CrossRef] [PubMed]
[3] Zhang, M., Zhou, J., Zhang, Y., et al. (2020) Influence of Scapula Training Exercises on Shoulder Joint Function after Surgery for Rotator Cuff Injury. Medical Science Monitor, 26, e925758. [Google Scholar] [CrossRef] 
[4] Zhao, W., Yang, J., Kang, Y., et al. (2022) Animal Models of Rotator Cuff Injury and Repair: A Systematic Review. Tissue Engineering Part B: Reviews, 28, 1258-1273. [Google Scholar] [CrossRef] [PubMed]
[5] Dang, A. and Davies, M. (2018) Rotator Cuff Disease: Treatment Options and Considerations. Sports Medicine and Arthroscopy Review, 26, 129-133. [Google Scholar] [CrossRef] 
[6] Doiron-Cadrin, P., Lafrance, S., Saulnier, M., et al. (2020) Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations. Archives of Physical Medicine and Rehabilitation, 101, 1233-1242. [Google Scholar] [CrossRef] [PubMed]
[7] 张容湛, 杨小春, 刘婉冰. 曼彻斯特疼痛管理模式联合快速康复护理对肩袖损伤患者的干预效果分析[J]. 中西医结合护理(中英文), 2023, 9(1): 103-105.
[8] Patel, M. and Amini, M.H. (2022) Management of Acute Rotator Cuff Tears. Orthopedic Clinics of North America, 53, 69-76. [Google Scholar] [CrossRef] [PubMed]
[9] He, L., Li, Y., Liao, X., et al. (2021) Effects of Evidence-Based Nursing Combined with Enhanced Recovery after Surgery on Shoulder Joint Function and Neurological Function after Arthroscopic Rotator Cuff Injury Repair. Medicine, 100, e27951. [Google Scholar] [CrossRef] 
[10] Bakhsh, W. and Nicandri, G. (2018) Anatomy and Physical Examination of the Shoulder. Sports Medicine and Arthroscopy Review, 26, e10-e22. [Google Scholar] [CrossRef] 
[11] He, J., Ping, S., Yu, F., et al. (2021) Mesenchymal Stem Cell-Derived Exosomes: Therapeutic Implications for Rotator Cuff Injury. Regenerative Medicine, 16, 803-815. [Google Scholar] [CrossRef] [PubMed]
[12] Morag, Y., Jacobson, J.A., Miller, B., et al. (2006) MR Imaging of Rotator Cuff Injury: What the Clinician Needs to Know. RadioGraphics, 26, 1045-1065. [Google Scholar] [CrossRef] [PubMed]
[13] Uehara, H., Itoigawa, Y., Wada, T., et al. (2022) Relationship of Superoxide Dismutase to Rotator Cuff Injury/Tear in a Rat Model. Journal of Orthopaedic Research, 40, 1006-1015. [Google Scholar] [CrossRef] [PubMed]
[14] Zhao, J., Luo, M., Pan, J., et al. (2021) Risk Factors Affecting Rotator Cuff Retear after Arthroscopic Repair: A Meta-Analysis and Systematic Review. Journal of Shoulder and Elbow Surgery, 30, 2660-2670. [Google Scholar] [CrossRef] [PubMed]
[15] Gereli, A., Uslu, S., Okur, B., et al. (2020) Effect of Suprascapular Nerve Injury on Rotator Cuff Enthesis. Journal of Shoulder and Elbow Surgery, 29, 1584-1589. [Google Scholar] [CrossRef] [PubMed]
[16] Monica, J., Vredenburgh, Z., Korsh, J., et al. (2016) Acute Shoulder Injuries in Adults. American Family Physician, 94, 119-127.
[17] 于娥. 快速康复理念在肩关节镜治疗肩袖损伤术后护理中的应用效果评价[J]. 中国冶金工业医学杂志, 2023, 40(6): 725-726.
[18] 李艳, 李静, 王曼曼, 等. 术后功能康复护理在肩袖损伤患者中的应用效果[J]. 中国医药导报, 2023, 20(13): 193-196.
[19] 刘湘. 快速康复理念在肩关节镜治疗肩袖损伤术后护理中的价值[J]. 当代临床医刊, 2022, 35(5): 113-114.
[20] 李焱. 快速康复理念应用于肩关节镜治疗肩袖损伤术后护理中的效果观察[J]. 基层医学论坛, 2022, 26(18): 25-27.
[21] 李慧, 刘湘, 伍萍. 快速康复理念应用于肩关节镜治疗肩袖损伤术后护理中的效果观察[J]. 中国社区医师, 2020, 36(1): 151, 153.
[22] 谭玲花. 肩关节镜手术治疗肩袖损伤术后的护理与功能康复[J]. 中外医学研究, 2019, 17(27): 84-85.
[23] 郑锐, 王越, 饶尧. 快速康复理念在肩关节镜治疗肩袖损伤术后护理中的应用[J]. 实用临床护理学电子杂志, 2019, 4(24): 137-138.
[24] 刘杏元. 延伸护理在肩关节镜下肩袖损伤修复患者术后康复中的应用[J]. 护理实践与研究, 2018, 15(12): 79-81.
[25] Zhou, L., Gee, S.M., Posner, M.A., et al. (2022) Concomitant Glenohumeral Instability and Rotator Cuff Injury: An Epidemiologic and Case-Control Analysis in Military Cadets. JAAOS: Global Research and Reviews, 6, e22. [Google Scholar] [CrossRef] 
[26] Orellana, K.J., Harwood, K., Horneff, J.G., et al. (2023) Rotator Cuff Injury in the Pediatric Population: A Systematic Review of Patient Characteristics, Treatment, and Outcomes. Journal of Pediatric Orthopaedics B, 32, 103-109. [Google Scholar] [CrossRef] 
[27] Stephenson, D.R., Hurt, J.H. and Mair, S.D. (2012) Rotator Cuff Injury as a Complication of Portal Placement for Superior Labrum Anterior-Posterior Repair. Journal of Shoulder and Elbow Surgery, 21, 1316-1321. [Google Scholar] [CrossRef] [PubMed]
[28] Zhao, B., Zhang, Q. and Liu, B. (2021) Repair of Lafosse I Subscapularis Injury Adds No Additional Value in Anterosuperior Rotator Cuff Injury. BMC Musculoskeletal Disorders, 22, Article No. 925. [Google Scholar] [CrossRef] [PubMed]
[29] 李玉云. 快速康复理念在肩关节镜治疗肩袖损伤术后护理中的应用价值[J]. 中国冶金工业医学杂志, 2024, 41(1): 42-43.

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