阶段性康复训练对老年肱骨近端骨折术后患者肩关节功能的影响

Effects of staged rehabilitation training on shoulder joint function in elderly patients with proximal humeral fractures after surgery

中文关键词: 老年  肱骨近端骨折  阶段性康复训练  关节功能  Neer评分  关节功能评分

英文关键词: elderly  proximal humeral fracture  phased rehabilitation training  joint function  Neer rating  joint func-tion score

中文摘要:

      目的 探究阶段性康复训练对老年肱骨近端骨折术后患者肩关节功能的影响.方法 2024年2月—2025年2月,选取江油市人民医院老年肱骨近端骨折术后患者110例,采用数字表法随机分为观察组和对照组,每组55例.对比2组患者干预前后肩关节功能评分、Neer评分以及总满意度.结果 术后3个月,2组肩关节活动度、肩关节功能、稳定性、肌力、疼痛得分及量表总得分均较同组干预前上升,观察组肩关节功能各维度得分及量表总得分均高于对照组(P＜0.05);观察组患者肩关节功能各维度得分及总得分的干预前后差值均高于对照组(P＜0.05);2组间,术后3 d、术后1个月、术后3个月Neer评分均高于术前(P＜0.05),术后1个月、术后3个月,观察组Neer评分高于对照组(P＜0.05),观察组总满意度为92.73％高于对照组的78.18％(P＜0.05).结论 阶段性康复训练可显著改善老年肱骨近端骨折术后患者关节活动度,提高患者满意度,具有一定的临床应用价值.

英文摘要:

      Objective To investigate the effects of staged rehabilitation training on shoulder joint function in elderly patients with proximal humeral fractures after surgery.Methods From February 2024 to February 2025,110 elderly patients who underwent proximal humeral fracture surgery in People's Hospital of Jiangyou City were selected and randomly divided into observation group and control group using the random number table method,with 55 patients in each group.Shoulder function scores,Neer scores,and overall satisfaction were compared between the two groups before and after the interven-tion.Results At 3 months after surgery,the shoulder joint range of motion,shoulder joint function,stability,muscle strength,pain scores,and total scale scores increased significantly in both groups compared to those in the same group before intervention(P＜0.05),and the observation group had higher scores in all dimensions of shoulder joint function and total scale scores than the control group(P＜0.05).The differences in the dimension scores of shoulder joint function and total scores be-fore and after intervention in the observation group were greater than those in the control group(P＜0.05).Neer scores at 3 days,1 month,and 3 months after surgery in both groups were significantly higher than those in the same group before inter-vention(P＜0.05),and at 1 month and 3 months after surgery,Neer scores in the observation group were significantly higher than those in the control group(P＜0.05).The overall satisfaction rate in the observation group was 92.73％,which was sig-nificantly higher than that in the control group(78.18％)(P＜0.05).Conclusion Staged rehabilitation training can signifi-cantly improve joint range of motion and increase patient satisfaction in elderly patients with proximal humeral fractures after surgery.It has certain clinical application value.