【作者】 王欣；

【导师】 张俊忠；

【作者基本信息】 山东中医药大学 ， 中医骨伤科学（专业学位）， 2020， 硕士

【摘要】 目的:探讨“动静平衡理念”指导下较小有效康复量对桡骨远端骨折内固定术后患者功能恢复的影响。方法:本课题选择2017年10月至2019年1月山东省中医院骨科收治住院的桡骨远端骨折患者48例,行切开复位钢板内固定术,并按患者术后功能康复锻炼量的不同分为三组:A组在“动静平衡”原则指导下行“动”与“静”量化的较小量功能康复锻炼,B组在“动静平衡”原则指导下行“动”与“静”量化的较大量功能康复锻炼,C组以传统的“无痛”原则指导下功能康复方法进行功能康复锻炼。通过比较三组患者术后腕关节功能的恢复情况来研究中医“动静平衡理念”指导下较小有效康复量在桡骨远端骨折术后功能康复锻炼中的应用。结果:三组腕关节的功能评价:A、B组的功能明显优于C组,A组与B组之间无显著性差异(p>0.05)。结论:在中医“动静平衡理念”指导下采用小量的有效康复量功能康复锻炼方法可以确保腕关节在一个安全的、有效的康复治疗量范围内达到最佳的康复效果。更多还原

【Abstract】 Objective: To explore the application of the minimum effective recovery amount under the guidance of the concept of dynamic and static balance on the functional recovery of patients after internal fixation of distal radius fractures.Methods: In this study,Forty-eight patients with distal radius fracture admitted to the Department of Orthopaedics,Shandong Hospital of Traditional Chinese Medicine from October 2017 to January 2019 were selected and treated with open reduction plate internal fixation.According to the amount of functional rehabilitation exercise after operation,they were divided into three groups : group A received a small amount of functional rehabilitation exercises guided by the principle of dynamic and static balance,while group B received a small amount of functional rehabilitation exercises guided by the principle of dynamic and static balance.In group C,the traditional“painless” functional rehabilitation methods were used for functional rehabilitation.By comparing the recovery of wrist function of the three groups of patients after surgery,the application of the minimum effective rehabilitation amount under the guidance of “the concept of dynamic and static balance ”in functional rehabilitation exercise after the distal radius fracture was studied.Results: Functional evaluation of wrist joint in three groups: The function of group A and B was better than that of group C,but there was no significant difference between group A and group B(p > 0.05).Conclusion: Under the guidance of “the concept of dynamic and static balance” of traditional Chinese medicine,the functional rehabilitation exercise method with the minimum effective rehabilitation amount can ensure the best rehabilitation effect of the wrist joint within a safe and effective rehabilitation amount.更多还原