CAJ | 학술논문

目的探讨选择性胸小肌移植重建拇对掌功能的临床康复护理要点.方法对10例实施选择性胸小肌重建拇对掌功能的患者,术前完善相关检查及进行心理护理.术后进行严密观察,早期辅助电刺激及功能锻炼,重点辅助其拇对掌动作训练.结果 10例患者经术后6～12个月随访,拇对掌功能恢复,肌力均达到4级以上,大鱼际部外形满意.结论术前充分的心理护理及术后有效的康复治疗对确保手术成功,恢复拇对掌功能有相当重要的意义.
목적 탐토선택성흉소기이식중건무대장공능적림상강복호리요점.방법 대10례실시선택성흉소기중건무대장공능적환자,술전완선상관검사급진행심리호리.술후진행엄밀관찰,조기보조전자격급공능단련,중점보조기무대장동작훈련.결과 10례환자경술후6～12개월수방,무대장공능회복,기력균체도4급이상,대어제부외형만의.결론 술전충분적심리호리급술후유효적강복치료대학보수술성공,회복무대장공능유상당중요적의의.
Objective We reported the rehabilitative nursing points of patients with pectoralis minor muscle transplantation for recovery of thumb oppositional function. Methods We selected 10 patients who underwent pectoralis minor muscle transplantation for recovery of thumb oppositional function and gave them perfect preoperative examination and psychological nursing. We also implemented rigorous monitoring postoperation and auxiliary electric stimulation and functional exercises. The emphasis was put on the exercise of thumb oppositional function. Results The thumb oppositional function of all the ten patients recovered. The myodynamia reached level 4 and the shape of thenar was satisfying after 6 to 12 months of follow-up visit. Conclusions Sufficient preoperative psychological nursing and effective postoperative rehabilitative treatment had pivotal significance for the success of operation and the recovery of thumb oppositional function.