CAJ | 학술논문

目的观察地震伤员下肢假肢装配前后综合康复治疗的效果.方法安装假肢前后对地震伤员采取综合康复治疗,包括:残端处理(按摩和拍打、残肢塑型)、运动疗法(关节活动度训练、肌力训练、平衡功能训练、站立与步行训练等)、物理治疗,心理治疗.结果 42例残肢中,残端有溃疡或寞道、残肢肿胀、髋膝关节屈曲挛缩、残肢痛分别占74%、72%、41%和5%,残肢肌力明显减退.经综合康复治疗后,残肢无肿胀、溃疡或窦道完全愈合,残肢形状、关节活动度和肌力明显改善,已达到假肢装配条件,均装配假肢,并获得良好的功能.假肢行走功能结局,良好:20例(51%);一般:17例(44%);较差:2例(5%).结论地震后截肢不良残肢发生率高,安装假肢前后对地震伤员采取综合康复治疗,确保假肢装配成功十分必要.
목적 관찰지진상원하지가지장배전후종합강복치료적효과.방법 안장가지전후대지진상원채취종합강복치료,포괄:잔단처리(안마화박타、잔지소형)、운동요법(관절활동도훈련、기력훈련、평형공능훈련、참립여보행훈련등)、물리치료,심리치료.결과 42례잔지중,잔단유궤양혹막도、잔지종창、관슬관절굴곡련축、잔지통분별점74%、72%、41%화5%,잔지기력명현감퇴.경종합강복치료후,잔지무종창、궤양혹두도완전유합,잔지형상、관절활동도화기력명현개선,이체도가지장배조건,균장배가지,병획득량호적공능.가지행주공능결국,량호:20례(51%);일반:17례(44%);교차:2례(5%).결론 지진후절지불량잔지발생솔고,안장가지전후대지진상원채취종합강복치료,학보가지장배성공십분필요.
Objective To observe the effect of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses for the earthquake wounded.Methods The patients were treated with comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses,including stump treatment(massage,pat and stump mold),physiotherapy(range of motion,strength,balance,standing and walking training,and use of physical agents),psychological therapy.Results The percentage of stump ulcer,stump swelling,limitation of joint motion and stump pain of all 42 cases was 74%,72%,41%and 5%,respectively.Stump ulcer healed and stump swelling decreased after comprehensive rehabilitative treatment.The stump shape,motion of joint and muscle strength improved significantly.All stumps can be fit with prosthetic limb.Excellent,good and fair walk functions of prosthetic limb were 51%,44%,and 2%,respectively.Conclusion The rate of poor stump limb was high after earthquake.Application of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses is very important for the earthquake wounded.