CAJ | 학술논문

　　目的探讨地震挤压伤患者后期残留足下垂的综合康复护理效果。方法对36例残留有足下垂的挤压伤伤员采取心理干预，物理疗法、功能训练、手法康复护理、支具佩戴等综合康复方法，长期随访观察36例患者的踝及脚趾功能恢复情况，根据Mariland足部评分标准对其康复护理效果进行评定。结果综合康复护理后随访12～24个月，36例患者均取得了满意的康复护理效果，踝及脚趾的背伸功能明显改善，行走功能恢复正常。按照Mariland足部评分标准：由综合康复护理前的（52.0±8.8）分上升至12个月后的（85.5±9.6）分和24个月后的（88.6±9.1）分，差异有统计学意义（P＜0.01）；其中优28例，良6例，可2例，差0例，总体优良率为94.4％。结论由于地震这种自然灾害的特殊性，在地震中受挤压伤的伤员因挤压时间过长，后期可能残留不同程度的肢体感觉运动功能障碍，应当重视长期观察伤员患肢的功能恢复情况；经临床护理实践综合康复护理对挤压伤残留足下垂的患者疗效显著。
　　목적탐토지진제압상환자후기잔류족하수적종합강복호리효과。방법대36례잔류유족하수적제압상상원채취심리간예，물리요법、공능훈련、수법강복호리、지구패대등종합강복방법，장기수방관찰36례환자적과급각지공능회복정황，근거Mariland족부평분표준대기강복호리효과진행평정。결과종합강복호리후수방12～24개월，36례환자균취득료만의적강복호리효과，과급각지적배신공능명현개선，행주공능회복정상。안조Mariland족부평분표준：유종합강복호리전적（52.0±8.8）분상승지12개월후적（85.5±9.6）분화24개월후적（88.6±9.1）분，차이유통계학의의（P＜0.01）；기중우28례，량6례，가2례，차0례，총체우량솔위94.4％。결론유우지진저충자연재해적특수성，재지진중수제압상적상원인제압시간과장，후기가능잔류불동정도적지체감각운동공능장애，응당중시장기관찰상원환지적공능회복정황；경림상호리실천종합강복호리대제압상잔류족하수적환자료효현저。
Objective To explore nursing effect of comprehensive rehabilitation in the earthquake late foot crush injuries patients remain drooping. Methods 36 cases with enough residual drooping extrusion injuries were taken heart intervention, physical therapy, function training, technique, a treatment with comprehensive rehabilitation method to wear, and long-term follow-up 36 cases of the injured ankle and toe the function recovery, according to Mariland foot rating criteria of outcomes were assessed.Results After comprehensive rehabilitation nursing follow-up of 12 to 24 months, 36 patients with the wounded achieved satisfactory therapeutic effect, ankle and toe back out the function improved obviously, walking function back to normal. According to Mariland foot score standard: a comprehensive rehabilitation before treatment (52.0 ±8.8) scores up to 6 months after the (85.5 ±9.6) scores and 12 months after (88.6 ±9.1) scores, P< 0.01; optimal in 28 cases good in 6 cases, could be in 2 cases, poor in 0 case, overall rate was 94.4%. Conclusion Because of the earthquake the particularity of the injury, the late crush injuries that may remain different degree of body feeling motor dysfunction, attention shall be paid to the long-term observation of the body function; Comprehensive rehabilitation care scheme to keep patients to disable extrusion sagging curative effect is distinct.