CAJ | 학술논문

目的：探索股骨干骨折踝泵运动节律的护理研究方法。方法将60例股骨干骨折术后患者随机分为实验组与对照组，实验组踝关节跖屈至45°后停留3 s，背伸30°停留3 s至中立位，对照组停留时间为10 s，余方法不变；观察两组股静脉血流、下肢屈伸肌群表面肌电图、肢体肿胀情况及VAS评分。结果实验组股静脉血流峰值、下肢屈伸肌群表面肌力、肢体肿胀治疗有效率与VAS评分均优于对照组（p＜0.05），两组股静脉回流峰值时间均在3 s，差异无统计学意义（P＞0.05）。结论踝泵运动将踝关节跖屈、背伸后维持停留3 s时，更有利于肢体功能康复。
목적：탐색고골간골절과빙운동절률적호리연구방법。방법장60례고골간골절술후환자수궤분위실험조여대조조，실험조과관절척굴지45°후정류3 s，배신30°정류3 s지중립위，대조조정류시간위10 s，여방법불변；관찰량조고정맥혈류、하지굴신기군표면기전도、지체종창정황급VAS평분。결과실험조고정맥혈류봉치、하지굴신기군표면기력、지체종창치료유효솔여VAS평분균우우대조조（p＜0.05），량조고정맥회류봉치시간균재3 s，차이무통계학의의（P＞0.05）。결론과빙운동장과관절척굴、배신후유지정류3 s시，경유리우지체공능강복。
Objective To explore research methods in nursing of ankle pump exercises for femoral shaft fractures. Methods 60 cases with femoral shaft fractures were randomly divided into the experiment group and the control group.The experiment group was required to do with the plantar flexion of ankle joint by 45°for 3 seconds and dorsiflexion by 30°to neu-tral position for 3 seconds, while the control group was required to maintain the posture (the same in the experiment group) for 10 seconds.Femoral vein blood flow, the surface electromyography of hindlimb flexors and extensors and limb swelling, as well as the VAS score in both two groups were observed.Results The peak blood flow velocity of femoral vein, the surface muscle strength of hindlimb flexors and extensors, the treatment efficiency of limb swelling and the VAS score in the experi-ment group were superior to those in the control group (p<0.05).The peak time of femoral venous reflux was 3 seconds in both two groups, with no statistical significance (p>0.05).Conclusion Ankle pump exercises with the plantar flexion of ankle joint and dorsiflexion maintaining for 3 seconds beneficial for limb functional rehabilitation.