CAJ | 학술논문

目的：探讨人工肱骨头置换术后功能锻练的方法及效果。方法：对6例人工肱骨头置换术后的患者制订康复锻炼计划并配合中药治疗,正确指导其功能锻练。对6例患者健侧术前、患侧术后7、12、24周分别进行高岸评分、VAS评分、GEPI等进行评价。结果：术后12周,与患侧术后7周比较,患侧肩关节主动活动度（range of motion,ROM）改善较显著,结果差异有统计学意义（P<0.01）；术后24周,患侧各项评分与术后7周相比,其结果均有显著性差异,患侧肩关节主动ROM与健侧比较,前屈上举、外展上举和外旋3个方向差异有统计学意义（P<0.01）,而后伸、内收和内旋3个方向其结果差异无统计学意义（P>0.05）。结论：人工肱骨头置换术后的患者按进度行系统功能锻练,可得到较好恢复患肢功能。
목적：탐토인공굉골두치환술후공능단련적방법급효과。방법：대6례인공굉골두치환술후적환자제정강복단련계화병배합중약치료,정학지도기공능단련。대6례환자건측술전、환측술후7、12、24주분별진행고안평분、VAS평분、GEPI등진행평개。결과：술후12주,여환측술후7주비교,환측견관절주동활동도（range of motion,ROM）개선교현저,결과차이유통계학의의（P<0.01）；술후24주,환측각항평분여술후7주상비,기결과균유현저성차이,환측견관절주동ROM여건측비교,전굴상거、외전상거화외선3개방향차이유통계학의의（P<0.01）,이후신、내수화내선3개방향기결과차이무통계학의의（P>0.05）。결론：인공굉골두치환술후적환자안진도행계통공능단련,가득도교호회복환지공능。
Objective To investigate the methods and effects of rehabilitation after humeral head replacement. MethodsRehabilitation exercise plan combined with therapy of traditional Chinese medicine was performed in 6 patinents after replacement of artificial shoulder prosthesis. Preoperative health side, and postoperative wounded side 7, 12 and 24 weeks after operation were assessed by Takagishi score, VAS score and GEPI. Results Compared with 7 weeks postoperation, active range of motion (ROM) of wounded shoulder 12 weeks postoperation improved significantly (P< 0.01); 24 weeks postoperation,compared with 7 weeks postoe-ration, the various scores were significantly different. Compared with the uninjured side, the ROM of the operated shoulder in anteflexion,abduction and extorsion were significantly different (P< 0.01) but in exention, adduction and pronation were not (P> 0.05). Conclusion: Artificial humeral head replacement patients can better restore their limb function through systematic functional exercise and Chinese medicine.