CAJ | 학술논문

目的：对肩关节镜手术治疗肩袖损伤的围手术期护理及康复经验进行探讨。方法回顾分析2012年3月至2013年8月在关节镜下行肩袖修补及肩峰减压成形术的58例患者的临床资料，对所有患者从术前、术后到康复均制定系统的、有针对性的护理计划，术后早期即开始循序渐进的功能锻炼，并随访6～12个月。使用美国加州大学肩关节功能评分系统(UCLA)对患者在术前和最终随访时的肩关节功能进行评价。结果58例患者均得到6～12个月随访，术后肩关节功能评分优29例、良21例、差8例，优良率86.2%，肩关节功能优于术前。结论系统的围手术期护理是肩关节镜手术取得良好效果的重要保障，术后早期、循序渐进地指导患者进行功能锻炼能有效促进肩关节功能恢复。
목적：대견관절경수술치료견수손상적위수술기호리급강복경험진행탐토。방법회고분석2012년3월지2013년8월재관절경하행견수수보급견봉감압성형술적58례환자적림상자료，대소유환자종술전、술후도강복균제정계통적、유침대성적호리계화，술후조기즉개시순서점진적공능단련，병수방6～12개월。사용미국가주대학견관절공능평분계통(UCLA)대환자재술전화최종수방시적견관절공능진행평개。결과58례환자균득도6～12개월수방，술후견관절공능평분우29례、량21례、차8례，우량솔86.2%，견관절공능우우술전。결론계통적위수술기호리시견관절경수술취득량호효과적중요보장，술후조기、순서점진지지도환자진행공능단련능유효촉진견관절공능회복。
Objective To explore the perioperative nursing and rehabilitation experience of arthropathy injuries treated with arthroscopy. Method 58 patients with arthropathy injuries were treated with arthroscopic rotator cuff repair during March 2012 to August 2013.Regular nurse plan were offered to al the 58 patients during the perioperation to the postoperation. The shoulder function was evaluated by University of California at Los Angeles (UCLA) scoring system before surgical treatment and at the last fol ow-up respectively. Results Al the 58 patients were fol owed up for 6 to 12 months. The results showed excellent shoulder function 29 cases,good 21 cases,bad 8 cases,the excellent and good rate 86.2%. Conclusion Regular and systematic nurse plan and early jiont function train play an important role in shoulder function recovery.