CAJ | 학술논문

目的：探讨对比浴联合康复训练对老年人桡骨远端骨折后功能恢复的影响。方法收集2011年9月-2013年9月解放军总医院康复科门诊63例保守治疗的桡骨远端骨折患者，将其随机分为对比浴联合康复训练组和对照组，康复训练组每天进行20 min冷热水对比浴和20 min康复训练，对照组只进行20 min康复训练。治疗3个月和6个月时，测定患者的腕关节活动范围(range of movement，ROM)、视觉模拟(visual analogue，VAS)评分、臂-肩-手功能障碍(disability of arm， shoulder，and hand，DASH)评分、抓握力量。结果治疗后3个月和6个月时，对比浴联合康复训练组患者的ROM、VAS评分(4.2±1.1，2.7±1.3)、DASH评分(89.7±1.7，95.4±1.5)及抓握力量(43.2±4.1，72.5±6.3)明显优于康复训练组(4.9±1.3，3.6±1.4；84.5±1.4，90.7±1.5；40.1±4.5，66.5±4.7)，差异有统计学意义(P＜0.05)。结论对比浴联合康复训练能促进老年人桡骨远端骨折保守治疗的功能恢复。
목적：탐토대비욕연합강복훈련대노년인뇨골원단골절후공능회복적영향。방법수집2011년9월-2013년9월해방군총의원강복과문진63례보수치료적뇨골원단골절환자，장기수궤분위대비욕연합강복훈련조화대조조，강복훈련조매천진행20 min랭열수대비욕화20 min강복훈련，대조조지진행20 min강복훈련。치료3개월화6개월시，측정환자적완관절활동범위(range of movement，ROM)、시각모의(visual analogue，VAS)평분、비-견-수공능장애(disability of arm， shoulder，and hand，DASH)평분、조악역량。결과치료후3개월화6개월시，대비욕연합강복훈련조환자적ROM、VAS평분(4.2±1.1，2.7±1.3)、DASH평분(89.7±1.7，95.4±1.5)급조악역량(43.2±4.1，72.5±6.3)명현우우강복훈련조(4.9±1.3，3.6±1.4；84.5±1.4，90.7±1.5；40.1±4.5，66.5±4.7)，차이유통계학의의(P＜0.05)。결론대비욕연합강복훈련능촉진노년인뇨골원단골절보수치료적공능회복。
Objective To investigate the effects of contrast baths on the function of distal radius fracture after conservative therapy. MethodsFrom September 2011 to September 2013, a total of 63 patients with distal radius fracture admitted to rehabilitation department of Chinese PLA General Hospital were enrolled and they were randomly divided into two groups: contrast bath combined with training group and control group. Patients in the contrast bath and training group were given contrast baths 20 min/d and training 20 min/d, while patients in the control group were given exercising training 20 min/d. The range of movement (ROM), visual analogue scale (VAS) scores, disability of arm, shoulder, and hand (DASH) score, and grip strength were recorded at 3 months and 6 monthsafter treatment.Results The ROM, VAS scores (4.2±1.1, 2.7±1.3), DASH score (89.7±1.7, 95.4±1.5) and grip strength (43.2± 4.1, 72.5±6.3) in the contrast bath and training group were significantly higher than the control group (4.9±1.3, 3.6±1.4; 84.5±1.4, 90.7±1.5;40.1±4.5, 66.5±4.7;P<0.05).ConclusionContrast baths and exercising training can accelerate the functional recovery of the distal radius fracture with conservative therapy.