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目的:探讨动静平衡原则在指导儿童肱骨髁上骨折术后功能康复中应用的临床效果。方法:选取60例肱骨髁上骨折患儿,均采用切开复位经皮克氏针交叉固定术治疗,术后4周去除石膏,拔除克氏针。随机分为两组,每组30例,治疗组术后在动静平衡原则指导下行肘关节功能锻炼,对照组按传统康复方法于术后4周行功能锻炼。结果:肘关节功能优良率治疗组为93.3%,对照组为73.3%,两组比较,差异有统计学意义(P<0.05)。结论:采用动静平衡原则进行儿童肘关节术后功能锻炼,具有促进肘关节功能康复、缩短功能恢复时间、减少并发症等优点,值得临床推广应用。
Objective: To investigate the clinical effect of the principle of dynamic and static balance in guiding functional rehabilitation of humerus supracondylar fractures in children. Methods: Sixty children with supracondylar humerus fractures were treated with open reduction and percutaneous Kirschner wire fixation. Four weeks after operation, plaster was removed and Kirschner wires were removed. Randomly divided into two groups, 30 cases in each group. After treatment, the elbow joint functional exercise was guided in the treatment group according to the principle of static and dynamic balance. The control group was given functional exercise 4 weeks after the operation. Results: The elbow joint function rate was 93.3% in the treatment group and 73.3% in the control group. There was significant difference between the two groups (P <0.05). CONCLUSION: Adopting the principle of dynamic and static balance to carry out postoperative functional exercise of elbow in children has the advantages of promoting functional rehabilitation of the elbow joint, shortening the time of functional recovery and reducing the complications, which is worthy of clinical application.