喙锁韧带解剖重建围手术期护理与康复△

Perioperative nursing and rehabilitation of arthroscopic anatomical reconstruction of coracoclavicular ligament

摘要:

[目的] 评估镜下喙锁韧带解剖重建标准化的护理与康复流程的临床效果。[方法] 2019 年 11 月—2020 年 12 月， 对 15 例肩锁关节脱位患者采用镜下喙锁韧带解剖重建，采取标准化的护理与康复流程。评价其临床与影像结果。[结果] 15 例患者均顺利完成手术，无严重并发症。术后随访 9.0~20.0 个月，平均 (12.0±4.1) 个月。与术前相比，末次随访时 ASES、 UCLA 评分和 SST 评级，以及上举和外旋 ROM 均显著改善(P＜0.05)。末次随访时，14 例(93.3%)恢复到伤前运动水平。影像方面，与术前相比，末次随访时喙锁间距(coracoclavicular distance, CCD)显著减小(P＜0.05)，但随术后时间推移 CCD 呈显著增加趋势(P＜0.05)。[结论]标准化的护理与康复流程对镜下喙锁韧带解剖重建的肩关节功能恢复起着积极重要的作用。

Abstract:

[Objective] To evaluate the clinical outcomes of standardized nursing and rehabilitation procedures for arthroscopic ana- tomical reconstruction of coracoclavicular ligament. [Methods] From November 2019 to December 2020, 15 patients received arthroscopic anatomical reconstruction of coracoclavicular ligament, standardized nursing and rehabilitation process for acromioclavicular dislocation. The clinical and imaging results were evaluated. [Results] All 15 patients had operation performed successfully without serious complica- tions, and followed up for 9.0~20.0 months, with an average of (12.0±4.1) months. At last follow-up, ASES and UCLA scores, SST scale, as well as lifting and external rotation range of motions (ROM) significantly improved compared with those preoperatively (P＜0.05) . At the last follow-up, 14 cases (93.3%) recovered to the pre-injury exercise level. Radiographically, the coracoclavicular distance (CCD) at the last fol- low-up was significantly reduced as compared with that preoperatively (P＜0.05) , whereas which increased significantly over time postoper- atively (P＜0.05) . [Conclusion] Standardized nursing and rehabilitation process plays an important role in the recovery of shoulder joint function after arthroscopic anatomical reconstruction of coracoclavicular ligament.