| 陈亚平,杨延砚,赵 晨,王 术,周谋望.合并异位骨化的关节功能康复治疗[J].中国康复医学杂志,2007,22(12):1081~1083 |
| 合并异位骨化的关节功能康复治疗 点此下载全文 |
| 陈亚平 杨延砚 赵 晨 王 术 周谋望 |
| 北京大学第三医院康复中心,100083 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2369 |
| 全文下载次数: 2312 |
| 摘要： |
| 目的：探讨骨关节手术后合并异位骨化患者的康复治疗方法。方法：对15例关节手术后合并较小范围异位骨化的关节功能障碍的患者，用X光片、B超检查异位骨化的范围；检测血沉、血液碱性磷酸酶和C反应蛋白，判断骨化活动情况，视情况进行适当的关节牵伸和关节松动治疗及冷疗、中药外敷等治疗，观察异位骨化的变化。结果：治疗前后膝关节活动范围有显著差异，平均角度进展31.16°（P＜0.01），肘关节伸直角度平均进展15°，肘关节屈曲进展41.67°。同时X线片和B超检查异位骨化范围无明显变化。结论：关节手术后合并异位骨化的患者在监测下采用关节牵伸和松动，并配合冷疗、中药外敷等综合治疗，可以逐步改善关节功能而不引起骨化范围扩大。 |
| 关键词：异位骨化 关节松动 关节牵伸 |
| Rehabilitation of heterotopic ossification following joints operation Download Fulltext |
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| Rehabilitation center of 3rd hospital, Peking University, Beijing 100083, China |
| Fund Project: |
| Abstract: |
| Objective：To study the rehabilitative method for the patients of heterotopic ossification (HO) following joints operation. Method: Fitteen patients who suffered from limitation of range of motion (ROM) and HO were involved in this study. ESR, ALP and CRP were tested to judge the phase of HO, stretching and mobilization were used to increase the ROM. Range of HO on the imaging were observed pre and post treatment. Result: All the patients got ROMs increased after treatment. Range of HO detected by X-ray and ALT3000-B type ultrasound did not show obvious change. Conclusion: The combinative treatment of cold therapy, Chinese medicinal herbs, stretching and mobilization can be used for patients of HO following joint operation to restore the joint function, without enlargement of the range of HO. |
| Keywords:heterotopic ossification mobilization stretch |
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