摘要目的 探讨“三期量变”康复方案在肱骨髁间骨折术后康复中应用的疗效。方法 回顾性分析2015年1月至2020年1月山东中医药大学附属医院收治的60例肱骨髁间骨折患者的临床治疗效果，根据术后康复方法的不同分为两组。采用国际内固定研究学会(association for the study of internal fixation，AO/ASIF)传统早期无痛康复方法进行术后康复的患者为AO组，共30例，其中男12例，女18例；年龄21～80岁，平均(55.30±17.69)岁；C1型12例，C2型10例，C3型8例。采用“三期量变”康复方案进行术后康复的患者为三期量变组，共30例，其中男14例，女16例；年龄22～80岁，平均(51.50±19.64)岁；C1型11例，C2型10例，C3型9例。比较两组患者术后1年后的Mayo肘关节功能评分、前臂旋转角度等。结果 三期量变组在Mayo肘关节功能评分、肘关节屈伸旋转方面均显著优于AO组(P＜0.05)。两组患者在稳定性方面差异无统计学意义(P＞0.05)。三期量变组优良率显著高于AO组(P＜0.05)。结论 “三期量变”康复方案明显优于AO传统早期无痛康复方案，具有良好临床应用疗效。
Abstract：Objective To investigate the effect of the “three-phase quantative adjustment” rehabilitation program in postoperative rehabilitation of intercondylar fractures of humeral.Methods The clinical therapeutic effects of 60 patients with humeral intercondylar fractures treated in the affiliated hospital of Shandong university of traditional Chinese medicine from January 2015 to January 2020 were retrospectively analyzed.They were divided into two groups according to different postoperative rehabilitation methods.There were 30 patients in the AO group，including 12 males and 18 females.The age range from 21 to 80 years old，with an average age of (55.30±17.69) years.There were 12 cases of type C1，10 cases of type C2，and 8 cases of type C3，using the traditional early painless rehabilitation method of the association for the study of internal fixation (AO/ASIF) for postoperative rehabilitation.The patients who underwent postoperative rehabilitation using the “three-phase quantitative change” rehabilitation program were divided into three-phase quantitative change group，with a total of 30 patients，including 14 males and 16 females.The age ranged from 22 to 80 years old，with an average age of (51.50±19.64) years.There were 11 cases of type C1，10 cases of type C2，and 9 cases of type C3.The Mayo elbow-performance score and forearm rotation angle were compared between the two groups 1 year after operation.Results The Mayo elbow-performance score and elbow flexion and extension rotation in the three-phase quantitative change group were significantly better than those in the AO group (P＜0.05).There was no significant difference in stability between the two groups (P＞0.05).The excellent and good rate in the three-phase quantitative change group was significantly higher than that in the AO group (P＜0.05).Conclusion The “three-phase quantitative change” rehabilitation program is obviously better than the traditional early painless rehabilitation program of AO，and has a good clinical application effect.
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