Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency an...Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.展开更多
目的:探讨在对手指旋转撕脱离断伤断指患者采用显微外科再植治疗的效果。方法:纳入2021年3月至2024年3月间我院收治的手指旋转撕脱离断伤断指患者96例,随机分为对照组和研究组(n=48),分别给予常规残端修整术治疗以及显微外科再植手术治...目的:探讨在对手指旋转撕脱离断伤断指患者采用显微外科再植治疗的效果。方法:纳入2021年3月至2024年3月间我院收治的手指旋转撕脱离断伤断指患者96例,随机分为对照组和研究组(n=48),分别给予常规残端修整术治疗以及显微外科再植手术治疗。治疗后6m对比患者治疗效果,治疗后6m测定两点辨别觉、断指指甲长度等,并采用手指关节总主动活动度(Total active movement,TAM)评估指关节功能,术前、术后1m采用日常生活能力(Activity of daily living,ADL)评分评价患者日常生活能力。结果:治疗后半年研究组患者总有效率为91.67%,相较于对照组的66.67%升高(χ^(2)=9.095,P<0.05);研究组患者临床各项指标恢复程度优于对照组(P<0.05);研究组患者关节功能恢复情况优于对照组(χ^(2)=9.466,P<0.05);治疗后1m两组患者日常生活能力评分均相较于治疗前上升,且研究组相较于对照组上升(P<0.05)。结论:采用显微外科再植治疗可有助于手指断面组织生长,并对远端指尖活动度、关节活动度起到改善作用,并提升日常生活能力。展开更多
文摘Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.
文摘目的:探讨在对手指旋转撕脱离断伤断指患者采用显微外科再植治疗的效果。方法:纳入2021年3月至2024年3月间我院收治的手指旋转撕脱离断伤断指患者96例,随机分为对照组和研究组(n=48),分别给予常规残端修整术治疗以及显微外科再植手术治疗。治疗后6m对比患者治疗效果,治疗后6m测定两点辨别觉、断指指甲长度等,并采用手指关节总主动活动度(Total active movement,TAM)评估指关节功能,术前、术后1m采用日常生活能力(Activity of daily living,ADL)评分评价患者日常生活能力。结果:治疗后半年研究组患者总有效率为91.67%,相较于对照组的66.67%升高(χ^(2)=9.095,P<0.05);研究组患者临床各项指标恢复程度优于对照组(P<0.05);研究组患者关节功能恢复情况优于对照组(χ^(2)=9.466,P<0.05);治疗后1m两组患者日常生活能力评分均相较于治疗前上升,且研究组相较于对照组上升(P<0.05)。结论:采用显微外科再植治疗可有助于手指断面组织生长,并对远端指尖活动度、关节活动度起到改善作用,并提升日常生活能力。
文摘目的 探讨微型游离皮瓣重建与超显微技术再植治疗TamaiⅠ区指端离断的临床效果。方法 回顾性分析2022年5月至2023年9月收治的47例TamaiⅠ区指端离断患者的临床资料,按手术方式分为两组,分别行超显微技术再植术(再植组, 26例)和微型游离皮瓣重建术(重建组, 21例)。比较两组的临床效果。结果 两组患者均顺利完成手术,再植断指、重建皮瓣均成活。两组手术时间及并发症发生率比较均无统计学差异(P>0.05)。均获随访,随访时间3~12个月。术后3个月根据上肢功能评定表(disabilities of the arm, shoulder and hand, DASH)进行功能评分,重建组平均(13.0±5.6)分,明显优于再植组(17.2±7.2)分(P<0.05)。按中华医学会手外科学会功能评定标准:再植组优8例,良15例,差3例,重建组优15例,良5例,差1例;两组优良率比较无统计学差异(88.5%vs.95.2%,P>0.05)。结论 对于TamaiⅠ区指端离断,微型游离皮瓣重建术在术后功能恢复上较超显微技术再植术可能更具优势。
