[1]薛 刚,蔺亚平△.手外伤严重程度评估系统与术后患者手功能相关性研究[J].陕西医学杂志,2020,49(1):83-86.
　XUE Gang,LIN Yaping..Correlation analysis between hand injury severity scoring and hand function of patients after operation[J].,2020,49(1):83-86.
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手外伤严重程度评估系统与术后患者手功能相关性研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年1期
页码:
83-86
栏目:
临床研究
出版日期:
2020-01-05

文章信息/Info

Title:
Correlation analysis between hand injury severity scoring and hand function of patients after operation
文章编号:
DOI:10.3969/j.issn.10007377.2020.01.022
作者:
薛 刚1; 蔺亚平2△
1.西安国际医学中心医院（西安 710018）；2.西安市工会医院骨科 (西安 710100)
Author(s):
XUE Gang; LIN Yaping.
Xi’an International Medical Center Hospital (Xi’an 710018)
关键词:
手外伤; 手功能; 手外伤严重程度评估系统; 相关分析; 康复; 对照研究
Keywords:
Key words Hand injury;  Hand function; HISS; Correlation analysis; Rehabilitation; Control study
分类号:
R658.2
文献标志码:
A
摘要:
摘 要 目的：基于手外伤严重程度评分系统（HISS）与术后手功能康复半年患者进行对照，探索HISS与手功能之间的主要相关因素，为术后如何加强手功能锻炼提供理论依据。方法：对67例手外伤患者进行HISS评分，术后行康复治疗并测量手功能相关数据。对HISS与手功能的各项指标进行典型相关分析。结果：典型相关分析显示，第一典型变量U1=-0.098Y1-0.418Y2-0554Y3-0848Y4，V1=-0277X1-0347X2+0037X3-0326X4+0392X5-0096X6，手功能与患手关节总活动度、两点辨别觉及健侧、患侧握力和侧捏力差关联密切；HISS与伤时神经、手内在肌、骨骼的损伤程度关系密切。结论：术后康复半年手总关节活动度、浅感觉及手部力量三组是主要影响手功能的典型变量；神经损伤是主要影响HISS的典型变量；术中神经损伤程度直接影响手总关节活动度、浅感觉、手部力量。
Abstract:
Abstract Objective:Based on the comparison between hand injury severity scoring (HISS) and hand function rehabilitation patients for half a year, the main related factors between HISS and hand function were explored to provide theoretical basis for strengthening hand function exercise after operation. Methods: 67 patients with hand injury were assessed with HISS score. The rehabilitation treatment was performed after operation, and the data related to hand function was measured. The canonical correlation analysis between HISS and various indicators of hand function was carried out. Results: The canonical correlation analysis showed that the first canonical variable U1=-0098Y1-0.418Y2-0.554Y3-0848Y4，V1=-0277X1-0347X2+0037X3-0326X4+0392X5-0096X6. Hand function was closely related to the total activity of the affected hand joint, twopoint discrimination sense, grip strength of healthy and affected side, and the difference of grip strength of both sides. HISS was closely related to the injury degree of nerve, hand internal muscle and bone. Conclusion: The total activity of hand joint, superficial sensation and hand strength are the typical variables that affect the hand function. The nerve injury is the typical variable that mainly affects the HISS. The degree of nerve injury during operation directly affects the total activity of hand joint, superficial sensation and hand strength.

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更新日期/Last Update: 2020-02-17