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音乐疗法联合分级康复训练对手术固定后踝关节骨折患者的影响:一项回顾性研究

Effect of Music Therapy Combined with Graded Rehabilitation Exercise on Patients with Ankle Fractures after Surgical Fixation: A Retrospective Study.

作者信息

Yuan Tian, Zhao Lei, Ni Yan, Zhao Yan, Zhang Lingxia

机构信息

Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.

Department of Major Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

Noise Health. 2025;27(125):187-193. doi: 10.4103/nah.nah_132_24. Epub 2025 Apr 29.

Abstract

UNLABELLED

Objective This study aimed to analyse the effect of music therapy combined with graded rehabilitation exercise on postoperative patients with ankle fractures.

METHODS

This retrospective study was conducted on 100 patients with ankle fractures, all of whom were admitted to Nanjing First Hospital between January 2019 and December 2021. Patients were treated with open reduction and internal fixation. According to whether the patients received music therapy or not, they were grouped into the music therapy group and the conventional group, each comprising 50 cases. The recovery time, rehabilitation efficacy, ankle range of motion (ROM), pain level (Numerical Rating Scale [NRS]) and quality of life (World Health Organization Quality of Life Evaluation Questionnaire [WHOQOL-BREF]) were compared between the two groups.

RESULTS

The postoperative ambulation time, fracture healing time, hospital stay and total effective rate showed no significant difference between the two groups (P > 0.05). Two months after surgery, the plantarflexion, dorsiflexion, inversion and eversion range of the two groups significantly increased compared with that before the intervention, but the ankle ROM showed no significant difference between the two groups (P > 0.05). The NRS scores of the music therapy group at 7, 14 and 28 days after surgery were significantly lower than those of the conventional group (P < 0.05). Furthermore, the WHOQOL-BREF scores of psychological function, physical function, social function and material life dimensions in the music therapy group were significantly higher than those in the conventional group (P < 0.05).

CONCLUSIONS

Music therapy combined with graded rehabilitation exercise can reduce postoperative pain in patients with ankle fractures and improve their quality of life.

摘要

未标注

目的 本研究旨在分析音乐疗法联合分级康复锻炼对踝关节骨折术后患者的影响。

方法

本回顾性研究纳入了100例踝关节骨折患者,所有患者均于2019年1月至2021年12月期间入住南京第一医院。患者均接受切开复位内固定治疗。根据患者是否接受音乐疗法,将其分为音乐治疗组和常规组,每组各50例。比较两组患者的恢复时间、康复疗效、踝关节活动度(ROM)、疼痛程度(数字评分量表[NRS])和生活质量(世界卫生组织生活质量评估问卷[WHOQOL-BREF])。

结果

两组患者术后行走时间、骨折愈合时间、住院时间和总有效率比较,差异均无统计学意义(P>0.05)。术后2个月,两组患者的跖屈、背屈、内翻和外翻活动度均较干预前显著增加,但两组踝关节ROM比较,差异无统计学意义(P>0.05)。音乐治疗组术后7天、14天和28天的NRS评分均显著低于常规组(P<0.05)。此外,音乐治疗组心理功能、生理功能、社会功能和物质生活维度的WHOQOL-BREF评分均显著高于常规组(P<0.05)。

结论

音乐疗法联合分级康复锻炼可减轻踝关节骨折患者术后疼痛,提高其生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb55/12063950/35882dab4b5a/NH-27-187-g004.jpg

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