Impact of postoperative rehabilitation nursing on shoulder joint function after arthroscopic rotator cuff repair
肩袖损伤关节镜术后康复护理对肩关节功能的影响

摘要

目的 研究系统康复护理对肩袖损伤关节镜术后恢复的影响，分析其在功能重建、疼痛缓解和关节活动恢复中的作用，为优化术后康复方案提供依据。方法 选取2024年1月至2025年1月行关节镜修复术的50例肩袖损伤患者，随机分为实验组和对照组各25例。对照组采用常规护理（健康教育、病情监测及用药指导），观察组在常规护理基础上增加系统康复干预（分阶段关节活动训练、个性化功能锻炼及动态疼痛管理）。术后6周、12周评估两组肩关节功能、疼痛水平及活动度并对比分析。结果 康复期结束后，实验组在多项功能评价中表现出显著优势。肩关节评分较对照组提升明显，疼痛评分降低更为稳定。在前屈、外展、旋转等活动度评估中，实验组恢复曲线更加平滑，运动协调性改善尤为突出。组间差异达到统计学意义（P<0.05），提示系统康复护理具备较强的干预效能。结论 肩袖损伤关节镜术后应用快速康复护理可显著促进患者肩关节功能恢复，缓解患者术后疼痛感。

Abstract

Objective To investigate the effects of systematic rehabilitation nursing on postoperative recovery after arthroscopic rotator cuff repair, analyzing its role in functional reconstruction, pain relief, and joint mobility restoration, thereby optimizing rehabilitation protocols.
Methods Fifty patients undergoing arthroscopic repair from January 2024 to January 2025 were randomized into an experimental group (n=25) and a control group (n=25). The control group received conventional care (health education, monitoring, and medication guidance), while the experimental group added systematic rehabilitation (phased joint mobilization, personalized functional training, and dynamic pain management). Shoulder function, pain levels, and range of motion (ROM) were assessed at 6 and 12 weeks postoperatively.
Results The experimental group demonstrated superior outcomes: significantly higher shoulder function scores (P<0.05), more stable pain reduction, and smoother recovery curves in flexion, abduction, and rotation. Enhanced motor coordination was notably observed, with intergroup differences reaching statistical significance(P<0.05), confirming the efficacy of systematic rehabilitation.
Conclusion   Fast-track rehabilitation nursing significantly improves functional recovery and pain control after arthroscopic rotator cuff repair.