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Nursing Science 2025
肱骨干骨折手术患者三角肌萎缩影响因素及研究进展
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Abstract:
对肱骨干骨折手术患者三角肌萎缩的现状、影响因素及护理干预进行综述，旨在为我国临床进一步开展肱骨干骨折手术患者三角肌萎缩的相关研究提供参考，建议临床护理人员在开展围术期护理时，充分考虑患者的实际情况，设计个性化护理方案。
This article reviews the current situation, influencing factors and nursing intervention of deltoid muscle atrophy in patients with humeral shaft fracture surgery, so as to provide a reference for further clinical research on deltoid muscle atrophy in patients with humeral shaft fracture surgery in China. It is suggested that clinical nurses should fully consider the actual situation of patients and design personalized nursing programs when carrying out perioperative nursing.
| [1] | Tecimel, O. (2021) The Comparison of Single Plate and Double Plate Fixation Methods for Treatment of Humeral Shaft Nonunions. Joint Diseases and Related Surgery, 32, 67-74. https://doi.org/10.5606/ehc.2021.74488 |
| [2] | 郭雲. 肱骨干骨折三种治疗方式的疗效分析[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2023. |
| [3] | Lee, J., Lee, S.H., Kim, H. and Chung, S.W. (2024) Effect of Electrical Muscle Stimulation on the Improvement of Deltoid Muscle Atrophy in a Rat Shoulder Immobilization Model. Journal of Orthopaedic Research, 42, 2634-2645. https://doi.org/10.1002/jor.25943 |
| [4] | Fuqua, J.D., Lawrence, M.M., Hettinger, Z., Borowik, A.K., Peelor, F.F., Confides, A.L., et al. (2022) Impaired Proteostasis, Not Protein Synthesis, Limits Recovery of Aged Skeletal Muscle after Disuse Atrophy. The FASEB Journal, 36. https://doi.org/10.1096/fasebj.2022.36.s1.r3524 |
| [5] | Wang, C., Ma, X., Liu, Q. and Dai, G. (2021) Postoperative Malrotation of Humerus Shaft Fracture Causes Degeneration of Rotator Cuff and Cartilage. Scientific Reports, 11, Article No. 18596. https://doi.org/10.1038/s41598-021-98040-6 |
| [6] | Wang, H., Chen, L., Xu, G. and Liu, H. (2024) Biomechanical Effects of Deltoid Muscle Atrophy on Rotator Cuff Tissue: A Finite Element Study. Scientific Reports, 14, Article No. 17592. https://doi.org/10.1038/s41598-024-67368-0 |
| [7] | 胡庆奎, 李佳, 蔡贤华, 等. 不同运动方式对兔胫骨平台骨折术后腓肠肌的影响[J]. 中国矫形外科杂志, 2019, 27(12): 1122-1127. |
| [8] | 周永战, 陈佩杰, 郑莉芳, 等. 废用性肌萎缩的发生机制及治疗策略[J]. 中国康复医学杂志, 2017, 32(11): 1307-1313. |
| [9] | Liguori, S., Moretti, A., Toro, G., Arienti, C., Patrini, M., Kiekens, C., et al. (2024) Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Individuals with Upper Limb Fractures: A Mapping Synthesis. Medicina, 60, Article 469. https://doi.org/10.3390/medicina60030469 |
| [10] | Brook, M.S., Stokes, T., Gorissen, S.H.M., Bass, J.J., McGlory, C., Cegielski, J., et al. (2022) Declines in Muscle Protein Synthesis Account for Short‐Term Muscle Disuse Atrophy in Humans in the Absence of Increased Muscle Protein Breakdown. Journal of Cachexia, Sarcopenia and Muscle, 13, 2005-2016. https://doi.org/10.1002/jcsm.13005 |
| [11] | Hettinger, Z.R., Hamagata, K., Confides, A.L., Lawrence, M.M., Miller, B.F., Butterfield, T.A., et al. (2021) Age-related Susceptibility to Muscle Damage Following Mechanotherapy in Rats Recovering from Disuse Atrophy. The Journals of Gerontology: Series A, 76, 2132-2140. https://doi.org/10.1093/gerona/glab186 |
| [12] | Fuqua, J., Lawrence, M., Hettinger, Z., Borowik, A., Brecheen, P., Peelor, F., et al. (2023) Impaired Proteostatic Mechanisms Other than Protein Synthesis Limit Aged Skeletal Muscle Recovery after Disuse Atrophy. Physiology, 38, Article ID: 5729708. https://doi.org/10.1152/physiol.2023.38.s1.5729708 |
| [13] | Howard, E.E., Pasiakos, S.M., Fussell, M.A. and Rodriguez, N.R. (2020) Skeletal Muscle Disuse Atrophy and the Rehabilitative Role of Protein in Recovery from Musculoskeletal Injury. Advances in Nutrition, 11, 989-1001. https://doi.org/10.1093/advances/nmaa015 |
| [14] | McKendry, J., Coletta, G., Nunes, E.A., Lim, C. and Phillips, S.M. (2024) Mitigating Disuse‐induced Skeletal Muscle Atrophy in Ageing: Resistance Exercise as a Critical Countermeasure. Experimental Physiology, 109, 1650-1662. https://doi.org/10.1113/ep091937 |
| [15] | Wang, C., Ma, X., Lu, L., Guo, Z. and Dai, G. (2022) A Finite Element Model of the Shoulder: Application to the Changes of Biomechanical Environment Induced by Postoperative Malrotation of Humeral Shaft Fracture. BMC Musculoskeletal Disorders, 23, Article No. 525. https://doi.org/10.1186/s12891-022-05479-3 |
| [16] | Karimi, D., Houkjær, L., Skive, A., Holmenlund, C., Brorson, S., Viberg, B., et al. (2022) Exploring Patient Experiences after Treatment of Humeral Shaft Fractures: A Qualitative Study. International Journal of Orthopaedic and Trauma Nursing, 46, Article ID: 100957. https://doi.org/10.1016/j.ijotn.2022.100957 |
| [17] | Nicolaci, G., Maes, V., Lollino, N. and Putzeys, G. (2022) How to Treat Proximal and Middle One-Third Humeral Shaft Fractures: The Role of Helical Plates. Musculoskeletal Surgery, 107, 231-238. https://doi.org/10.1007/s12306-022-00748-9 |
| [18] | Song, H., He, T., Guo, H.Y., Li, Z., Wei, M., Zhang, C., et al. (2020) Locking Plates versus Locking Intramedullary Nails Fixation of Proximal Humeral Fractures Involving the Humeral Shaft: A Retrospective Cohort Study. Medical Science Monitor, 26, e922598. https://doi.org/10.12659/msm.922598 |
| [19] | 刘硕. 交锁髓内钉与锁定钢板治疗肱骨干骨折的疗效分析[D]: [硕士学位论文]. 西宁: 青海大学, 2021. |
| [20] | Nunes, E.A., Stokes, T., McKendry, J., Currier, B.S. and Phillips, S.M. (2022) Disuse-Induced Skeletal Muscle Atrophy in Disease and Nondisease States in Humans: Mechanisms, Prevention, and Recovery Strategies. American Journal of Physiology-Cell Physiology, 322, C1068-C1084. https://doi.org/10.1152/ajpcell.00425.2021 |
| [21] | Mirzoev, T.M. (2020) Skeletal Muscle Recovery from Disuse Atrophy: Protein Turnover Signaling and Strategies for Accelerating Muscle Regrowth. International Journal of Molecular Sciences, 21, Article 7940. https://doi.org/10.3390/ijms21217940 |
| [22] | Mcglory, C., Gorissen, S.H.M., Kamal, M., Bahniwal, R., Hector, A.J., Baker, S.K., et al. (2019) ω‐3 Fatty Acid Supplementation Attenuates Skeletal Muscle Disuse Atrophy during Two Weeks of Unilateral Leg Immobilization in Healthy Young Women. The FASEB Journal, 33, 4586-4597. https://doi.org/10.1096/fj.201801857rrr |
| [23] | Koh, F.H., Loh, C.H., Tan, W.J., Ho, L.M.L., Yen, D., Chua, J.M.W., et al. (2021) Structured Presurgery Prehabilitation for Aged Patients Undergoing Elective Surgery Significantly Improves Surgical Outcomes and Reduces Cost: A Nonrandomized Sequential Comparative Prospective Cohort Study. Nutrition in Clinical Practice, 37, 645-653. https://doi.org/10.1002/ncp.10787 |
| [24] | Almufareh, M.F., Kausar, S., Humayun, M. and Tehsin, S. (2023) Leveraging Motor Imagery Rehabilitation for Individuals with Disabilities: A Review. Healthcare, 11, Article 2653. https://doi.org/10.3390/healthcare11192653 |
| [25] | Paravlic, A.H., Slimani, M., Tod, D., Marusic, U., Milanovic, Z. and Pisot, R. (2018) Effects and Dose-Response Relationships of Motor Imagery Practice on Strength Development in Healthy Adult Populations: A Systematic Review and Meta-Analysis. Sports Medicine, 48, 1165-1187. https://doi.org/10.1007/s40279-018-0874-8 |
| [26] | Spiering, B.A., Clark, B.C., Schoenfeld, B.J., Foulis, S.A. and Pasiakos, S.M. (2022) Maximizing Strength: The Stimuli and Mediators of Strength Gains and Their Application to Training and Rehabilitation. Journal of Strength and Conditioning Research, 37, 919-929. https://doi.org/10.1519/jsc.0000000000004390 |
| [27] | Lindsay, R., Spittle, S. and Spittle, M. (2023) Considering the Need for Movement Variability in Motor Imagery Training: Implications for Sport and Rehabilitation. Frontiers in Psychology, 14, Article 1178632. https://doi.org/10.3389/fpsyg.2023.1178632 |
| [28] | Song, J.S., Yamada, Y., Kataoka, R., et al. (2024) Cross-Education of Muscular Endurance: A Scoping Review. Sports Medicine, 54, 1771-1783. |
| [29] | Cuenca-Martínez, F., Angulo-Díaz-Parreño, S., Feijóo-Rubio, X., Fernández-Solís, M.M., León-Hernández, J.V., LA Touch E, R., et al. (2022) Motor Effects of Movement Representation Techniques and Cross-Education: A Systematic Review and Meta-Analysis. European Journal of Physical and Rehabilitation Medicine, 58, 94-107. https://doi.org/10.23736/s1973-9087.21.06893-3 |
| [30] | Yildiz, T.I., Turhan, E., Huri, G., Ocguder, D.A. and Duzgun, I. (2024) Cross-education Effects on Shoulder Rotator Muscle Strength and Function after Shoulder Stabilization Surgery: A Randomized Controlled Trial. Journal of Shoulder and Elbow Surgery, 33, 804-814. https://doi.org/10.1016/j.jse.2023.10.037 |
| [31] | 杨鑫, 李九群, 秦美容. 前交叉韧带重建术病人股四头肌萎缩影响因素及护理进展[J]. 护理研究, 2023, 37(12): 2203-2207. |
| [32] | 杨梦璇, 黄维, 苏建华, 等. 神经肌肉电刺激治疗在加速重症监护病房患者康复方面的应用进展[J]. 中国康复医学杂志, 2021, 36(3): 370-374. |
| [33] | 白震民, 王哲培, 郭明航, 等. 电针结合被动牵伸运动对废用性肌萎缩小鼠骨骼肌恢复的影响[J]. 针刺研究, 2020, 45(9): 720-725. |
| [34] | Lee, G.J., Cho, H., Ahn, B. and Jeong, H. (2019) Effects of Electrical Muscle Stimulation for Preventing Deltoid Muscle Atrophy after Rotator Cuff Repair: Preliminary Results of a Prospective, Randomized, Single-Blind Trial. Clinics in Shoulder and Elbow, 22, 195-202. https://doi.org/10.5397/cise.2019.22.4.195 |
| [35] | 陆锦华. 血流限制训练的效果、作用机制与实践策略[J]. 河北体育学院学报, 2020, 34(3): 77-84. |
| [36] | 逯莉莉, 桂沛君, 谢瑛, 等. 血流限制训练联合有氧运动的作用机制及其在康复领域的应用进展[J]. 中国康复医学杂志, 2023, 38(10): 1459-1463. |
| [37] | McGinniss, J.H., Mason, J.S., Morris, J.B., Pitt, W., Miller, E.M. and Crowell, M.S. (2022) The Effect of Blood Flow Restriction Therapy on Shoulder Function Following Shoulder Stabilization Surgery: A Case Series. International Journal of Sports Physical Therapy, 17, 1144-1155. https://doi.org/10.26603/001c.37865 |
| [38] | Slysz, J.T., Boston, M., King, R., Pignanelli, C., Power, G.A. and Burr, J.F. (2020) Blood Flow Restriction Combined with Electrical Stimulation Attenuates Thigh Muscle Disuse Atrophy. Medicine & Science in Sports & Exercise, 53, 1033-1040. https://doi.org/10.1249/mss.0000000000002544 |
| [39] | Grgic, J., Schoenfeld, B.J., Davies, T.B., Lazinica, B., Krieger, J.W. and Pedisic, Z. (2018) Effect of Resistance Training Frequency on Gains in Muscular Strength: A Systematic Review and Meta-analysis. Sports Medicine, 48, 1207-1220. https://doi.org/10.1007/s40279-018-0872-x |
| [40] | Marshall, R.N., Morgan, P.T., Smeuninx, B., Quinlan, J.I., Brook, M.S., Atherton, P.J., et al. (2022) Myofibrillar Protein Synthesis and Acute Intracellular Signaling with Elastic Band Resistance Exercise in Young and Older Men. Medicine & Science in Sports & Exercise, 55, 398-408. https://doi.org/10.1249/mss.0000000000003061 |
| [41] | Abou Sawan, S., Nunes, E.A., Lim, C., McKendry, J. and Phillips, S.M. (2022) The Health Benefits of Resistance Exercise: Beyond Hypertrophy and Big Weights. Exercise, Sport and Movement, 1, e00001. https://doi.org/10.1249/esm.0000000000000001 |
| [42] | 范晓波, 姜艳萍, 张晓燕, 等. 上肢康复操在维持性血液透析患者中的应用研究[J]. 中华护理杂志, 2022, 57(21): 2572-2578. |
| [43] | 郭孝静, 王艳, 张立, 等. 基于线粒体质量控制探讨运动对骨骼肌萎缩的研究进展[J]. 中国比较医学杂志, 2024, 34(6): 144-150. |
| [44] | 赵亚男, 卢冬磊, 谭思洁. 运动干预老年人的肌少性肥胖[J]. 中国组织工程研究, 2025, 29(17): 3657-3667. |
| [45] | 杨建军. 有氧运动对尾部悬吊大鼠骨骼肌Piezo1/PI3K/AKT/GSK3-β通路的影响[D]: [硕士学位论文]. 成都: 成都体育学院, 2024. |
| [46] | Yang, Y., Gu, D., Qian, Y., Wang, H. and Chai, X. (2021) Effectiveness of Aerobic Exercise on Upper Limb Function Following Breast Cancer Treatment: A Systematic Review and Meta-analysis. Annals of Palliative Medicine, 10, 3396-3403. https://doi.org/10.21037/apm-20-2616 |
| [47] | 刘洁, 闫金凤, 韩鹏, 等. 不同康复疗法对颈淋巴结清扫术后患者颈肩功能影响的网状Meta分析[J]. 中华护理杂志, 2023, 58(14): 1704-1711. |
| [48] | Yoshihara, T. and Naito, H. (2020) Protective Effects of Acute Exercise Preconditioning on Disuse-Induced Muscular Atrophy in Aged Muscle: A Narrative Literature Review. The Journal of Physiological Sciences, 70, Article No. 55. https://doi.org/10.1186/s12576-020-00783-w |
| [49] | Ato, S., Kido, K., Sase, K. and Fujita, S. (2020) Response of Resistance Exercise-Induced Muscle Protein Synthesis and Skeletal Muscle Hypertrophy Are Not Enhanced after Disuse Muscle Atrophy in Rat. Frontiers in Physiology, 11, Article 469. https://doi.org/10.3389/fphys.2020.00469 |
| [50] | LeGood, N.L.M., Li, X., Ha, M. and Downer, J.D.R. (2024) Prehab? Rehab? Both? Exploring Interventions to Alleviate Disuse‐Induced Muscle Atrophy and Anabolic Resistance in Older Adults. The Journal of Physiology, 602, 995-996. https://doi.org/10.1113/jp286231 |
| [51] | Clifford, K., Woodfield, J.C., Tait, W., Campbell, H.A. and Baldi, J.C. (2023) Association of Preoperative High-Intensity Interval Training with Cardiorespiratory Fitness and Postoperative Outcomes among Adults Undergoing Major Surgery: A Systematic Review and Meta-Analysis. JAMA Network Open, 6, e2320527. https://doi.org/10.1001/jamanetworkopen.2023.20527 |
| [52] | Thomas, A.C.Q., Brown, A., Hatt, A.A., Manta, K., Costa‐Parke, A., Kamal, M., et al. (2022) Short‐Term Aerobic Conditioning Prior to Resistance Training Augments Muscle Hypertrophy and Satellite Cell Content in Healthy Young Men and Women. The FASEB Journal, 36, e22500. https://doi.org/10.1096/fj.202200398rr |
| [53] | Jameson, T.S.O., Kilroe, S.P., Fulford, J., Abdelrahman, D.R., Murton, A.J., Dirks, M.L., et al. (2021) Muscle Damaging Eccentric Exercise Attenuates Disuse-Induced Declines in Daily Myofibrillar Protein Synthesis and Transiently Prevents Muscle Atrophy in Healthy Men. American Journal of Physiology-Endocrinology and Metabolism, 321, E674-E688. https://doi.org/10.1152/ajpendo.00294.2021 |
| [54] | Smeuninx, B., Elhassan, Y.S., Sapey, E., Rushton, A.B., Morgan, P.T., Korzepa, M., et al. (2023) A Single Bout of Prior Resistance Exercise Attenuates Muscle Atrophy and Declines in Myofibrillar Protein Synthesis during Bed‐Rest in Older Men. The Journal of Physiology, 603, 87-105. https://doi.org/10.1113/jp285130 |
| [55] | 黄雅廷, 傅力. 不同运动方式对废用性肌萎缩的防治效果及对FOXO1/3a的影响[C]//广州体育学院, 中国体育科学学会运动生理生化分会, 中国体育科学学会运动医学分会. 2022年第七届广州运动与健康国际学术研讨会论文集. 2022: 2. |
