中文摘要：

目的：探讨综合护理对跟腱Haglund病关节镜下清理射频消融术后康复的影响。方法：选取本院跟腱Haglund病关节镜下清理射频消融术后患者71例,采用随机数字表法将患者分为两组,其中对照组35例,采用常规护理方法,观察组36例,在对照组基础上采用综合护理措施,比较两组术后的康复效果。结果：观察组康复优良率明显高于对照组,两组比较差异有统计学意义（P〈0.05）;护理前,两组患者Fowler-Philip角、跟骨后上突突起高度、VAS评分及Tengner评分比较差异均无统计学意义（P〉0.05）;护理后,观察组患者Fowler-Philip角明显低于护理前,全部患者跟骨后上突突起高度和VAS评分均明显低于护理前,Tengner评分明显高于护理前,护理前后比较差异均有统计学意义（P〈0.05）,观察组患者Fowler-Philip角、跟骨后上突突起高度和VAS评分均明显低于对照组,Tengner评分明显高于对照组,两组比较差异均有统计学意义（P〈0.05）,观察组护理满意率明显高于对照组,两组比较差异有统计学意义（P〈0.05）。结论：综合护理有助于显著改善跟腱Haglund病关节镜下清理射频消融术后患者踝关节活动程度,降低疼痛程度,提高康复护理效果。

英文摘要：

Objective： To investigate the effect of comprehensive nursing on the rehabilitation of achilles tendon haglund disease after arthroscopic debridement and radiofrequency ablation.Method：71 patients with achilles tendon haglund disease after arthroscopic debridement and radiofrequency ablation in our hospital were selected and randomly divided into two groups.35 cases in the control group were given conventional nursing,36 cases in the observation group were given comprehensive nursing on the basis of conventional nursing.The effects of postoperative rehabilitation were compared between the two groups.Result： The excellent recovery rate of the observation group was significantly higher than that of the control group,the difference was statistically significant（P〈0.05）.Before nursing,the differences of the two groups in the aspects of Fowler-Philip angle,spout height of calcaneus posterior superior,VAS scores and Tengner scores were not statistically significant（P〈0.05）.After nursing,Fowler-Philip angle of the observation group was significantly lower than pre-nursing, the spout height of calcaneus posterior superior and VAS scores of the two groups were significantly lower than pre-nursing,Tengner scores of the two groups were significantly higher than pre-nursing,the differences between pre-nursing and post-nursing were statistically significant（P〈0.05）.The Fowler-Philip angle,spout height of calcaneus posterior superior and VAS score of the observation group were significantly lower than those of the control group,Tengner score of the observation group was significantly higher than that of the control group,the differences were statistically significant（P〈0.05）.Nursing satisfaction rate of the observation group was significantly higher than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion：Comprehensive nursing can improve the activity degree of ankle joint,reduce pain degree and improve the rehabilitation effect after arthroscopic debr