CAJ | 학술논문

目的探讨胫骨平台粉碎性骨折复位后注射透明质酸钠及功能锻炼后患者的康复效果.方法对134例胫骨平台粉碎性骨折患者在切开复位内固定后,随机分为观察组和对照组各67例.观察组术后第7天开始于膝关节腔内注射透明质酸钠2ml和1%利多卡因0.5ml,1次/周,共3次,同时进行膝关节主动及被动功能训练.对照组术后仅接受常规治疗护理.对2组患者于术后第4个月末.按Lysholm膝关节功能评分标准进行评分,并对结果进行比较.结果观察组患者得分均高于对照组,2组比较差异有统计学意义(P＜0.01).结论胫骨平台粉碎性骨折复位后注射透明质酸钠和利多卡因及功能锻炼,能促进关节软骨愈合,有助于膝关节功能康复.
목적 탐토경골평태분쇄성골절복위후주사투명질산납급공능단련후환자적강복효과.방법 대134례경골평태분쇄성골절환자재절개복위내고정후,수궤분위관찰조화대조조각67례.관찰조술후제7천개시우슬관절강내주사투명질산납2ml화1%리다잡인0.5ml,1차/주,공3차,동시진행슬관절주동급피동공능훈련.대조조술후부접수상규치료호리.대2조환자우술후제4개월말.안Lysholm슬관절공능평분표준진행평분,병대결과진행비교.결과 관찰조환자득분균고우대조조,2조비교차이유통계학의의(P＜0.01).결론 경골평태분쇄성골절복위후주사투명질산납화리다잡인급공능단련,능촉진관절연골유합,유조우슬관절공능강복.
Objective To investigate the clinical effect of hyaluric acid sodium injection and functional exercises on patients with comminuted fracture of tibia plateau after reposition. Methods 134 patients with comminuted fracture of tibia plateau after reposition were randomized into the observation group and the control group with 67 cases in each group. The observation group received 2ml of hyaluric acidsodium injection into the knee joint cavity with 1％ lidocaine once a week and 3 times totally. At the same time active and passive functional exercises were applied. The control group was only given routine nursing. The knee function was evaluated by Lysholm Scale 4 months after operation and the results were compared. Results The score of the observation group was higher than that of the control group(P＜0.01).Conclusion The hyaluric acid sodium injection and functional exercises could improve the healing of joint cartilage and contribute to the rehabilitation of joint function in patients with comminuted fracture of tibia plateau after reposition.