CAJ | 학술논문

目的：评价综合康复治疗对膝关节置换术（ TKA）预后的影响。方法：采用术前随机将100例TKA患者分为研究组和对照组，每组50例。2组行TKA后均给予常规治疗和相关处理，其中研究组给予综合康复治疗，而对照组给予一般常规康复训练；分别于术后第1、2、6周进行HSS评分及观察术后早期并发症的发生情况。结果：研究组术后有2例发生切口浅表感染，对照组有1例发生切口浅表感染，均经换药治愈；研究组在术后1周和2周HSS评分高于对照组，术后6w HSS评分2组比较，差异无统计学意义（P＞0．05）；研究组于术后2周内患者下肢深静脉血栓形成发生率明显低于对照组，差异有统计学意义（P＜0．01）；研究组术后发生膝前疼痛3例，对照组发生膝前疼痛8例，2组比较差异有统计学意义。结论：综合康复治疗可明显减少TKA后早期并发症，其在TKA围手术期的合理应用对预防术后早期并发症的发生有积极作用。
목적：평개종합강복치료대슬관절치환술（ TKA）예후적영향。방법：채용술전수궤장100례TKA환자분위연구조화대조조，매조50례。2조행TKA후균급여상규치료화상관처리，기중연구조급여종합강복치료，이대조조급여일반상규강복훈련；분별우술후제1、2、6주진행HSS평분급관찰술후조기병발증적발생정황。결과：연구조술후유2례발생절구천표감염，대조조유1례발생절구천표감염，균경환약치유；연구조재술후1주화2주HSS평분고우대조조，술후6w HSS평분2조비교，차이무통계학의의（P＞0．05）；연구조우술후2주내환자하지심정맥혈전형성발생솔명현저우대조조，차이유통계학의의（P＜0．01）；연구조술후발생슬전동통3례，대조조발생슬전동통8례，2조비교차이유통계학의의。결론：종합강복치료가명현감소TKA후조기병발증，기재TKA위수술기적합리응용대예방술후조기병발증적발생유적겁작용。
Objective:Evaluation of comprehensive rehabilitation therapy on total knee arthroplasty (TKA) prognosis.Methods:The preoperative 100 TKA patients were randomly divided into research group and the control group , 50 cases in each group .Line after TKA 2 group were given conventional treatment and related processing , including team gives comprehensive rehabilitation treatment , and the control group given conventional rehabilitation training;Postoperative 1, 2, 6 w in HSS score and observation of early postoperative com-plications .Results:The team superficial infection occurred in 2 cases of postoperative incision , control group a 1 case had a superficial in-fection of incision , cured by dressing;Team in postoperative 1 w and 2 w HSS score higher than the control group , postoperative 6 w HSS score two groups of comparison , there was no statistically significant difference (P >0.05);Team in the postoperative 2 w incidence of lower extremity deep vein thrombosis in patients with significantly lower than the control group , the difference was statistically significant (P <0.01);Team's knee pain occurred after 3 cases, control group 8 knee pain occurs, the more similar between the two groups have statistical significance .Conclusion:The comprehensive rehabilitation therapy can significantly reduce early complications after TKA , the reasonable application of TKA in peri -operation period of early prevention of complications after operation has a positive effect .