中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
3期
82-84,85
,共4页
下肢创伤骨折%膝关节僵硬%功能训练
下肢創傷骨摺%膝關節僵硬%功能訓練
하지창상골절%슬관절강경%공능훈련
Lower limb trauma fracture%Knee stiffness%Functional training
目的：观察、评估系统性功能训练在下肢创伤骨折术后对预防膝关节僵硬的作用。方法：选取下肢创伤性骨折患者126例，根据患者术后的护理方式分成实验组和对照组各63例。对照组给予下肢创伤性骨折术后的常规护理；实验组在对照组的基础上给予有计划耐心细致的功能训练康复护理。术后随访并对两组患者进行肌力、伸屈度以及患者的并发症发生情况进行统计，对患者的膝关节功能康复进行综合评价。结果：实验组患者术后膝关节肌力和伸屈度均优于对照组；实验组术后并发症发生率为15.9%，对照组术后并发症发生率为28.6%；两组患者膝关节功能综合评价，实验组优良率为82.5%(52/63)，对照组优良率为65.1%(41/63)；其差异均具有统计学意义(x2＝12.6，P＜0.05)。结论：下肢创伤性骨折术后对患者进行系统性的康复功能训练康复护理，关节活动功能恢复显著，是科学有效的方法，应进一步推广。
目的：觀察、評估繫統性功能訓練在下肢創傷骨摺術後對預防膝關節僵硬的作用。方法：選取下肢創傷性骨摺患者126例，根據患者術後的護理方式分成實驗組和對照組各63例。對照組給予下肢創傷性骨摺術後的常規護理；實驗組在對照組的基礎上給予有計劃耐心細緻的功能訓練康複護理。術後隨訪併對兩組患者進行肌力、伸屈度以及患者的併髮癥髮生情況進行統計，對患者的膝關節功能康複進行綜閤評價。結果：實驗組患者術後膝關節肌力和伸屈度均優于對照組；實驗組術後併髮癥髮生率為15.9%，對照組術後併髮癥髮生率為28.6%；兩組患者膝關節功能綜閤評價，實驗組優良率為82.5%(52/63)，對照組優良率為65.1%(41/63)；其差異均具有統計學意義(x2＝12.6，P＜0.05)。結論：下肢創傷性骨摺術後對患者進行繫統性的康複功能訓練康複護理，關節活動功能恢複顯著，是科學有效的方法，應進一步推廣。
목적：관찰、평고계통성공능훈련재하지창상골절술후대예방슬관절강경적작용。방법：선취하지창상성골절환자126례，근거환자술후적호리방식분성실험조화대조조각63례。대조조급여하지창상성골절술후적상규호리；실험조재대조조적기출상급여유계화내심세치적공능훈련강복호리。술후수방병대량조환자진행기력、신굴도이급환자적병발증발생정황진행통계，대환자적슬관절공능강복진행종합평개。결과：실험조환자술후슬관절기력화신굴도균우우대조조；실험조술후병발증발생솔위15.9%，대조조술후병발증발생솔위28.6%；량조환자슬관절공능종합평개，실험조우량솔위82.5%(52/63)，대조조우량솔위65.1%(41/63)；기차이균구유통계학의의(x2＝12.6，P＜0.05)。결론：하지창상성골절술후대환자진행계통성적강복공능훈련강복호리，관절활동공능회복현저，시과학유효적방법，응진일보추엄。
Objective:To investigate and assess the systemic functional training in the prevention of lower limb trauma fracture surgery knee stiffness effect. Methods: Select General Hospital of PLA (301 Hospital) traumatic lower extremity Department of orthopedics from 2009 since April admissions of fractures in patients with 126 cases, according to the nursing methods of postoperative patients were divided into experimental group 63 cases and control group 63 cases, control group was given routine nursing after traumatic fracture of lower limb, the experimental group received training rehabilitation care plan and patient in the control group. Postoperative follow-up, the time of 5 months-2 years, two groups of patients were muscle strength, extension and flexion degree and the patients with complications were analyzed statistically, and the comprehensive evaluation of knee joint function recovery of patients. Results:The postoperative knee flexion strength and degree than the control group;experimental group, the complication rate was 15.9%in the control group of patients swelling after seven cases, the complication rate was 28.6%; comprehensive evaluation knee function two groups of patients in the experimental group was 82.5% excellent (52/63), good rate of the control group was 65.1% (41/63);said comparison items were statistically significant differences (x2=12.6, P<0.05). Conclusion: Lower limb trauma fracture surgery rehabilitation for patients with systemic functional training rehabilitation care, joint function recovery is remarkable, scientifically valid methods, should be further promoted.
