当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
30期
58-58,59
,共2页
人工膝关节置换术%术前%康复训练
人工膝關節置換術%術前%康複訓練
인공슬관절치환술%술전%강복훈련
Artiifcial total knee replacement%Preoperative%Rehabilitation training
目的：探讨术前康复训练对人工膝关节置换术后功能恢复的影响。方法将昆明医科大学附属第一医院80例接受全膝关节置换术患者随机均分为治疗组和对照组（n=40），对照组术后第1天即进行综合康复训练，治疗组在此基础上加以术前指导，比较2组患者术后疼痛、膝关节功能及平均住院天数的差异。结果（1）2组患者术后3d VAS评分：治疗组得分为（4.35±0.63）分，显著低于对照组的（6.82±0.79）分，经统计分析，差异有统计学意义（P＜0.05）；（2）术后6周膝关节功能比较：治疗组优良率显著优于对照组（77.5% VS 45%）；（3）治疗组患者平均住院天数短于对照组，但差异无统计学意义。结论术前康复训练对提高人工膝关节置换术后患肢的功能，减轻疼痛有明显效果，同时缩短患者住院天数，有助于改善患者生活质量和降低住院医疗成本。
目的：探討術前康複訓練對人工膝關節置換術後功能恢複的影響。方法將昆明醫科大學附屬第一醫院80例接受全膝關節置換術患者隨機均分為治療組和對照組（n=40），對照組術後第1天即進行綜閤康複訓練，治療組在此基礎上加以術前指導，比較2組患者術後疼痛、膝關節功能及平均住院天數的差異。結果（1）2組患者術後3d VAS評分：治療組得分為（4.35±0.63）分，顯著低于對照組的（6.82±0.79）分，經統計分析，差異有統計學意義（P＜0.05）；（2）術後6週膝關節功能比較：治療組優良率顯著優于對照組（77.5% VS 45%）；（3）治療組患者平均住院天數短于對照組，但差異無統計學意義。結論術前康複訓練對提高人工膝關節置換術後患肢的功能，減輕疼痛有明顯效果，同時縮短患者住院天數，有助于改善患者生活質量和降低住院醫療成本。
목적：탐토술전강복훈련대인공슬관절치환술후공능회복적영향。방법장곤명의과대학부속제일의원80례접수전슬관절치환술환자수궤균분위치료조화대조조（n=40），대조조술후제1천즉진행종합강복훈련，치료조재차기출상가이술전지도，비교2조환자술후동통、슬관절공능급평균주원천수적차이。결과（1）2조환자술후3d VAS평분：치료조득분위（4.35±0.63）분，현저저우대조조적（6.82±0.79）분，경통계분석，차이유통계학의의（P＜0.05）；（2）술후6주슬관절공능비교：치료조우량솔현저우우대조조（77.5% VS 45%）；（3）치료조환자평균주원천수단우대조조，단차이무통계학의의。결론술전강복훈련대제고인공슬관절치환술후환지적공능，감경동통유명현효과，동시축단환자주원천수，유조우개선환자생활질량화강저주원의료성본。
Objective This study was aimed to investigate the effect of preoperative rehabilitation training on functional recovery after total knee arthroplasty (TKA).Methods 80 patients who have accepted the TKA were randomly divided into treatment group and control group (n=40). Two groups took comprehensive rehabilitation training from postoperative day; In the meantime the treatment group also accepted the preoperative guidance of rehabilitation training. We compared two groups of patients with postoperative pain, knee joint function and the average hospitalization days.Results (1)Compare the VAS score of postoperative 3 days between two groups, the treatment group scored (4.35 ± 0.63) signiifcantly lower than the control group (6.82 ± 0.79) (P<0.05), the statistical analysis of the difference was signiifcant; (2) The knee joint function after 6 weeks of treatment group was signiifcantly better than the control group (77.5% vs 45%); (3) The average hospitalization days of patients in treatment group shorter than the control group, but the difference was not statistically signiifcant.Conclusion Preoperative rehabilitation training was the effective method to improve the function of TKA patients, and also shorten the hospitalization days. And it is also contribute to improve the patients’ quality of life and to decrease the cost of hospitalization medical treatment.
