早期康复干预对人工全膝关节置换术患者肢体功能恢复的影响  

作　　者：汤舜銮[1,2] 李惠卿[1,2] 洪瑜玲[1,2] 郑义君[1,2] 

机构地区：[1]中山大学附属汕头医院 [2]汕头市中心医院外七科,广东汕头515031

出　　处：《现代临床护理》2010年第1期4-5,11,共3页Modern Clinical Nursing

基　　金：汕头市科技计划项目课题;项目编号为汕府科(2008)85号

摘　　要：目的探讨早期康复干预对人工膝关节置换术患者肢体功能恢复的影响。方法将60例行全膝关节置换术的患者随机分为常规组30例与干预组30例。两组患者均采用常规护理,干预组在此基础上实施早期康复干预。比较两组患者治疗后膝关节功能评分(HSS)、膝关节活动度(ROM)和并发症发生情况。结果术后3个月干预组患者HSS评分、ROM均优于常规组,两组比较,差异具有统计学意义(均P<0.01)。结论对人工全膝关节置换术患者术后早期实施康复干预能有效增加膝关节活动度,促进患者膝关节功能恢复并防止下肢深静脉栓塞等并发症的发生。Objective To investigate the effect of early rehabilitation intervention on limb function recovery in patients after total knee replacement. Methods Sixty patients with total knee replacement were randomly divided into the conventional group （n = 30） and the intervention group （n = 30）. Patients in both groups received conventional care. In addition, the intervention group took early rehabilitation functional exercise. Special surgery knee score （HSS）, and range of motion （ROM） and complication occurrence in the two groups after treatment were compared. Results Three months after operation, patients＇ HSS, ROM in the intervention group were higher than those in the conventional group, The differences was statistically significant （P 〈 0.01 ）. Conclusion After artificial total knee replacement operation, early rehabilitation intervention can help improve effectively patients＇ motion of joint, advance knee joint function＇ restoration, and prevent complications such as deep vein embolism in lower limb .

关 键 词：人工全膝关节置换术 康复干预 膝关节功能 膝关节活动度 

分 类 号：R473.6[医药卫生—护理学]