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作 者:董晓艳[1] 张明学[1] 魏民[1] 李海峰[1] 朱娟丽[1]
机构地区:[1]解放军总医院骨科,北京100853
出 处:《军医进修学院学报》2010年第10期972-973,共2页Academic Journal of Pla Postgraduate Medical School
基 金:国家科技支撑计划项目(2007BA104B09)~~
摘 要:目的探讨膝关节前交叉韧带(ACL)重建术后反应性滑膜炎的护理。方法 2005-2008年ACL重建患者302例,其中8例发生反应性滑膜炎,男7例,女1例,发生率为2.65%。对术后滑膜炎的患者采用关节镜清理、灌注置管冲洗,术后专科护理、指导康复训练。结果 Lysholm膝关节评分(81.6±9.5)分,膝关节活动度(88.8±8.3)度;Lachman试验和前抽屉试验阳性1例,但无临床症状。结论精心护理及针对性康复锻炼可促进术后反应性滑膜炎康复。Objective To study the nursing of reactive synovitis patients after arthroscopic anterior cruciate ligament(ACL) reconstruction. Methods ACL was reconstructed for 302 patients in 2005-2008. Among these patients, reactive synovitis occurred in 8 (7 males and 1 female) with an incidence of 2.65%. Arthroscopic debridement and washing were performed for reactive synovitis. The patients were nursed and received rehabilitation training. Results The lysholm score of knee joint was 81.6 ± 9.5 and the motion of knee joint was (88.8 ± 8.3) degree. Lachman and anterior drawer test were positive in 1 patient who had no clinical symptom. Conclusion Careful nursing and targeted rehabilitation exercises can promote recovery of reactive synovitis patients after arthroscopic ACL reconstruction.
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