关节镜下重建前交叉韧带的康复护理  

Rehabilitation nursing of arthroscopic reconstruction of anterior cruciate ligament

作　　者：范柳萍[1] 黄房珍[1] 李晓芳[1] 

机构地区：[1]广东省佛山市第二人民医院骨科,528000

出　　处：《护理实践与研究》2012年第23期77-78,共2页Nursing Practice and Research

摘　　要：目的:探讨膝关节镜下行前交叉韧带重建的康复护理。方法:对26例膝关节前交叉韧带损伤患者在膝关节镜下行前交叉韧带重建术后进行系统的护理和康复训练,如术前重视心理护理,术后进行患肢膝关节持续冰敷48 h,并指导患者在佩戴膝关节角度锁定支具下早期进行有计划、有规律性的康复训练。结果:患者均顺利康复出院。随访3个月～2年,所有病例术前症状消失,完全恢复正常行走,步态、关节的稳定性及活动度均正常,抽屉试验阴性,无1例发生关节僵硬、皮肤坏死、股四头肌功能下降。结论:膝关节镜下行前交叉韧带重建手术,术前进行有效的心理护理是手术成功的基本前提,术后进行系统的护理和早期进行有计划、有目的、循序渐进的功能锻炼是保证其成功康复的关键。Objective ： To explore rehabilitation nursing of arthroscopic reconstrucition of the anterior cruciate ligament. Methods ： Postoperative rehabilitation training for 26 cases of anterior cruciate ligament reconstructed in the arthroseopy, preoperative psychological nursing, limb knee sustained ice 48 h affter surgeny, guided patients to train designedly and regularly under angle locking brace proteeted in the early. Results ： All patients were followed up for 3 months to 2 years, got normal walking gait, good joint stability and activity, drawer test was negative. And no case of stiff joints, skin necrosis, and quadriceps function decreased. Conclusion ：Psychologieal nursing before operation was the basic of the surgery. Postoperative systematic nursing and early, planned, purposeful and progressive functional exercise was the key of success.

关 键 词：关节镜 前交叉韧带 康复护理 

分 类 号：R473.6[医药卫生—护理学]