关节镜下膝关节多发韧带损伤重建术后的康复护理  

Rehabilitation nursing after arthroscopic reconstruction for multiple ligament injuries of knee

作　　者：钱雪梅[1] 董伟强[1] 刘素霞[1] 杨春英[1] 

机构地区：[1]广州医学院第一附属医院骨科,510120

出　　处：《中华关节外科杂志（电子版）》2013年第1期42-45,共4页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：目的探讨关节镜下膝关节多发韧带损伤重建术后的康复护理方法和效果。方法对本组2010年3月～2012年9月收治的11例膝关节多发韧带损伤患者,施行关节镜下膝关节前、后交叉等多韧带重建术,根据重建材料、手术方法和患者个体差异制定系统的围手术期康复训练计划,加强出院后持续康复训练的指导,分阶段对康复效果进行随访。结果随访1周～29个月,平均随访(14.29±9.13)个月,膝关节活动度平均110°,最小的均>95°,无关节不稳定症状。11例膝关节前抽屉试验及外侧侧方应力试验均为(-);后抽屉试验:(+)9例,(-)2例,手术前后比较差异均有统计学意义(Z=3.035,Z=3.066,P均小于0.01)。结论根据患者多发韧带损伤特点,制定个体化、系统的围手术期康复训练计划,加强出院后持续康复训练管理,对促进关节镜下重建多发韧带损伤术后关节功能的全面康复至关重要。Objective To investigate the rehabilitation nursing procedure and its effects after arthroscopic reconstruction for multiple ligament injuries of the knee. Methods From March 2010 to September 2012, 11 cases of multiple ligament injuries of knee received anterior/posterior cruciate ligaments reconstruction by arthroscopy. According to the reconstruction materials, different surgical techniques and individual differences of patients, various rehabilitation training plans for perioperation period were specificly guided and managed. Patients were followed up to evaluate the clinical effects of training. Results All the patients were regularly followed up for one week to 29 months, with an average time of （ 14. 29±9. 13 ） months. All the patients felt no more unstability of the knee. Their gaits were normal. The anterior drawing test and lateral stress test were both negative in all cases. Posterior drawing test was positive in nine cases and negative in two cases. The difference between preoperative and postoperative knee functions was statistically significant （ P 〈 0. 01 ）. Knee activity was over 95~ in average. Instability of knee joint was not observed. Conclusions Planned and systematic rehabilitation nursing based on the reconstruction materials, different surgical techniques and individual differences, can benefit functional recovery of knee joint. It is essential for patients who have arthroscopie reconstruction of mutiple ligament injuries to keep on rehabilitation training after leaving the hospital.

关 键 词：关节镜检查 多发韧带损伤 重建术 康复护理 

分 类 号：R473.6[医药卫生—护理学]