胫骨平台骨折术后患者辅助CPM治疗对膝关节功能的影响  

Effect of CPM training on knee joint function in patients with tibial plateau fracture after operation

作　　者：李卫平[1] 王江林[1] 徐莉莉[1] 

机构地区：[1]泸州医学院附属医院康复科,四川泸州646000

出　　处：《海南医学》2013年第6期812-814,共3页Hainan Medical Journal

摘　　要：目的探讨辅助持续被动运动(Continuous passive motion,CPM)治疗对胫骨平台骨折术后患者的膝关节功能恢复的影响。方法胫骨平台骨折患者85例,在采用膝关节镜术后分为CPM+主动运动训练(CPM组)47例和主动运动训练(非CPM组)38例,比较两组患者在术后2、4、6、12周膝关节伸屈活动度和术后3个月、12个月膝关节功能的恢复情况。结果两组患者患膝屈曲角度比较,CPM组第2、4、6周均优于非CPM组(P<0.05),而第12周两者比较差异无统计学意义(P>0.05);Rasmussen临床评分比较,术后3个月优良率CPM组优于非CPM组,组间比较差异有统计学意义(P<0.05);术后12个月两组组间比较差异无统计学意义(P>0.05)。结论早期功能锻炼有助于患者术后膝关节功能的恢复,CPM训练有助于缩短其恢复时间,提高患者的生活质量。Objective To study the effect of continuous passive motion（CPM） training on knee joint function in patients with tibial plateau fracture after operation.Methods Eighty-five patients with tibial plateau fracture after operation were divided into two groups.The CPM group（n=47） was treated with CPM and active training,the non-CPM group received active training only.After 2,4,6,and 12 weeks,knee range of motion was compared between the two groups.After 3 and 12 months,knee joint function was compared.Results The degree of knee flexion of CPM group were significantly better than non-CPM group 2,4 and 6 weeks after operation,（P0.05）,which showed no statistically significant difference between the two groups 12 weeks after operation（P0.05）.Three months after operation,the function recovery of CPM group were significantly better than non-CPM group（P0.05）,but 12 months after operation,there were no significant difference between the two groups（P0.05）.Conclusion Early stage active training can recover the function of knee.CPM training can shorten the recovery time and improve the life quality of the patients.

关 键 词：CPM 胫骨平台骨折 膝关节 功能 

分 类 号：R687[医药卫生—骨科学]