不同康复疗法对人工膝关节置换术后早期功能恢复的影响  

Influence of Different Rehabilitation Therapy on Early Functional Recovery Postoperative Knee Joint Arthroplasty

作　　者：左凌[1] 陕大艳[1] 陈启明[1] 涂昭号 刘洁[1] 陈爱萍[1] 肖林[1] 王娴默[1] 

机构地区：[1]荆州市第一人民医院,湖北荆州434000

出　　处：《中医学报》2014年第6期729-731,共3页Acta Chinese Medicine

基　　金：国家自然科学基金项目(编号:30860286)

摘　　要：目的:观察不同康复疗法人工膝关节置换术后早期膝关节功能恢复的临床疗效。方法:将45例患者按随机数字表法分为主动康复组、被动康复组和系统康复组。主动康复组采用主动康复训练,被动康复组采用被动康复训练,系统康复组治疗则以主动康复训练联合CPM机的被动康复训练为主,在进行患者主动康复训练前,先使用CPM机进行锻炼。治疗后采用AKSS标准对康复疗效进行评估并比较三组疗效。结果:在人工膝关节置换术的早期功能康复临床疗效观察中,在改善膝评分方面,主动康复组与采用CPM的被动康复组比较无明显差异,但被动康复组在膝功能评分明显低于主动康复组,而集主动康复与CPM锻炼于一体的系统康复疗法可收获最佳的膝评分与功能恢复效果。结论:主动康复疗法与被动康复疗法各具所长,而系统康复疗法可综合二者优势,在改善术后膝关节活动度,恢复膝关节屈伸膝肌群整体肌力等方面疗效显著,并可尽最大程度恢复膝关节功能。Objective ：To observe the clinical curative effect of different rehabilitation therapy treatment of early functional recovery after knee arthroplasty. Methods ：45 patients were randomly divided into active rehabilitation group and passive rehabilitation group,the for- mer was given active rehabihtation training, and the later passive rehabilitation training. Systematic rehabilitation treatment group was given first using CPM machine for exercise, and active rehabilitation training. After treatment, assessed rehabilitation efficacy using AKSS standard and compared the curative effect three groups. Results：Clinical curative effect observation on early functional recovery of knee joint arthroplasty, there was no significant difference between active rehabilitation group and CPM passive rehabilitation group in improving knee scoring,but knee function score of passive rehabilitation group was obviously lower than that of active rehabilitation group, and integrating active rehabilitation and CPM exercise system rehabilitation therapy can gain the best effect of knee scoring and functional recovery. Conclusion：Active and passive rehabilitation therapy each each with its strengths, but systematic rehabilitation ther- apy can combine the two formers＇ advantages ,which has good effect in improving the postoperative knee activity and recovery of knee flexion and extension overall muscle strength,recovering knee joint function maximumly.

关 键 词：人工膝关节置换术 早期功能恢复 系统康复疗法 主动功能训练 CPM 

分 类 号：R247.9[医药卫生—中医临床基础]