综合康复锻炼联合多模式镇痛对肿瘤膝关节置换术后功能恢复的意义  

Study on the role of comprehensive functional rehabilitation combined with multimodal analgesia in the recovery of knee joint replacement accompanied with tumor

作　　者：褚彦青[1] 冯和林[2] 李淑军[1] 尹珍爱[1] 许建发[2] 

机构地区：[1]河北医科大学第四医院手术室,石家庄050011 [2]河北医科大学第四医院骨科,石家庄050011

出　　处：《中国肿瘤临床与康复》2015年第4期498-500,共3页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：河北省卫生厅医学科学研究课题计划(20130548)

摘　　要：目的探讨综合康复锻炼联合多模式镇痛在膝部骨肿瘤假体置换术后功能恢复的意义。方法 2005年1月至2010年1月行该手术治疗的患者22例为对照组,术后给予对症治疗及持续被动活动(CPM)功能锻炼。2010年1月至2013年1月38例患者为治疗组,给予综合康复锻炼联合多模式镇痛促进膝关节功能恢复。回顾资料及随访比较两组患者的依从性及术后2周、3和6个月的肢体功能恢复情况。结果治疗组患者依从性明显高于对照组,差异有统计学意义(P<0.01)。治疗组与对照组患者术后2周、3个月、6个月膝关节功能评分(HSS膝关节评分)及膝关节活动范围(ROM)比较,差异均有统计学意义(均P<0.05)。结论采用综合康复锻炼联合多模式镇痛可提高患者依从性,能够促进膝部骨肿瘤假体置换术后的功能恢复。Objective To investigate the role of comprehensive functional rehabilitation combined with multimodal analgesia in the recovery of knee joint replacement accompanied with tumor. Methods the control group included 22 tumor patients who underwent the knee joint replacement and received symptomatic treatment and CPM exercise from January 2005 to January 2010. The treatment group included 38 tumor patients who received comprehensive rehabilitation exercise combined with multimodal analgesia after the operation during January 2010 to January 2013. The compliance and the recovery of patients of these two groups were determined by retrospective clinical data and follow-up 2 weeks,3 and 6 months after the operation. Results The compliance of the treatment group was better than that in the control group（ P〈0. 01）.The HSS knee score and knee joint activities range（ ROM） after operation 2 weeks,3 months and 6 months were statistically significant（ P〈0. 05）. Conclusion The comprehensive rehabilitation exercise combined with multimodal analgesia could improve the compliance of patients and promote their recovery after the knee joint replacement.

关 键 词：膝关节 肿瘤 关节置换 康复 镇痛 

分 类 号：R473.73[医药卫生—护理学]