关节镜微创治疗习惯性髌骨脱位的护理与康复  

The Nursing and Rehabilitation of Arthroscopy Minimally Invasive in Treatment of Habitual Patellar Dislocation

作　　者：杨瑞[1] 霍丽丽[1] 张春啸 陈祥云[1] 马超[1] 

机构地区：[1]河北省衡水市第四人民医院,河北衡水053000

出　　处：《中国医学创新》2015年第10期80-83,共4页Medical Innovation of China

摘　　要：目的：探讨关节镜辅助下治疗习惯性髌骨脱位围手术期进行护理干预及康复训练对临床效果的影响。方法：27例习惯性髌骨脱位患者在关节镜辅助下行外侧支持带松解、内侧支持带紧缩、重建术。围手术期针对不同患者给予心理指导，全面系统的健康知识宣教及综合功能康复训练等。结果：26例患者术后恢复良好，1例出现切口延迟愈合（18d）。无坠积性性肺炎、下肢深静脉血栓等并发症。术后患者住院5～18d，平均（12．04-5）d。随访12～24个月，平均（18．0±5）个月。1例患者因惧痛出现膝关节粘连，主动伸20°、被动屈110°。其余患者随访期内无髌骨脱位再复发，无膝关节活动受限、髌骨稳定性较术前好转，术后效果满意。结论：关节镜治疗习惯性髌骨脱位患者，围手术期采取科学、系统、针对性的护理干预，可有效预防术后并发症的发生，恢复膝关节功能，改善患者日常生活质量，提高一般运动能力。Objective： To explore the diagnosis and treatment under arthroscopy assisted habitual patellar dislocation perioperative nursing intervention and rehabilitation training on the clinical effect.Method： The medial and revascularlzation of 27 patients with habitual pate[lar dislocation in arthroscopy were assisted descending of the lateral retinaeulum release.Perioperative according to different patients, psychological guidance, a comprehensive system of heahh knowledge education and comprehensive function rehabilitation training were given for them.Result： 26 cases recovered well postoperatively, 1 cases with delayed healing of incision （ 18 days ） .No hypostatic pneumonia, complications such as deep vein thrombosis of lower limbs.Postoperative patients in hospital 5-18 d, average of 12.5 d.Follow-up of 12 to 24 months, an average of 18.5 months.1 patient because of fear pain in knee joint adhesion, active flexion was 20°and passive flexion was 110°.The rest of the patients with follow-up period without patellar dislocation relapse again, no limited knee joint activities, patellar stability was better preoperative, postoperative effect was satisfactory.Conclusion： Arthroscopic treatment of habitual patellar dislocation patients perioperative science, system, and targeted nursing intervention, which can effectively prevent the occurrence of postoperative complications, restore the knee joint function, improve patients quality of life, and improve exercise capacity in general.

关 键 词：关节镜 髌骨脱位 护理与康复 疗效评价 

分 类 号：R473.6[医药卫生—护理学]