胫骨平台骨折术后冷热敷护理对早期膝关节功能康复的影响  

The effect of cold and heat compress nursing on early knee functional rehabilitation of tibial plateau fracture

作　　者：刘茜[1] 袁琼[1] 张燕[1] 魏化军[1] 邢麟子[1] 

机构地区：[1]安徽省马鞍山市人民医院,安徽马鞍山243000

出　　处：《实用临床医药杂志》2015年第10期57-59,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨冷热敷结合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。方法采取前瞻性随机对照双盲试验的研究方法,将本院收治的胫骨平台骨折患者40例,随机分为试验组和对照组各20例。试验组实施特定的护理治疗,包括湿热敷和冷敷治疗;对照组实施单纯的CPM治疗。术后治疗1周和2周后比较2组膝关节功能的恢复情况。结果术后2周试验组患者主动屈膝的角度为(92.15±13.22)°,而对照组为(75.38±16.51)°,试验组在膝关节临床评价、疼痛程度方面均优于对照组,差异有统计学意义(P<0.05)。结论对胫骨平台骨折手术患者术后实施早期冷热敷结合CPM机锻炼有助于患者术后膝关节功能的恢复,提高患者的生活质量。Objective To study the effect of cold and heat compress combined with continuous passive motion（CPM） on knee functional rehabilitation in patients with tibial plateau fracture after operation.Methods According to randomized controlled double - blind trial research methods,40 patients with tibial plateau fracture were randomly divided into test group and control group,with 20 cases in each group.The test group was given special nursing including cold and heat compress while the control group was only given CPM therapy.After 1 and 2 weeks,knee functional rehabilitation was compared between the two groups.Results After 2 weeks,the degree of knee flexion was（92.15 ± 13.22） °in test group and（75.38 ± 16.51） °in the control group.The clinical effect and pain of test group were significantly better than that in the control group,the difference was statistically significant（P〈 0.05）.Conclusion Early cold and heat compress combined with continuous passive motion can help the function recovery of knee in tibial plateau fracture patients after operation.It also improves the life quality of the patients.

关 键 词：冷热敷 CPM治疗 胫骨平台骨折 功能康复 

分 类 号：R473.6[医药卫生—护理学]