人工全膝关节置换手术术后持续被动运动的干预效果  

Clinical intervention effect observation of continuous passive motion after total knee arthroplasty

作　　者：刘琦 

机构地区：[1]河南省遂平中医院,河南遂平463100

出　　处：《中国医药导报》2015年第30期94-97,共4页China Medical Herald

摘　　要：目的观察人工全膝置换术（TKA）后持续被动运动（CPM）的临床干预效果。方法选择2012年1月～2013年1月在遂平中医院接受TKA手术的患者34例（41膝），分为观察组17例（20膝）和对照组17例（21膝）。对照组给予术后常规康复性训练，观察组在对照组的训练基础上给予围术期持续被动运动康复训练。对两组膝关节膝关节主动屈伸度（AROM）、膝关节屈伸至90。时间、膝关节功能评价、平均拆线时间、住院时间及并发症发生情况进行比较。结果①观察组术后15d膝关节AROM[（91．5±5．2）°]明显高于对照组[（76．1±3．1）°1，差异有统计学意义（P〈0．05）；两组术后3个月膝关节AROM比较，差异无统计学意义（P〉0．05）。观察组膝关节屈伸至900的时间[（10．1±1．1）d]明显短于对照组[（18．6±1．2）d]，差异有统计学意义（P〈0．05）。②观察组术后3个月膝关节疼痛、膝关节僵硬、膝关节功能、WOMAC总分[（7．21±1．75）、（3．46±0．89）、（35．66±6．19）、（46．79±7．86）分]等项目比较，均明显低于对照组[（8．54±2．07）、（4．64±1．05）、（43．71±5．64）、（56．10±7．40）分]，差异均有统计学意义（P〈0．05）。③两组平均拆线时间、住院时间比较，差异均无统计学意义（P〉0．05）。结论TKA术后CPM治疗是一种简便、有效、经济的康复治疗方法。Objective To observe the clinical intervention effect of continuous passive motion （CPM） after the total knee arthroplasty （TKA）. Methods 34 cases （41 knees） of TKA patients in Traditional Chinese Medicine Hospital of Suiping County, from January 2012 to January 2013, were selected and divided into observation group （17 cases, 20 knees） and con- trol group （17 cases, 21 knees）. The control group was treated with routine postoperative rehabilitation training, the ob- servation group was treated with CPM on the bases of control group. The knee-joint active range of motion, knee joint function assessment, surgical suture removal time, hospital stays between the two groups were compared. Results ①The knee-joint AROM of 15 days after the operation in observation group [（91.5±5.2）°] was higher than that in control group [（76.1±3.1）°], the difference was statistically significant （P 〈 0.05）; the difference of knee-joint AROM 3 months after the operation in the two groups was not statistically significant （P 〉 0.05）. The time of knee-joint flexion-extension 90° in ob- servation group [（10.1±1.1） d] was shorter than that in control group [（18.6＋1.2） d], the difference was statistically significant （P 〈 0.05）. ②The scores of knee-joint pain, stiffness, stiffness and WOMAC total score 3 months after the operation in observation group [（7.21±1.75）, （3.46±0.89）, （35.66±6.19）, （46.79±7.86） scores] were all lower than those in control group [（8.54±2.07）, （4.64±1.05）, （43.71±5.64）, （56.10±7.40） scores], the differences were statistically significant （P 〈 0.05）. （3）The differences of surgical suture removal time, hospital stays between the two groups were all not statistically significant （P 〉 0.05）. Conclusion CPM is a simple, effective and economic rehabilitation treatment of TKA.

关 键 词：人工全膝置换术 持续被动运动 干预效果 

分 类 号：R687.4[医药卫生—骨科学]