康复步行机对人工全膝关节置换术后患者功能恢复的影响  

The Effection of Functional Recovery of Hip Joint after Total Hip Arthroplasty by the Rehabilitative Functional Training Accompany with Walking Rehabilitation Training Car

作　　者：刘效仿[1] 王鹏[1,2] 余海波 禤天航[1] 谢韶东 刘礼初[1] 

机构地区：[1]佛山市中医院,广东佛山528000 [2]广州中医药大学研究生院,广东广州510405

出　　处：《医疗装备》2017年第23期1-2,共2页Medical Equipment

基　　金：佛山市院市合作项目(2012HY100631);佛山市高校和医院科研基础平台建设项目(2013AG10009);佛山市医学公关项目(2015AB00359);佛山市十三五重点专科建设项目

摘　　要：目的观察康复步行机对人工全膝关节置换术(TKA)后患者膝关节功能、日常生活活动能力的影响。方法选取2013年1月至2015年12月收治的膝关节骨性关节炎行单侧TKA的患者70例,根据随机数字表法分为试验组与对照组,各35例。对照组采用常规护理和常规康复锻炼,试验组在对照组的基础上增加康复步行机的使用。比较两组术后第1,3,6个月美国特种外科医院(HSS)膝关节功能评分以及术后6个月两组的康复满意度。结果试验组术后1,3,6个月HSS膝关节功能评分均高于对照组,术后6个月试验组在患肢疼痛、功能、活动度、肌力、屈曲畸形、减分项目评分方面均高于对照组,差异均有统计学意义(P<0.05)。但两组膝关节稳定性评分比较,差异无统计学意义(P>0.05)。术后6个月,试验组对康复效果的满意度高于对照组[94.3%(33/35)比71.4%(25/35)],差异有统计学意义(P<0.05)。试验组对康复步行机的使用满意度为91.4%(32/35)。结论下肢康复步行机结合常规康复训练能明显提高患者早期膝关节的运动功能,后期可明显提高患膝功能及日常生活能力的恢复,且能明显提高患者的术后满意度。Objective To observe the influence of function recovery after total knee arthroplasty(TKA) by the conventional rehabilitative functional training accompany with Walking Rehabilitation Training car. Methods 70 patients after THA in Foshan Hospital of Traditional Chinese Medicine(FHTCM) from January 2013 to December 2015 were randomized into trial group(35 cases) and control group(35 cases). The control group was treated by conventional functional training treatment. The trial group was given conventional rehabilitative functional training accompany with Walking Rehabilitation Training Car. The scores of HSS in the two groups at 1 th,3 th and 6 th month post-operation and the patient's satisfaction at the end of month 6 post-operation were compared, respectively. Results All cases were effective followed up. After 1, 3,6 months of treatment, the scores of HSS higher than before treatment(P<0.05). HSS score of trial group(74.1±2.5),(85.9±2.0),(96.1±1.9) at 1, 3,6 months postoperatively higher than control group(70.0±2.5),(80.3±1.7),(84.3±2.7)(P<0.05). The results showed that the joint pain, function, the range of joint, muscle tone and flexion deformity were improved effectively in trial group(P<0.05). There was no statistically significant in improve joint stability. Compared with after treatment, patient's postoperative satisfaction(94.3% in trial group and 91.4% in control group). After chi square test(P<0.05). Conclusion The method of the conventional rehabilitative functional training accompany with Walking Rehabilitation Training Car can effectively promote the function recovery and satisfaction degrees of TKA, and worth promoting.

关 键 词：膝关节 人工关节置换 康复 器械 

分 类 号：R493[医药卫生—康复医学] R687.4[医药卫生—临床医学]