快速康复治疗对全膝关节置换术后患者关节功能及并发症发生的影响  

Effect of rapid rehabilitation on joint function and complications of patients after total knee arthroplasty

作　　者：刘颖赵[1] 李梅[2] 唐晓波[1] 孙晓奕 谢淑君[2] LIU Yingzhao;LI Mei;TANG Xiaobo;SUN Xiaoyi;XIE Shujun(Department of Orthopaedicsy,Jianhu Hospital Affiliated to Nantong University, Yancheng 224100, China;Department of Nursing, Jianhu Hospital Affiliated to Nantong University, Yancheng 224100, China)

机构地区：[1]南通大学附属建湖医院骨科,江苏盐城224700 [2]南通大学附属建湖医院护理部,江苏盐城224700

出　　处：《现代医学》2019年第4期402-405,共4页Modern Medical Journal

基　　金：2016年盐城市医学科技发展计划项目(YK2016103)

摘　　要：目的:探讨全膝关节置换术(TKA)患者实施快速康复治疗对改善关节功能及降低并发症风险的效果。方法:选择2016年1月至2017年9月在我院行TKA患者80例,随机分为对照组与观察组各40例。观察组采用快速康复治疗,对照组采用传统康复治疗;比较两组患者关节功能改善情况以及并发症发生率。结果:观察组患者术后3、6个月时患膝HSS评分及术后6个月时的优良率均明显高于对照组(P <0. 05),术后1、3及6个月的患膝VAS评分均明显低于对照组(P <0. 05),术后并发症发生率也明显低于对照组(P <0. 05)。结论:对TKA患者实施快速康复治疗能有效改善患者关节功能,降低并发症发生率,从而提高TKA治疗质量,具有较高的临床应用价值。Objective: To investigate the effect of rapid rehabilitation on improving joint function and reducing the risk of complications in patients undergoing total knee arthroplasty( TKA). Methods: From January 2016 to September 2017,80 TKA patients in our hospital were randomly divided into control group and observation group with 40 cases in each group. The observation group was treated with rapid rehabilitation,while the control group was treated with traditional rehabilitation. The improvement of joint function and the risk of complications were compared between the two groups. Results: The HSS score of the knee in the observation group was significantly higher than that in the control group at 3 months and 6 months after operation,and the excellent rate in the observation group was significantly higher than that in the control group at 6 months after operation,the difference being statistically significant( P < 0. 05). The VAS score of the knee in the observation group at 1 month,3 months and 6 months after operation was significantly lower than that in the control group( P < 0. 05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group. The difference was statistically significant( P < 0. 05). Conclusion: Rapid rehabilitation therapy for TKA patients can effectively improve their knee joint function and reduce the incidence of complication,which is helpful for the improvement of TKA treatment quality and is valuable in clinical application.

关 键 词：全膝关节置换术 快速康复 关节功能恢复 并发症 

分 类 号：R687.4[医药卫生—骨科学]