量化康复训练对胫腓骨平台骨折术后患者膝关节功能恢复及Barthel指数的影响  

Effects of quantitative rehabilitation training on knee joint function recovery and Barthel index in patients with tibial plateau fractures

作　　者：李淑仪[1] 陈燕雅 Li Shuyi

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《中医临床研究》2020年第25期134-136,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨量化康复训练对胫腓骨平台骨折术后患者膝关节功能恢复及Barthel指数的影响。方法:选择2017年1月-2019年8月在我院接受治疗的胫腓骨平台骨折术后患者1068例,按照随机数表法将其分为两组,各534例。对照组患者接受常规训练干预,观察组患者接受量化康复训练干预,对比两组患者的肌力恢复情况、美国特种外科医院(American Hospital of Special Surgery,HSS)评分、Lysholm、巴氏(Barthel)指数、膝关节屈曲角度、伸直受限角度以及关节活动范围。结果:观察组患者的肌力恢复总优良率较对照组高,差异具有统计学意义(P<0.05);观察组干预后的HSS、Lysholm、Barthel指数、膝关节屈曲角度及关节活动范围均较对照组高,伸直受限角度低于对照组,差异具有统计学意义(P<0.05)。结论:量化康复训练应用于胫腓骨平台骨折术后,可以有效恢复膝关节功能,提高自理能力。Objective:To investigate the effect of quantitative rehabilitation training on knee function recovery and Barthel index in patients with tibial plateau fractures.Methods:1068 cases were divided into two groups according to the random number table method,each with 534 cases.The control group received routine training interventions,and the observation group received quantitative rehabilitation training interventions.Results:The total excellent and good rate of muscle strength recovery in the observation group was higher than that in the control group(P<0.05).After intervention HSS,Lysholm,Barthel index,knee joint in the observation group,the angle of flexion and range of motion of the joint were higher than those in the control group,and the angle of restriction of extension was lower than that in the control group(P<0.05).Conclusion:Quantitative rehabilitation training applied to tibiofibular plateau fractures can effectively restore knee joint function and improve self-care ability.

关 键 词：胫腓骨平台骨折术 量化康复训练 膝关节功能 BARTHEL指数 

分 类 号：R274.1[医药卫生—中医骨伤科学]