全膝关节置换术后康复治疗现状  

Current status of rehabilitation after total knee arthroplasty

作　　者：黄雨青 颜帅 王艳萌 隗麒轩 邓赟[2] 王宁 何思佳 杨信才[2] Huang Yuging;Yan Shuai;Wang Yanmeng;Kui Qiruan;Deng Yun;Wang Ning;He SiJia;Yang Xincai(Afiliated Hospital of Hebei Unirersity,Baoding 071000,China;Department of Rehabilitation Medicine,Afiliated Hospital of Hebei University,Baoding 071000,China)

机构地区：[1]河北大学附属医院,保定071000 [2]河北大学附属医院康复医学科,保定071000

出　　处：《中华关节外科杂志（电子版）》2022年第1期61-66,共6页Chinese Journal of Joint Surgery(Electronic Edition)

基　　金：河北省卫生和计划生育委员会科研基金项目(20170827)。

摘　　要：全膝关节置换术(TKA)是治疗终末期膝关节疾病最有效的方法,能够明显提高患者的生活质量。但TKA手术范围广、创伤大、易产生炎性因子,并且可以导致肿胀、顺应性降低、增加关节活动阻力及患者疼痛,这严重影响了膝关节功能的恢复。因此,疼痛及膝关节功能障碍是TKA术后早期最急需解决的问题,而康复治疗是最佳的手段之一。传统康复治疗技术疗效显著,但同时也存在诸多不足;新型康复治疗技术在患者的疾病管理方面具有优势,但缺乏充分的循证建议及个体化方案。本综述旨在通过总结TKA术后传统和新型的康复治疗方案的实用性及有效性,探讨TKA术后康复治疗的最新进展,为临床制定高质量的康复治疗策略提供参考。Total Knee Arthroplasty(TKA)is the most effective method for the treatment of terminal stage knee-joint disease,which can significantly improve patients’life quality.However,the operation involves a large scope,great trauma,and leads to produce inflammatory factors.It causes swelling,compliance-reducing,resistance of the knee joint and increases patients'pain,which seriously affects the recovery of knee joint function.Therefore,the pain and knee dysfunction are the most urgent problems to be solved in the early stage after TKA,and rehabilitation treatment is one of the best methods.Traditional rehabilitation treatment techniques have shown obvious therapeutic effects,but there are also many deficiencies.New rehabilitation treatment techniques have advantages in the patients'disease management,but they are lack of sufficient evidence-based recommendations and individualized programs.The purpose of this review was to explore the latest progress of the TKA rehabilitation treatment by summarizing the practicability and effectiveness of the traditional and new rehabilitation techniques following TKA,and to provide a reference for the high-quality rehabilitation treatment strategies in the future.

关 键 词：关节成形术 置换 膝 康复 

分 类 号：R687.4[医药卫生—骨科学]