康复治疗设备对全膝关节置换术后实现快速康复的价值研究  

Study on the value of rehabilitation treatment equipment in facilitating accelerated rehabilitation after surgery of total knee arthroplasty

作　　者：刘鑫 戴娇娇 杨银 陈永锋 孙强 漆伟 LIU Xin;DAI Jiao-jiao;YANG Yin(Department of Burns and Cutaneous Surgery,Xijing Hospital,Air Force Medical University of PLA,Xi'an 710034,China;不详)

机构地区：[1]空军军医大学西京医院烧伤与皮肤外科,陕西西安710034 [2]空军军医大学西京医院骨科,陕西西安710034

出　　处：《中国医学装备》2023年第12期115-119,共5页China Medical Equipment

基　　金：陕西省2023年重点研发计划(2023-ZDLSF-14)“MEMS智能辅助膝关节置换的可视化技术研究”。

摘　　要：目的:研究骨创伤治疗仪联合URA型下肢康复训练器在创伤性骨折全膝关节置换患者中的治疗效果,分析其对肢体活动度和生活质量的影响。方法:选取医院收治的198例终末期膝关节骨性关节炎患者,采用随机对照法将其分为采用镇痛药物的对照组(69例,简称对照组)、骨伤治疗仪组(63例,简称治疗仪组)及骨伤治疗仪联合URA下肢康复训练器组(66例,简称联合组),所有患者均接受全膝关节置换手术治疗。观察比较3组的美国膝关节协会(AKSS)评分、西大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、膝关节活动度、生活质量、疼痛评分、治疗后满意度评价等情况。结果:治疗后联合组的膝关节AKSS评分和膝关节活动度评分均高于对照组,差异有统计学意义(t=10.69,t=17.34;P<0.05);而WOMAC评分低于对照组,差异有统计学意义(t=26.98,P<0.05);治疗后联合组患者的满意度明显高于对照组,差异有统计学意义(t=9.93,P<0.05);联合组生活质量中社会功能、躯体功能、角色功能和认知功能评分明显高于对照组,差异均有统计学意义(t=17.48,t=13.20,t=19.57,t=21.74;P<0.05);联合组疼痛评分低于对照组,差异有统计学意义(t=32.62,P<0.05)。结论:骨创伤治疗仪联合URA下肢康复训练器用于治疗全膝关节置换术后患者,对于患者术后快速康复、提高患者生活质量具有较好的临床价值。Objective:To investigate the therapeutic effect of orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer in patients who underwent total knee arthroplasty caused by traumatic fracture,and to analyze the effect of that on limb activity and quality of life.Methods:A total of 198 patients with end-stage knee osteoarthritis who were hospitalized in the hospital were randomly divided into a control group(69 cases,referred to as the control group),an orthopedic trauma therapy device group(63 cases,referred to as the therapy device group)and an orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer group(66 cases,referred to as the combination group),and all patients underwent surgery of total knee arthroplasty.The American Knee Society Score(AKSS),Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score,knee joint range of motion,quality of life,pain score and the evaluation of post-treatment satisfaction were observed and compared among the three groups.Results:The AKSS score and knee joint range of motion of the combination group were respectively higher than those of the control group after therapy,and the differences were significant(t=10.69,t=17.34,P<0.05).The WOMAC score of the combination group was significantly lower than that of the control group(t=26.98,P<0.05)after therapy,and the difference was statistically significant.The satisfaction of the combination group was significantly higher than that of the control group(t=9.93,P<0.05).The social function,physical function,role function and cognitive function of the quality of life in the combination group were significantly higher than those of control group(t=17.48,t=13.20,t=19.57,t=21.74,P<0.05),respectively.The pain score of the combination group was significantly lower than that of the control group(t=32.62,P<0.05),and the difference was statistically significant.Conclusion:The combination of orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer has

关 键 词：膝关节骨性关节炎 全膝关节置换术 骨创伤治疗仪 下肢康复训练器 

分 类 号：R197.39[医药卫生—卫生事业管理]