膝骨性关节炎患者膝关节表面置换术后的康复治疗分析  

Rehabilitation treatment analysis of knee osteoarthritis with knee joint surface replacement surgery

作　　者：陈红[1] 阙晓文 CHEN Hong;QUE Xiao-wen(Xiamen Third Hospital,Xiamen 361100,China)

机构地区：[1]厦门市第三医院,361100

出　　处：《中国现代药物应用》2024年第20期27-30,共4页Chinese Journal of Modern Drug Application

摘　　要：目的分析膝骨性关节炎患者膝关节表面置换术后的康复治疗方法及效果。方法选取80例接受膝关节表面置换术的膝骨性关节炎患者作为研究对象,运用双色球法将患者分成对照组及试验组,每组40例。对照组应用传统康复治疗,试验组应用快速康复治疗。对比两组膝关节功能及膝关节曲度,生活质量及疼痛评分,不良情绪及睡眠质量。结果试验组治疗后膝关节功能评分量表(Lysholm)评分(82.25±7.28)分显著高于对照组的(73.31±7.40)分、膝关节弯曲度(117.45±4.90)°显著大于对照组的(110.72±6.30)°(P<0.05)。试验组治疗后日常生活活动能力量表(ADL)评分(89.22±4.48)分高于对照组的(76.29±4.60)分,视觉模拟评分法(VAS)评分(3.40±0.94)分低于对照组的(4.65±1.08)分(P<0.05)。试验组治疗后焦虑自评量表(SAS)评分(42.95±4.77)分和匹兹堡睡眠质量指数量表(PSQI)评分(4.32±1.15)分均低于对照组的(53.28±4.79)、(7.72±1.40)分(P<0.05)。结论膝骨性关节炎患者在膝关节表面置换术后应用快速康复治疗的效果显著,值得推广。Objective To analyze the rehabilitation method and effect of knee joint surface replacement in patients with knee osteoarthritis.Methods 80 patients who underwent knee joint surface replacement surgery for knee osteoarthritis were selected as the research subjects.The patients were divided into a control group and an experimental group using the two-color ball method,with 40 cases in each group.The control group received traditional rehabilitation treatment,while the experimental group received rapid rehabilitation treatment.The knee function,knee curvature,quality of life and pain scores,bad mood and sleep quality were compared between the two groups.Results After treatment,the Lysholm score of(82.25±7.28)points in the experimental group was significantly higher than(73.31±7.40)points in the control group,and the knee curvature of(117.45±4.90)°was significantly higher than(110.72±6.30)°in the control group(P<0.05).After treatment,the activities of daily living(ADL)score of(89.22±4.48)points in the experimental group was higher than(76.29±4.60)points in the control group,and the visual analogue scale(VAS)score of(3.40±0.94)points was lower than(4.65±1.08)points in the control group(P<0.05).After treatment,the experimental group had scores of Self-Rating Anxiety Scale(SAS)of(42.95±4.77)points and Pittsburgh Sleep Quality Index(PSQI)score of(4.32±1.15)points,which were lower than(53.28±4.79)and(7.72±1.40)points in the control group(P<0.05).Conclusion Rapid rehabilitation treatment is effective for patients with knee osteoarthritis after knee joint surface replacement surgery and is worthy of promotion.

关 键 词：膝骨性关节炎 膝关节表面置换术 快速康复治疗 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]