早期康复介入对人工膝关节置换术患者的临床影响分析  

Clinical Effect Analysis of Early Rehabilitation Intervention on Patients Undergoing Artificial Knee Replacement

作　　者：李寅伟[1] LI Yinwei(Department of Rehabilitation Medicine,Chifeng Hospital,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院康复医学科,内蒙古赤峰024000

出　　处：《中国伤残医学》2024年第23期107-110,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究早期康复介入对人工膝关节置换术患者生活质量及关节功能的影响。方法:选取2022年1月—2024年5月于赤峰市医院行人工膝关节置换术的80例患者为研究对象,通过随机数字表法将其分为研究组、对照组,每组40例。人工膝关节置换术期间,对照组采用常规干预,研究组在对照组基础上采用早期康复干预。两组均干预3个月。比较两组负性情绪、膝关节功能、疼痛程度及生活质量。结果:干预后,研究组的焦虑自评量表、抑郁自评量表的评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的美国特种外科医院膝关节评分量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。术后6、12及18d,研究组的关节疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的Karnofsky功能状态评分标准中各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:人工膝关节置换术患者在治疗期间接受早期康复治疗,可显著改善膝关节功能及生活质量,减少负性情绪,降低疼痛程度,具有较高的临床应用价值。Objective:To investigate the effect of early rehabilitation intervention on quality of life and joint function of patients undergoing artificial knee replacement.Methods:A total of 80 patients who underwent artificial knee arthroplasty in Chifeng Hospital from January 2022 to May 2024 were selected as the study objects,and were divided into a study group and a control group by random number table method,with 40 cases in each group.During artificial knee replacement,the control group was treated with routine intervention,and the study group was treated with early rehabilitation on the basis of the control group.Both groups were intervened for 3 months.The negative emotion,knee function,pain degree and quality of life were compared between the two groups.Results:After intervention,the scores of Self-Rating Anxiety Scale And Self-Rating Depression Scale in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of the Hospital for Special Surgery knee joint score scale in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).On day 6,12 and 18 after surgery,the Pain Visual Analogue Scale scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of Karnofsky Performance Status in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Early rehabilitation treatment during the treatment of artificial knee replacement patients can significantly improve the knee function and quality of life,reduce negative emotions,lower pain levels and has high clinical application value.

关 键 词：人工膝关节置换术 早期康复 关节功能 生活质量 临床效果 

分 类 号：R687.4[医药卫生—骨科学]