早期连续被动活动功能锻炼对胫骨平台骨折患者切开复位内固定术后关节功能的影响  

Effect of Early Continuous Passive Functional Exercise on Joint Function of Patients with Tibial Plateau Fractures after Open Reduction and Internal Fixation

作　　者：张馨蕊 ZHANG Xinrui(Department of Rehabilitation,Tianjin Hospital,Tianjin 300000)

机构地区：[1]天津市天津医院康复医学科,天津300000

出　　处：《中国伤残医学》2025年第1期97-100,105,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察胫骨平台骨折患者切开复位内固定术后早期给予连续被动活动功能锻炼对患者关节功能的影响。方法:选取2023年8月—2024年5月天津市天津医院收治的100例胫骨平台骨折患者为研究对象,采用随机数字表法将其分对照组和研究组,各50例。对照组开展常规康复锻炼,研究组在对照组基础上联合早期连续被动活动功能锻炼。3周为一个疗程,两组均训练3个疗程。比较两组疼痛程度、膝关节功能、膝关节活动范围及并发症发生情况。结果:干预后,研究组疼痛视觉模拟评分低于对照组,差异有统计学意义(P<0.05)。干预后,研究组膝关节功能优于对照组,差异有统计学意义(P<0.05)。干预后,研究组主动与被动屈膝、伸膝角度均大于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.00%低于对照组的18.00%,差异有统计学意义(P<0.05)。结论:胫骨平台骨折患者切开复位内固定术后早期给予持续性被动活动训练,有利于膝关节功能恢复,膝关节活动范围改善,减轻疼痛程度,减少并发症发生。Objective:To observe the effect of early continuous passive functional exercise on joint function in patients with tibial plateau fracture after open reduction and internal fixation.Methods:A total of 100 patients with tibial plateau fracture admitted to Tianjin Hospital from August 2023 to May 2024 were selected as the study objects,and were divided into a control group and a study group,by random number table method with 50 cases in each group.The control group carried out routine rehabilitation exercise,and the study group combined early continuous passive activity function exercise on the basis of the control group.Three weeks was a course,and both groups were trained for three courses.Pain degree,knee function,knee range of motion and the occurrence of complications were compared between the two groups.Results:After intervention,the Pain Visual Analogue Scale score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).After intervention,the knee function of the study group was better than that of the control group,the difference was statistically significant(P<0.05).After intervention,the angles of active and passive knee bending and knee extension in the study group were greater than those in the control group,the differences were statistically significant(P<0.05).The complication rate of the study group was 2.00%,which was lower than 18.00%of the control group,the difference was statistically significant(P<0.05).Conclusion:Early continuous passive activity training for patients with tibial plateau fracture after open reduction and internal fixation is beneficial to the functional recovery of the knee joint,improving the range of motion of the knee joint,reducing the degree of pain and reducing the occurrence of complications.

关 键 词：胫骨平台骨折 切开复位内固定术 被动活动功能锻炼 膝关节功能 疼痛程度 

分 类 号：R493[医药卫生—康复医学]