摘要
目的探讨早期综合康复训练在膝关节骨折患者中的应用效果.方法选择2019年2月—2021年2月该院收治的膝关节骨折患者60例,按随机数表法分为两组,各30例.对照组采用常规康复训练,观察组在对照组基础上采用早期综合康复训练,均持续训练3个月.对比两组术后疼痛、膝关节功能、并发症发生率及生活质量.结果观察组训练后的疼痛视觉模拟评分为(1.36±0.24)分,低于对照组的(2.92±0.28)分,差异有统计学意义(P<0.05).观察组训练后的美国特种外科医院评分为(84.86±12.28)分,高于对照组的(77.96±12.15)分,膝关节屈伸活动度为(110.18±15.20)°,大于对照组的(96.96±13.64)°,组间差异均有统计学意义(P<0.05).观察组并发症发生率6.67%低于对照组的26.67%,差异有统计学意义(P<0.05).观察组训练后生活质量综合评定问卷中心理、躯体、社会功能、物质生活评分分别为(86.87±7.12)分、(87.72±7.05)分、(88.89±7.05)分、(78.79±5.35)分,均高于对照组的(79.76±6.25)分、(80.85±6.66)分、(79.99±6.64)分、(69.66±6.95)分,组间差异有统计学意义(P<0.05).结论早期综合康复训练在膝关节骨折患者中的效果确切,有利于减轻术后疼痛,降低并发症发生风险,促进膝关节功能恢复,提高生活质量.
Objective To explore the application effect of early comprehensive rehabilitation training in patients with knee fractures.Methods 60 patients with knee fractures admitted to the hospital from February 2019 to February 2021 were selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group received routine rehabilitation training,and the observation group received early comprehensive rehabilitation training on the basis of the control group,and the training continued for 3 months.The postoperative pain,knee function,complication rate and quality of life were compared between the two groups.Results The visual analogue scale of pain in the observation group after training was(1.36±0.24)points,which was lower than that in the control group(2.92±0.28)points,and the difference was statistically significant(P<0.05).The American Hospital for Special Surgery score of the observation group after training was(84.86±12.28)points,which was higher than that of the control group(77.96±12.15)points,and the knee flexion and extension range of motion was(110.18±15.20)°,which was greater than that of the control group(96.96±13.64)°,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group 6.67%was lower than that in the control group of 26.67%,and the difference was statistically significant(P<0.05).The scores of psychological,physical,social function and material life in the comprehensive assessment of quality of life after training in the observation group were(86.87±7.12)points,(87.72±7.05)points,(88.89±7.05)points,and(78.79±5.35)points,respectively,which were higher than those in the control group(79.76±6.25)points,(80.85±6.66)points,(79.99±6.64)points,and(69.66±6.95)points,and the difference between the groups was statistically significant(P<0.05).Conclusion Early comprehensive rehabilitation training is effective in knee fracture patients,which is beneficial to relieve postoperative pain,reduce the risk of complications,promote the recovery of knee joint function,and improve the quality of life.
作者
黄禹娜
林萍
凌英
HUANG Yuna;LIN Ping;LING Ying(Department of SurgeryⅡ,Jiaoling County People's Hospital,Meizhou Guangdong,514100,China)
出处
《反射疗法与康复医学》
2021年第22期159-162,共4页
Reflexology And Rehabilitation Medicine
关键词
膝关节骨折
早期综合康复训练
术后疼痛
膝关节功能
并发症
生活质量
Knee fracture
Early comprehensive rehabilitation training
Postoperative pain
Knee function
Complications
Quality of life
作者简介
黄禹娜(1982-),女,广东梅州人,本科,主管护师,研究方向:骨创伤、骨关节及颅脑外伤。
