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本体感觉强化训练联合多元康复宣教对全膝关节置换术后膝骨关节炎患者膝关节功能的影响

The Effect of Proprioceptive Reinforcement Training Combined with Multiple Rehabilitation Education on Knee Joint Function in Patients with Knee Osteoarthritis after Total Knee Arthroplasty
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摘要 目的探讨本体感觉强化训练与多元康复宣教联用对全膝关节置换术后膝骨关节炎患者膝关节功能的影响。方法选取2022年1月-2023年6月我院收治的70例全膝关节置换术后膝骨关节炎患者为研究对象,按随机数字表法将其分为对照组和观察组,每组35例。对照组采用多元康复宣教,观察组在对照组的基础上采取本体感觉强化训练。对比两组患者的疾病相关知识了解度、膝关节功能、并发症发生情况。结果干预10周后,观察组患者的药物知识、日常护理知识、康复知识及并发症知识评分均高于对照组,组间差异有统计学意义(P<0.05)。干预10周后,观察组患者疼痛、肌力、稳定性、屈曲畸形、行走功能、关节活动度评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率2.86%低于对照组的22.86%,差异有统计学意义(P<0.05)。结论本体感觉强化训练联合多元康复宣教有利于强化全膝关节置换术后膝骨关节炎患者对疾病的了解,促使患膝关节功能的恢复,降低并发症发生率。 Objective To explore the effect of the combination of proprioceptive reinforcement training and multiple rehabilitation education on knee joint function in patients with knee osteoarthritis after total knee arthroplasty.Methods 70 patients with knee osteoarthritis after total knee arthroplasty admitted to our hospital from January 2022 to June 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 35 cases in each group.The control group received diversified rehabilitation education,while the observation group received proprioceptive reinforcement training on the basis of the control group.Compare the understanding of disease related knowledge,knee joint function,and incidence of complications between the two groups.Results 10 weeks after intervention,the scores of drug knowledge,daily nursing knowledge,rehabilitation knowledge,and complications knowledge in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).After intervention,the functional scores of pain,muscle strength,stability,flexion deformity,walking function,and joint range of motion in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).10 weeks after intervention,the incidence of complications in the observation group was 2.86%,lower than 22.86%in the control group,with a statistically significant difference(P<0.05).Conclusion Proprioception strengthening training combined with multiple rehabilitation education is beneficial for enhancing patients'understanding of the disease,promoting the recovery of knee joint function,and reducing the incidence of complications.
作者 李潇瑜 LI Xiaoyu(Department of Orthopedics,Fourth Affiliated Hospital of Xinjiang Medical University,Urumqi Xinjiang,830000,China)
出处 《反射疗法与康复医学》 2023年第21期195-198,共4页 Reflexology And Rehabilitation Medicine
关键词 膝骨关节炎 全膝关节置换术 本体感觉强化训练 多元康复宣教 膝关节功能 Knee osteoarthritis Total knee arthroplasty Proprioceptive reinforcement training Diversified rehabilitation education Knee joint function
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