摘要
目的分析综合康复治疗对下肢骨折内固定术后膝关节功能障碍的改善效果.方法选取2018年5月—2020年10月平原县第一人民医院收治的200例下肢骨折内固定术后膝关节功能障碍患者为研究对象,按照随机数字表法分为对照组和观察组,每组100例.对照组采用常规膝关节康复训练治疗,观察组则采用综合康复治疗.比较两组治疗前后疼痛视觉模拟评分(visual analogue scale,VAS)、美国特种外科医院膝关节评分(Hospital for Special Surgery knee score,HSS)评分以及临床疗效.结果治疗后,观察组VAS评分低于对照组,HSS评分高于对照组,组间差异有统计学意义(P<0.05).观察组总有效率93.00%高于对照组的75.00%,差异有统计学意义(P<0.05).结论综合康复治疗在下肢骨折内固定术后膝关节功能障碍患者中具有较好的治疗效果,可显著改善其膝关节功能状况,值得推广使用.
Objective To analyze the improvement effect of comprehensive rehabilitation therapy on knee joint dysfunction after internal fixation of lower extremity fractures.Methods A total of 200 patients with knee joint dysfunction after internal fixation of lower extremity fractures admitted to the First People's Hospital of Pingyuan County from May 2018 to October 2020 were selected as the research objects,and divided into a control group and an observation group according to the random number table method,with 100 cases in each group.The control group received conventional knee joint rehabilitation training,while the observation group received comprehensive rehabilitation therapy.The pain visual analogue scale(VAS)and Hospital for Special Surgery knee score(HSS)scores before and after treatment and the clinical efficacy was lower than the control group,and HSS score was compared between the two groups.Results After treatment,the VAS score of the observation group was lower than that of the control group,and the HHS score of the observation group was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).The total effective rate in the observation group was 93.00%,whieh was higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive rehabilitation therapy has a good therapeutic effect in patients with knee joint dysfunction after internal fixation of lower extremity fractures,and can significantly improve their knee joint functional status,which is worthy of popularization.
作者
曲秀岭
QU Xiuling(Department of Bone and Joint Surgery,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处
《反射疗法与康复医学》
2021年第8期4-6,共3页
Reflexology And Rehabilitation Medicine
关键词
下肢骨折
内固定术
膝关节功能障碍
综合康复治疗
Lower extremity fracture
Internal fixation
Knee joint dysfunction
Comprehensive rehabilitation therapy
