摘要
目的:观察、评估系统性功能训练在下肢创伤骨折术后对预防膝关节僵硬的作用。方法:选取下肢创伤性骨折患者126例,根据患者术后的护理方式分成实验组和对照组各63例。对照组给予下肢创伤性骨折术后的常规护理;实验组在对照组的基础上给予有计划耐心细致的功能训练康复护理。术后随访并对两组患者进行肌力、伸屈度以及患者的并发症发生情况进行统计,对患者的膝关节功能康复进行综合评价。结果:实验组患者术后膝关节肌力和伸屈度均优于对照组;实验组术后并发症发生率为15.9%,对照组术后并发症发生率为28.6%;两组患者膝关节功能综合评价,实验组优良率为82.5%(52/63),对照组优良率为65.1%(41/63);其差异均具有统计学意义(x^2=12.6,P<0.05)。结论:下肢创伤性骨折术后对患者进行系统性的康复功能训练康复护理,关节活动功能恢复显著,是科学有效的方法,应进一步推广。
Objective： To investigate and assess the systemic functional training in the prevention of lower limb trauma fracture surgery knee stiffness effect. Methods： Select General Hospital of PLA （301 Hospital） traumatic lower extremity Department of orthopedics from 2009 since April admissions of fractures in patients with 126 cases, according to the nursing methods of postoperative patients were divided into experimental group 65 cases and control group 63 cases, control group was given routine nursing after traumatic fracture of lower limb, the experimental group received training rehabilitation care plan and patient in the control group. Postoperative follow-up, the time of 5 months-2 years, two groups of patients were muscle strength, extension and flexion degree and the patients with complications were analyzed statistically, and the comprehensive evaluation of knee joint function recovery of patients. Results： The postoperative knee flexion strength and degree than the control group; experimental group, the complication rate was 15.9% in the control group of patients swelling after seven cases, the complication rate was 28.6%; comprehensive evaluation knee function two groups of patients in the experimental group was 82.5% excellent （52/65）, good rate of the control group was 65.1% （41/65）;said comparison items were statistically significant differences （x2=12.6, P〈0.05）. Conclusion： Lower limb trauma fracture surgery rehabilitation for patients with systemic functional training rehabilitation care, joint function recovery is remarkable, scientifically valid methods, should be further promoted.
出处
《中国医学装备》
2014年第3期82-85,共4页
China Medical Equipment
关键词
下肢创伤骨折
膝关节僵硬
功能训练
Lower limb trauma fracture
Knee stiffness
Functional training
