摘要
目的观察管型石膏固定用于儿童膝关节镜治疗术后康复的临床疗效，探讨管型石膏固定法在儿童膝关节镜治疗术后康复治疗中的临床意义。方法选取2013年1月至2014年11月在我院就诊治疗的72例膝关节疾患并行膝关节镜治疗的患儿作为研究对象。将所有患儿按随机数字表法分为实验组和对照组各36例。对照组术后常规康复锻炼，实验组予管型石膏固定后进行康复锻炼，比较术后患儿不同时间段的疼痛程度、患儿功能锻炼依从性及膝关节活动度情况。结果患儿在实验组与对照组术后康复治疗后疼痛评分均值分别为（2．12±0．70）、（2．37±0．61）分，差异有统计学意义，P〈0．05；术后第3天、1周及2周的3个时间点，功能锻炼完全依从的患儿在实验组和对照组分别为83．3％（30／36）和8．3％（3／36）、97．2％（35，36）和22．2％（8，36）、97．2％（35，36）和22．2％（8／36），实验组患儿功能锻炼依从性优于对照组，差异有统计学意义，Z值分别为-6．343、-6．400、-6．400，P〈0．01；术后第2、3、4周，2组患儿术后膝关节功能活动优良率在实验组和对照组分别为50．0％（18／36）和16．7％（6／36）、94．4％（34／36）和83.3％（30／36）、97．2％（35／36）和86．1％（31／36），实验组患儿膝关节活动度优良率高于对照组，差异有统计学意义，Z值分别为-3．345、-2．861、-2．012，P〈0．01。结论对膝关节疾患的儿童行膝关节镜术后予管型石膏固定法进行康复治疗可以明显缓解患儿术后疼痛，增加患儿功能锻炼依从性，改善其膝关节的功能活动，提高患儿术后的生命质量，促进患儿膝关节功能恢复。
Objective To explore the effect of immobilization with plaster cast applying in children＇s rehabilitation after knee arthroscopic surgery, and discuss the clinical significance of immobilization with plaster cast in children＇s rehabilitation after knee arthroscopic surgery. Methods A total of 72 objectives suffered from knee joint diseases were chosen and received knee arthroscopic surgery from January 2013 to November 2014. They were classified into the experimental group and the control group with the random digit table with 36 patients in each group. The control only underwent the regular rehabilitation exercise. The experimental group was given fixation with plaster caster before they got rehabilitation exercise. The three indexes such as pain degree, the compliance of children knee function exercise and the range of knee motion in different time courses were compared after operation. Results The VAS pain scores of the experimental group and the control group were （2.12±0.70）, （2.37±0.61） respectively with statistical significance, P〈0.05. On the third day, one week and two weeks after operation, the complete compliance of children with knee function exercise was 83.3% （30/36） vs. 8.3% （3/36）, 97.2% （35/36） vs. 22.2% （8/36）, 97.2% （35/36） vs. 22.2% （8/36） in the experimental group and the control group, Z values were -6.343, -6.400, -6.400, P〈 0.01. On the second, third and fourth weeks after operation, the good rates of knee motion range in the experimental group and the control group were 50.0% （18/36） vs. 16.7% （6/36）, 94.4% （34/36） vs. 83.3 （30/ 36）, 97.2% （35/36） vs. 81.6% （31/36）, Zvalues were -3.345, -2.861, -2.012, P〈0.01. Conclusions The use of immobilization with cast plaster in children＇s rehabilitation after the knee arthroscopic operation could significantly relieve the pain brought by the surgery, as well as increase the level of appliance of knee function exercises and improve the range of knee motion greatly. Therefore, it could help children to restore the knee function earlier and furthermore to promote life quality after receiving knee arthroscopic surgery.
出处
《中国实用护理杂志》
2015年第17期1291-1294,共4页
Chinese Journal of Practical Nursing
关键词
管型石膏固定
膝关节镜治疗
康复治疗
Immobilization with cast plaster
, Knee arthroscopic surgery
Rehabilitation treatment
