中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (30): 5543-5546.doi: 10.3969/j.issn.1673-8225.2010.30.009

• 人工假体 artificial prosthesis • 上一篇    下一篇

高屈曲度膝关节假体置换后改良与常规康复方法的效果比较

李代英，张巍巍，唐贤文   

  1. 内江市第二人民医院，四川省内江市  641000
  • 出版日期:2010-07-23 发布日期:2010-07-23
  • 作者简介:李代英，女，1968年生，四川省安岳县人，汉族，2001年成都中医药大学毕业，主管护师，主要从事临床康复研究。

Effects of modified versus conventional training methods for high-flexion knee replacement 

Li Dai-ying, Zhang Wei-wei, Tang Xian-wen   

  1. Neijiang Second People's Hospital， Neijiang  641100， Sichuan Province， China
  • Online:2010-07-23 Published:2010-07-23
  • About author:Li Dai-ying， Nurse-in-charge， Neijiang Second People's Hospital， Neijiang 641100， Sichuan Province， China zhangchong77@126.com

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428

被引次数

4

摘要：

背景：应用高屈曲度膝关节假体置换后患者获得更好关节活动度不仅仅取决于手术，而与置换前关节的活动度、置换后康复锻炼等因素密切相关。
目的：探讨分析改良锻炼方法在高屈曲度膝关节假体置换后临床应用的效果，并与常规功能锻炼进行比较。
方法：将90例行高屈曲度膝关节假体置换的患者随机分为观察组和对照组。对照组膝关节假体置换后进行常规功能锻炼；观察组膝关节假体置换后使用镇痛药和肌松药，并按膝踝屈伸、并膝下蹲及屈膝锻炼等方法循序渐进进行改良功能锻炼。采用膝关节功能HSS评分及膝关节活动度评价膝关节功能及手术效果。
结果与结论：高屈曲度膝关节假体置换后膝关节功能评分及关节活动度都有明显改善，观察组置换后不同时间点膝关节功能评分及膝关节活动度均明显优于对照组(P均< 0.001)。结果说明膝关节置换后应尽早进行功能锻炼，而改良锻炼法对于提高高屈曲度膝关节假体置换后关节活动度和关节功能具有较好的促进作用。

关键词: 膝关节假体置换, 高屈曲度, 关节活动度, 功能锻炼, 膝关节假体

Abstract:

BACKGROUND: A better range of motion following application of high flexion knee prosthesis replacement surgery is highly correlated with preoperative joint activities degree and postoperative rehabilitation exercise.
OBJECTIVE: To explore the clinical effect of improved training methods of high-flexion prosthesis and compare with traditional functional exercise.
METHODS: The 90 cases undergoing high-degree flexion knee prosthesis replacement were randomly divided into observation and control groups. The control group was subjected to routine functional exercises following replacement. The observation group was subjected to analgesic drugs and replacement of muscle relaxants, and progressive modified functional exercise including knee and ankle flexion and extension， knee flexion exercises such as squatting. The clinical effect was evaluated using HSS and range of motion (ROM) in knee joint function.
RESULTS AND CONCLUSION: The improvement of knee score and knee joint activity was significantly better in the observation group than the control group at different time points after replacement (P all < 0.001). Results show that functional exercise should be performed early following joint replacement, and improved training method improves the range of motion and function of joint following high-flexion prosthesis replacement.

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