早期主、被动功能锻炼对全膝关节置换术后功能影响.doc

早期主、被动功能锻炼对全膝关节置换术后功能影响[摘要] 目的 探讨早期的主、被动功能锻炼对全膝关节置换术后患者关节功能恢复的影响。方法 采用病例对照的方法，对32例46个膝关节置换术后病人，随机分为治疗组16例（24膝）和对照组16例（22膝），治疗组实施早期主动功能锻炼配合被动持续活动机锻炼，对照组仅实施被动持续活动机锻炼，应用KSS评分，进行功能评估。结果 术前治疗组与对照组KSS评分差异无显著意义（P＞0.05），术后两周治疗组与对照组KSS评分有显著差异（P＜0.05）。结论 早期主、被动功能锻炼是全膝关节置换术后关节功能恢复的一个重要环节，应引起临床的高度重视。 [关键词] 功能锻炼； 膝关节功能； 关节置换 [中图分类号] R687.4 [文献标识码] A [文章编号] 1673-9701（2009）13-20-02 The Influence of Jointed Functional Rehabilitation of Postoperative Patients of Total Knee Replacement（TKA） by Inchoate Active and Passive Functional Exercise DING Siyue GAO Xia WANG Dong Department of Orthopedic，Liaoning Province People’s Hospital，Shenyang 110000 [Abstract] ObjectiveTo investigate the influence of jointed functional rehabilitation of postoperative patients of total knee replacement（TKA）by inchoate active and passive functional exercise. MethodsBy means of case control，32 patients with 46 knees operated were divided randomly into two groups：treatment group including 16 patientswith 24 knees operated and control group including 16 patients with 22 knees operated. Inchoate active functional exercise with continual passive motion（CPM） were applied in the treatment group，while in control group only CPM was applied. Functional assessment were used by KSS score. ResultsThere was no significant difference in KSS score between treatment group and control group before operations（P＞0.05），and after operations there was significant difference between two groups（P＜0.05）. ConclusionInchoate active and passive functional exercise is important for postoperative recovery in patiens with total knee arthroplasty. [Key Words]Functional exercise； Knee joint function； Joint replacement 人工全膝关节置换的手术效果不仅取决于手术技术，围手术期康复计划的正确实施对手术效果的影响也至关重要。如术前获得良好的肌肉力量，术后按步骤、分阶段进行膝关节的功能锻炼[1]，不仅能减少手术并发症的发生，同时更重要的是可获得满意的手术效果。否则，即使手术做得再好，如果术后关节功能恢复不满意，就将失去关节置换手术的意义。我科从2002年2月～2007年8月间共实施了32例、46个全膝关节置换手术，通过随机分成治疗组和对照组，发现早期主、被动功能锻炼对改善术后关节功能有着十分显著的影响，现报道如下。 1 材料与方法 1.1 一般资料 本组32例，46个膝关节。男10例，女22例；年龄56～7