目的 探讨康复功能训练对膝关节置换术后患者运动功能的影响。方法 选取2022-01至2023-01于空军军医大学第一附属医院接受干预治疗的100例膝关节置换患者纳入研究,采用随机数字表法将其分为观察组和对照组,每组50例。对照组采用常规康复训练干预,观察组采用康复功能训练干预。对两组的住院时间、术后下床时间、术后拔管时间、视觉模拟评分(VAS)评分、膝关节屈曲度、膝关节功能(HSS)评分、功能锻炼依从性、并发症进行比较分析。结果 治疗前,两组VAS评分、膝关节屈曲度、HSS评分差异无统计学意义。观察组住院时间(14.77±2.75)d、术后下床时间(20.59±1.73)h、术后拔管时间(28.53±2.46)h低于对照组[(18.81±2.72)d,(26.68±1.71)h,(34.49±2.57)h],两组比较差异有统计学意义(P＜0.05)。干预后,对照组VAS评分(2.49±0.23)高于观察组(2.07±0.18),观察组膝关节屈曲度(106.46±5.75)°、HSS评分(84.18±6.23)高于对照组[(96.45±5.49)°,(75.35±6.42)],差异有统计学意义(P＜0.05)。对照组功能锻炼依从率为84.00%,低于观察组的98.00%,差异有统计学意义(χ2=5.983,P＜0.05)。对照组并发症总发生率高于观察组,但两组间比较差异无统计学意义(12.00% vs. 2.00%;χ2=2.458;P＞0.05)。结论 康复功能训练能够改善膝关节置换患者的运动功能,提高功能锻炼依从性。
Abstract
Objective To explore the effect of rehabilitation function training on the motor function of patients after knee joint replacement surgery. Methods A total of 100 patients with knee joint replacement who received intervention treatment at the First Hospital Affiliated to Medical University of PLA Air Force from January 2022 to January 2023 were included in the study, and were divided into an observation group and a control group according to different intervention methods, with 50 cases in each group. The control group received conventional rehabilitation training intervention, while the observation group received rehabilitation function training intervention. The hospital stay, postoperative ambulation time, postoperative extubation time, visual analogue scale (VAS) score, knee flexion, knee joint function (HSS) score, exercise compliance and complications of the two groups were compared and analyzed. Results Before treatment, there was no statistical difference in VAS scores, knee flexion degree or HSS scores between the two groups. The observation group showed shorter hospital stay (14.77±2.75)d, postoperative ambulation time (20.59±1.73)h, and postoperative extubation time (28.53±2.46)h compared to the control group [(18.81±2.72)d; (26.68±1.71)h; (34.49±2.57)h], with statistically significant differences (P<0.05). After intervention, the VAS score of the control group (2.49±0.23) was higher than that of the observation group (2.07±0.18), and the observation group demonstrated greater knee flexion degree (106.46±5.75) ° and HSS scores (84.18±6.23) were higher than those of the control group[ (96.45±5.49)°; (75.35±6.42)] with statistically significant difference (P<0.05). The functional exercise compliance rate of the control group (84.00%) was lower than that of the observation group (98.00%), with statistically significant difference (χ2=5.983, P<0.05). The control group exhibited a higher total complication rate, but there was no statistically significant difference between the two groups (12.00% vs. 2.00%; χ2=2.458; P＞0.05). Conclusions Rehabilitation function training can improve the motor function of patients after knee joint replacement and enhance the compliance of functional exercise.
关键词
膝关节置换 /
康复功能训练 /
运动功能 /
锻炼依从性 /
康复效果
Key words
knee joint replacement /
rehabilitation function training /
motor function /
exercise compliance /
habilitation outcomes
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