本文選題：關(guān)節(jié)成形術(shù)　切入點：置換　出處：《中國組織工程研究》2017年27期

【摘要】：背景:膝關(guān)節(jié)置換可以解決患者的膝關(guān)節(jié)畸形、疼痛、功能受限等,從而提高患者的生活質(zhì)量,而置換后早期康復(fù)介入和康復(fù)治療的著重點是患者功能恢復(fù)絕對性因素。目的:觀察早期步態(tài)訓(xùn)練對膝關(guān)節(jié)置換后患者康復(fù)的臨床療效。方法:選取86例運動醫(yī)學(xué)科專組所做的單膝膝關(guān)節(jié)表面置換后患者,將其隨機分為訓(xùn)練+常規(guī)治療組和常規(guī)治療組,每組43例患者。訓(xùn)練+常規(guī)治療組于術(shù)前進行康復(fù)指導(dǎo),關(guān)節(jié)置換后離床即進行步態(tài)訓(xùn)練,使患者按正確的步行模式行走。常規(guī)治療組只對膝關(guān)節(jié)置換康復(fù)原則中的基礎(chǔ)康復(fù)進行訓(xùn)練,而對步態(tài)訓(xùn)練沒有硬性要求。分別于置換后2,4,8周和6個月進行評價,對兩組患者在治療前后膝前疼痛、膝關(guān)節(jié)功能(HSS)進行評估,比較兩組治療前后的臨床療效。結(jié)果與結(jié)論:①膝關(guān)節(jié)置換后4周,8周及6個月時,訓(xùn)練+常規(guī)治療組與常規(guī)治療組相比膝關(guān)節(jié)活動角度明顯增大(P0.05);②置換后8周及6個月,訓(xùn)練+常規(guī)治療組與常規(guī)治療組相比目測類比評分明顯降低(P0.05);③置換后2周,訓(xùn)練+常規(guī)治療組與常規(guī)治療組相比HSS評分明顯升高(P0.05);置換后8周,訓(xùn)練+常規(guī)治療組與常規(guī)治療組相比HSS評分升高,但差異并不顯著(P0.05);置換后6個月,訓(xùn)練+常規(guī)治療組HSS評分顯著高于常規(guī)治療組;④結(jié)果說明,早期步態(tài)訓(xùn)練較常規(guī)治療,能夠在一定程度上改善膝關(guān)節(jié)的活動角度、膝關(guān)節(jié)疼痛及整體功能,并明顯優(yōu)于常規(guī)治療組。證實早期步態(tài)訓(xùn)練對膝關(guān)節(jié)置換后患者康復(fù)可以恢復(fù)步行能力,提高患者綜合功能,快速、持續(xù)消除疼痛與活動受限,具有顯著的療效。
[Abstract]:Background: knee arthroplasty can solve the patients with knee joint deformity, pain, limited function, so as to improve the quality of life of patients, and the focus of postoperative early rehabilitation intervention and rehabilitation therapy in patients with functional recovery of absolute factors. Objective: To observe the clinical effect of early gait training on the rehabilitation of patients after total knee arthroplasty. Patient: select 86 cases of sports medicine, specifically done by a group of single knee knee arthroplasty, were randomly divided into training and routine treatment group and routine treatment group, 43 patients in each group. The training and routine treatment group in the preoperative rehabilitation guidance, joint replacement from the bed of gait training, the in accordance with the right of walking walking. The conventional treatment group was trained only on the basis of the principle of rehabilitation in the rehabilitation of knee joint replacement, but not for gait training mandatory requirements. In 2,4,8 weeks and 6 months after replacement evaluation Of the two groups, before and after treatment in patients with anterior knee pain, knee joint function (HSS) to assess clinical curative effect before and after treatment between the two groups. Results and conclusion: 4 weeks after total knee arthroplasty, 8 weeks and 6 months of training, and routine treatment group and routine treatment group compared with the knee angle increased significantly (P0.05); replacement after 8 weeks and 6 months of training and routine treatment group and routine treatment group compared with the visual analogue score was significantly lower (P0.05); the 2 weeks after replacement, training and routine treatment group and routine treatment group compared with the HSS score increased significantly (P0.05); the change after 8 weeks training, and routine treatment group and routine treatment group compared with the HSS score increased, but the difference was not significant (P0.05); 6 months after replacement, training + conventional treatment group HSS score was significantly higher than normal group; the results showed that the gait training compared with conventional treatment, can improve the knee joint to a certain extent, the activities of angle Knee pain and overall function were significantly better than those in the conventional treatment group. It is confirmed that early gait training can restore walking ability after knee replacement, improve the comprehensive function of patients, and relieve pain and activity limitation quickly and continuously, which has a significant effect.

【作者單位】： 大連市中心醫(yī)院運動醫(yī)學(xué)科;
【分類號】：R473.6

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本文編號：1685104