【摘要】：目的:觀察超早期規(guī)范化物理治療對全膝關節(jié)置換術患者平均住院日的影響。方法:篩選符合研究條件的85例患者,分為試驗組(50例)和對照組(35例),兩組患者均給予骨科術后常規(guī)治療,在此基礎上試驗組進行超早期規(guī)范化物理治療。比較兩組患者單次平均總住院日及術后平均住院日,術前、術后第1天—第3天及出院當天兩組患者手術側膝關節(jié)主動活動范圍、"起立-行走計時測試"時間,以及術后平均住院日與關節(jié)主動活動范圍和"起立-行走計時測試"時間的關系。結果:治療前兩組患者的年齡、術前住院日和"起立-行走試驗"時間差異均無顯著性意義(P0.05)。與對照組相比,試驗組單次平均總住院日(9.92±2.57)d和術后平均住院日(5.04±1.17)d均明顯降低,差異有顯著性意義(P0.01);試驗組術后第1天—第3天及出院當天的膝關節(jié)主動活動度明顯改善、"起立-行走試驗"時間縮短,差異有顯著性意義(P0.05)。術后平均住院日與術后出院當天"起立-行走計時測試"時間呈正相關,與術后出院當天手術側膝關節(jié)主動關節(jié)活動度呈負相關(P0.05)。結論:超早期規(guī)范化康復治療能可改善術后膝關節(jié)主動活動度,縮短術后平均住院時間和單次平均總住院日。
[Abstract]:Objective: to observe the effect of super-early standardized physical therapy on average hospitalization days of total knee arthroplasty patients. Methods: 85 patients were selected and divided into two groups: experimental group (n = 50) and control group (n = 35). The average single total hospitalization days and postoperative hospitalization days were compared between the two groups. The range of active knee joint activity and the time of standing up and walking time test were compared between the two groups before operation, from the first day to the third day after operation and on the day of discharge. The relationship between the average hospitalization days after operation and the range of joint active activity and the time of standing-walking timing test. Results: there was no significant difference between the two groups in age, preoperative hospitalization days and the time of "standing-walk test" before treatment (P0.05). Compared with the control group, the average total hospitalization days of the trial group (9.92 鹵2.57) days and the average postoperative hospitalization days (5.04 鹵1.17) days were significantly lower than those of the control group (P0.01). In the experimental group, the active motion of knee joint improved significantly from the first day to the third day after operation and on the day of discharge, and the time of "stand-up walking test" was shortened, the difference was significant (P0.05). The average hospitalization days were positively correlated with the time of standing up and walking time test on the day of discharge from hospital, and negatively correlated with the motion of the knee joint active joint on the day of discharge (P0.05). Conclusion: Ultra-early standardized rehabilitation can improve the active motion of knee joint after operation, shorten the average hospitalization time and average total hospitalization time.
【作者單位】： 安徽省立醫(yī)院康復醫(yī)學科;安徽省立醫(yī)院骨科;
【分類號】：R687.4

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