Objective: To explore the curative effect of advanced fine training program on the rehabilitation of functional recovery post total knee arthroplasty (TKA). Methods: Sixty patients who had received TKA were randomly divided into experimental group (n=30) and control group (n=30). Patients of the control group received routine rehabilitation training, and patients of the experimental group received advanced fine training. All patients were evaluated by using the U.S. hospital for special surgery (HSS), visual analogue scale(VAS) and the range of motion(ROM) at 3, 7 and 12 day post TKA. These scores of two groups were compared. Results: Both control group and experimental group, there were statistical difference in the scores of HSS, VAS and ROM score between before and after TKA (t=-43.33, t=-37.27, t=-35.85, t=28.65, t=22.06, t=22.39, t=-17.43, t=-27.97, t=-35.26, P<0.05). And all the scores of experimental group were significantly better than that of control group. Conclusion: Routine rehabilitation training and advanced fine training not only can effectively improve the knee joint function after TKA, but also obtain the curative effect of advanced fine training was better.%目的:探讨超前精细化训练方案在全膝关节置换术(TKA)后功能恢复的疗效.方法:选取60例行全膝关节置换术的患者,采用信封法将其随机分为观察组和对照组,每组30例.对照组采用传统康复训练方案,观察组采用基于术后加速康复(ERAS)的超前精细化康复训练方案.分别于术后3 d、7 d和12 d进行美国特种外科医院(HSS)膝关节功能评分、膝关节疼痛视觉模拟量表(VAS)评分以及膝关节屈曲活动范围(ROM)评分;比较两组患者各项评分结果.结果:观察组患者治疗前与治疗后3 d、7 d和12 d的后膝关节功能HSS评分比较,差异有统计学意义(t=-43.33,t=-37.27,t=-35.85;P<0.05),VAS评分以及ROM评分比较均有统计学意义(t=28.65,t=22.06,t=22.39,t=-17.43,t=-27.97,t=-35.26;P<0.05).结论:超前精细化训练和传统训练均能有效改善TKA术后的膝关节功能,但超前精细化训练疗效更为显著.
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