①目的观察全膝关节置换术后早期系统康复锻炼的临床效果。②方法选取我科2014年7月～2015年12月行单膝关节置换的70例患者，按照数字表法随机分为观察组和对照组，各35例。观察组术后给予早期系统康复锻炼，对照组给予常规康复锻炼，比较两组患者术后早期膝关节功能及生活质量。③结果观察组患者术后14天、30天膝关节百分评分系统（HSS）评分分别为（88．1±3．4）分、（93．4±2．6）分，对照组分别为（83．8±3．6）分、（91．1±3．2）分，两组比较差异有统计学意义；术后7天、14天日常生活运动（ADL）评分分别为（84．1±5．6）分、（94．1±6．4）分，对照组分别（79．5±6．1）分、（88．4±7．6）分，差异有统计学意义。④结论全膝关节置换术后早期系统康复锻炼能加快患者康复，使患者膝关节功能早日达到理想水平。%Objective To observation the clinical efficacy of total knee arthroplasty by early sys-tem rehabilitation exercise.Methods A total of 70 patients in our hospital from July 2014 to December 2015 for singlely knee replacement were randomly divided into observation group and control group,35 patients in each group.The observation group were given early system rehabilitation exercise and the control group were given routine rehabilitation training,knee j oint function and quality of life were compared in the two groups.Results The HSS scores were(88.1±3.4),(93.4±2.6)in observation group postoperatively on two weeks and one month,the control group which were(83.8±3.6),(91.1± 3.2),the difference had statistical significance in both two groups.The ADL scores were(84.1±5.6), (94.1±6.4)for observation group postoperatively on one week and two weeks,the control group which were(79.5±6.1),(88.4±7.6),the difference had statistical significance in both two groups.Conclusion Early system rehabilitation exercise after total knee replacement can accelerate the rehabilitation of patients,the patients'knee joint function can reach the ideal level as soon as possiblely and complete the daily life sports.So it is worth further promotion in clinical use.
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