早期规范的渐进式肌力康复训练配合持续被动训练机在78例全膝关节置换术后的疗效分析

摘要

目的：：探讨全膝关节置换术后早期规范的运用渐进式肌力康复训练配合持续被动训练机(CPM)的康复护理效果。方法：将78例患者随机分为治疗组（A组）、对照组（B组）各39例，术前、术后两组患者给予相同康复护理，并采用膝关节HSS各项评分，A组行渐进式肌力康复训练配合CMP锻炼；B组行渐进式肌力康复训练，观察两组术后康复效果。结果：A、B两组患者术前膝关节 HSS各项评分均无明显差异(P＞0.05)；术后膝关节 HSS各项评分较术前明显差异(P＜0.05)，但术后膝关节肌肉组织肌力、膝关节稳定性与B组的患者比较差异无统计学意义（P＞0.05）。结论：术后早期规范的渐进式肌力康复训练配合CPM可改善膝关节疼痛、功能、活动度、屈曲程度，有利于减少早期全膝关节置换术后的并发症，可进一步临床推广应用。%Objective:Discussion of the rehabilitation nursing effect of early postoperative total knee arthroplasty using progressive muscle Rehabilitation Training with CPM. Methods:The 78 patients were randomly divided into treatment group and control group that were 39 cases in each group, Preoperative and postoperative rehabilitation given the same care, use the HSS knee score. group A use to progressive muscle rehabilitation and CMP, Group B using only the progressive muscle rehabilitation. Effects of rehabilitation were observed above two sets. The results:group A and B before the surgery patients were HSS knee scores were not significantly different (P>0.05);The postoperative HSS knee scores significantly different compared with the preoperative (P<0.05);But after knee surgery muscle strength and improve the stability of the knee joint were compared with group B, the difference was not statistically significant (P>0.05). Conclusion:Early postoperactive regulate the progressive muscle rehabilitation with CPM is more conducive to improve knee pain, function, activity, degree of flexion, reduce early complications after total knee arthroplasty, it can worthy of further clinical application.