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46例类风湿性关节炎病人行双侧人工全膝关节置换术后的康复护理
引用本文:王向阳,王磊,陈亚婷,崔少伟. 46例类风湿性关节炎病人行双侧人工全膝关节置换术后的康复护理[J]. 全科护理, 2012, 10(19): 1738-1739
作者姓名:王向阳  王磊  陈亚婷  崔少伟
作者单位:青岛大学医学院附属医院
摘    要:[目的]总结类风湿性关节炎病人行双侧人工全膝关节置换术后的康复护理。[方法]对46例类风湿性关节炎病人行双侧人工全膝关节置换术,同时加强术后心理护理、一般护理、康复训练等。[结果]46例病人切口均获一期愈合,局部疼痛减轻或消失,至术后2周拆线时膝关节活动度达到70°~100°,平均80°;随访8周至62个月,采用美国特种外科医院膝关节评分(HSS)评定膝关节功能,优26例,良14例,中6例;均能弃拐自行行走,能满足基本日常生活需要。[结论]加强类风湿性关节炎病人行双侧人工全膝关节置换术后的康复护理,有助于术后膝关节功能的恢复。

关 键 词:类风湿性关节炎  人工全膝关节置换术  康复护理

Rehabilitation care of 46 cases of rheumatoid arthritis patients after undergoing bilateral total knee arthroplasty
Affiliation:Wang Xiangyang,Wang Lei,Chen Yating,et al(Affiliated Hospital of Medical College of Qingdao University,Shandong 266003 China)
Abstract:Objective:To summarize the rehabilitation care of 46 cases of rheumatoid arthritis patients after undergoing bilateral total knee arthroplasty.Methods:46 cases of rheumatoid arthritis patients underwent bilateral total knee arthroplasty,while the postoperative psychological care,general care,rehabilitation training were strengthened for them.Results: the incisions in 46 patients were one-period healing,local pain lessened or disappeared,at two weeks after removal of stitches,the knee activity reached 70 ° to 100 °,an average of 80 °;followed up for 8 weeks to 62 months,the patients were assessed about the knee function by using the U.S.Special Surgery Hospital knee Score(HSS),excellent in 26 cases,good in 14 cases,moderate in 6 cases;all of them were able to crutch to walk on their own and meet basic needs of daily life.Conclusion:To strengthen the rehabilitation care of rheumatoid arthritis patients undergoing bilateral total knee arthroplasty is benefit for recovery of the joint function.
Keywords:rheumatoid arthritis  total knee arthroplasty  rehabilitation care
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