双侧膝关节置换术围手术期强化患者主动运动康复疗效的研究

目的探讨强化主动运动训练方式对双侧膝关节置换术后患者早期生活质量恢复的影响。 方法共选取广州军区广州总医院骨科医院双侧膝关节置换术后患者54例，简单随机抽样法将其分两组，分别采用不同运动方式训练，即常规运动训练组和强化主动运动训练组。两组患者康复周期均为术后1周。两组患者分别于术后1、3、5、7 d记录改良Barthel指数(MBI)、Berg平衡量表(BBS)进行评估，并采用t检验进行统计学分析比较。 结果两组患者术后7 d在MBI、Berg评分中强化主动运动训练组均比较常规运动训练组有明显提高(MBI：t＝－20.108, P<0.01；Berg：t＝－13.335, P<0.01)；强化主动运动训练组主动关节活动度(AROM)/被动关节活动度(PROM)术后7 d均比常规运动训练组大(AROM：t＝－4.288, P<0.01; PROM：t＝－4.232, P<0.01)。 结论强化主动运动训练可明显改善双侧膝关节置换术后平衡功能、关节活动度、日常生活自理能力，有效促进膝关节功能恢复提高生活质量。

Therapeutic effects of active motion training on rehabilitation in perioperative period of bilateral total knee arthroplasty

ObjectiveTo discuss different ways of training on the perioperative recovery of patients with total knee arthroplasty (TKA). MethodsFifty-four patients with bilateral TKA were selected, and randomly divided into two groups with different methods of training, namely the auxiliary motion training group and the active motion training group. The rehabilitation period of the two groups was one week. Modified Barthel index(MBI), Berg balance scale(BBS), active range of motion(AROM) and passive range of motion(PROM) were evaluated, and statistical analysis was performed with t test. ResultsThe active motion training group were better in MBI and Berg compared with the auxiliary motion training group (MBI, t=-20.108, P<0.01; Berg, t=-13.335, P<0.01). AROM/PROM in the active motion training group were larger than the auxiliary motion training group (AROM, t=-4.288, P<0.01; PROM, t=-4.232, P<0.01). ConclusionEnhancement of active motion training could obviously improve the balance function, range of motion, and patients activities of daily life (ADL) in the perioperative recovery, which can effectively promote the knee joint function and improve the life quality.