早期功能锻炼对髌骨骨折术后患者的影响

目的：探讨不同时期功能锻炼方法对髌骨骨折患者术后膝关节功能的影响。方法：选取2009年1月～2010年12月本院进行髌骨骨折术后的患者58例,随机分为两组,综合组29例术后早期采取被动锻炼及自主活动,对照组29例术后早期进行常规功能锻炼,两组患者术后3个月进行疗效评估。结果：综合组优良率为96.6%,对照组为62.1%,综合组优良率膝关节功能恢复显著高于对照组,P〈0.05。结论：早期功能锻炼能减少和预防并发症的发生,促进膝关节功能的恢复,但其中尤以综合锻炼组能够有效防止术后关节粘连,促进关节功能恢复,此综合锻炼具有临床推广应用的价值。

The impact of early functional exercise on the postoperative patient of patellar fracture

Objective：To explore the the impact of the method of functional exercise in different periods on the knee function of the postoperative patient with patellar fracture.Methods：After operation for 58 patients with patellar fracture were randomly divided into two groups in our hospital from Jan.2009 to Dec.2010.29 patients after opetation took passive exercise and locomotor activity early for integration group.The other 29 patients for control group took conventional functional exercise early.And two group patients were carried out therapeutic evaluation after operation for 3 months.Results：The excellent rate was 96.6%,62.1% for control group.So the excellent rate of the functional recovery in knee for integration group was significantly higher than control group,P0.05.Conclusion：Early functional exercise can reduce and prevent complications.And it promote recovery for knee joint function.Especially for the integration group while it can prevent joint adhesion of postoperative effectively,promote recovery of joint function.So the comprehensive training has the value of clinic application.