下肢创伤骨折术后预防膝关节僵硬的功能训练

目的 探讨下肢创伤性骨折术后患者发生膝关节僵硬的原因及其功能训练的护理方法.方法 将118例下肢创伤性骨折术后的患者随机分成康复训练组和对照组.对照组采用传统的术后护理方法,康复训练组则进行系统、科学的早、中、后期不同功能锻炼指导和护理.采用自行设计评价表评价两组患者膝关节活动功能的差异.结果 康复训练组膝关节伸、屈功能明显优于对照组,两组比较,均P＜0.01,差异具有统计学意义.结论 正确指导下肢创伤性骨折术后患者进行系统、科学的功能锻炼是预防膝关节僵硬的有效护理措施.

Effect of preventive functional training on knee anchylosis after operation on traumatic bone fracture of lower limbs

Objective To investigate the causes of knee anchylosis after operation on traumatic bone fracture of lower limbs and propose nursing strategies for preventive functional training. Methods 118 patients with traumatic bone fractures of lower limbs were randomized into rehabilitative training group and control group. In the control group, the patients received conventional nursing. In the rehabilitative functional training group, the patients received systematic instructions for functional training based on the earlier, intermediate and later stages. The functions of knee joints were evaluated and compared between the two groups by a self-designed evaluation form. Result The functions of knee joints in the training group were significantly better than those of the control group （P 〈 0.01 ）. Conclusion During performance of nursing, the fight instruction for them to perform systematic functional training is effective for the prevention of knee anchylosis.