全膝关节置换后系统康复的随机对照

背景：国内外对人工全膝关节置换后的康复有较多的研究,但往往局限于一种康复方法。 目的：分析系统康复对人工全膝关节置换后康复进程的影响。 方法：选择行单侧人工全膝关节置换的50例骨性关节炎患者,随机分为两组,干预组置换前给予康复指导,置换后由康复治疗师给予康复锻炼,同时行CPM锻炼和冷敷,对照组给予传统CPM锻炼。 结果与结论：干预组置换后24 h~6 d疼痛目测类比评分均低于对照组(P < 0.05),置换后2 d~6周时膝关节活动度高于对照组(P < 0.05),置换后2,6周时HSS评分高于对照组(P < 0.05),两组均无局部切口并发症发生。说明人工全膝关节置换后系统康复可加快康复进程,减轻患者疼痛,改善关节活动度,且不会增加并发症。

Comprehensive rehabilitation following total knee arthroplasty: A randomized controlled trial

BACKGROUND:There are many studies about rehabilitation after total knee arthroplasty (TKA), but these studies are mostly limited to study only a rehabilitation method. OBJECTIVE:To investigate the influence of comprehensive rehabilitation after TKA. METHODS:Fifty patients who underwent unilateral TKA were randomly divided into two groups: the study group received rehabilitation guidance before operation, and rehabilitation exercise by therapists, CPM exercise, ice application after operation; the control group received CPM exercise only. RESULTS AND CONCLUSION:From the 2nd day to the 6th day after operation, the score of visual analog scale in the study group was lower than that of the control group (P < 0.05). The range of motion of the knee was higher in the study group at 2 days to 6 weeks after operation (P < 0.05). HSS scores were higher in the study group than the control group at 2 and 6 weeks after operation (P < 0.05). There was no difference in local complications between two groups. Application of comprehensive rehabilitation for TKA can speed up the rehabilitation process, relieve pain, improve the range of motion of the knee, and side effect is not rising.