下肢骨折内固定术后膝关节功能障碍的早期综合康复疗效分析

摘要目的：评价早期综合康复对下肢骨折内固定术后膝关节功能障碍患者的作用。方法：80例下肢骨折内固定术后出现膝关节功能障碍的患者随机分为两组，治疗组42例，对照组38例，同时给予泥疗、平衡负重及关节活动度（KOM）训练，治疗组在此基础上增加针刺及连续泥疗下关节活动度的训练，并通过视觉模拟评分(VAS）、膝关节水肿程度、ROM和依从性的评定，评价早期综合康复的作用。结果：治疗后两组患者在疼痛程度、膝关节周径、关节活动度、依从性等方面都有不同程度的改善，其中治疗组明显优于对照组，差异显著（P<0.05）。结论：早期综合康复能减轻下肢骨折内固定术后的膝关节功能障碍。

Research for the effect of early comprehensive rehabilitation on knee dysfunction after lower extremity fracture with internal fixation

Objective:To investigate the effect of early comprehensive rehabilitation on knee dysfunction after lower extremity fracture with internal fixation.Method:Eighty patients(27 females)with knee dysfunction after lower extremity fracture with internal fixation were randomly assigned to 1 of 2 groups:a control group which received range of motion(ROM) training,balance loading and pelotherapy,a treatment group which received the same training in addition to acupuncture and continuous pelotherapy.Visual analogue scale(VAS),severity of knee swelling,ROM and compliance of the training were used to assess the pain,function and compliance of patients in both groups.Result:The clinical observation showed that in treatment group ROM training combined with acupuncture and continuous pelotherapy could relieve pain,diminish edema,improve ROM and compliance of the rehabilitation programs,compared to the control group,the difference’ were significant(P<0.05).Conclusion:Early comprehensive rehabilitation can reduce the knee dysfunction after lower extremity fracture with internal fixation.