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心理治疗在人工全膝关节置换术后的临床应用
引用本文:张伟明,陆廷仁,王颖. 心理治疗在人工全膝关节置换术后的临床应用[J]. 中国康复, 2005, 20(6): 354-355
作者姓名:张伟明  陆廷仁  王颖
作者单位:1. 上海市第二医科大学附属瑞金医院康复医学科,上海,200025
2. 上海市第二医科大学附属仁济医院康复医学科,上海,200025
摘    要:目的:探讨心理治疗在人工全膝关节置换术(TKR)后康复中的临床价值。方法:48例TKR患者分为心理组28例和对照组20例,均采用术前康复指导,术后康复功能训练,心理组同时给予心理治疗。结果:治疗2、6周和3个月时2组患者膝关节功能评分都较治疗前增加(P〈0.001),心理组评分高于对照组(P〈0.001)。于术后开始锻炼1及2周后,心理组视觉模拟评分(VAS)明显低于对照组。结论:心理治疗在TKR的康复治疗中具有非常重要的作用。

关 键 词:人工全膝关节置换术 心理治疗 康复训练
文章编号:1001-2001(2005)06-0354-02
收稿时间:2005-07-04
修稿时间:2005-07-04

Clinical Application of Psychiatry After Total Knee Replacement
ZHANG Wei-ming,LU Ting-ren,WANG Ying. Clinical Application of Psychiatry After Total Knee Replacement[J]. Chinese Journal of Rehabilitation, 2005, 20(6): 354-355
Authors:ZHANG Wei-ming  LU Ting-ren  WANG Ying
Affiliation:Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai second medical university, Shanghai 200025, China
Abstract:Objective:To study the clinical value of psychiatry during the rehabilitation medical period after total knee replacement(TKR).Method: Forty-eight patients with TKR were divided into psychiatry group(n=28) and control group(n=20).All of them were subjected to preoperative rehabilitative guide and postoperative rehabilitative function training.Moreover,the patients in the psychiatry group received psychiatry.Results: After treatment for 2,6 weeks and 3 months,the knee scores in the two groups were increased significantly as compared with those before treatment(P<0.001).The scores in the psychiatry group were higher than in control group(P<(0.001)).Conclusion: The psychiatry plays a very important role in the rehabilitation of TKR.
Keywords:Total knee replacement   Psychiatry   Rehabilitation training
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