综合运动训练在膝关节置换术中的应用及对患者关节活动度和功能的影响(1)
【摘 要】目的：探讨综合运动训练在膝关节置换术中的应用及对患者关节活动度和功能的影响。方法：选择2014年8月至2016年8月我院接诊的90例行膝关节置换术的患者，通过随机数表法分为观察组(n=45)和对照组(n=45)，对照组术后进行单纯被动训练，观察组在对照组基础上进行综合运动训练。1个月后，比较治疗效果。结果：手术后，两组患者膝关节最大伸直角度均得到降低，膝关节最大屈曲角度增加(均P<0.05)，且观察组结果均优于对照组(均P<0.05)；观察组HSS评分高于对照组[(90.85±2.17)分vs(78.34±3.03)分]，VAS评分比对照组低[(2.78±0.42)分vs(4.59±0.53)分](均P<0.05)；观察组总有效率比对照组高[93.33%(42/45)vs75.55%(34/45)](P<0.05)；观察组并发症总发生率低于对照组[2.22%(1/45)vs15.56(7/45)](P<0.05)。结论：在膝关节置换术患者术后应用综合运动训练效果显著，可促进关节活动度、功能的恢复，减少并发症，提高预后，值得应用推广。
, 百拇医药
【关键词】全膝关节置换术；综合运动训练；关节活动度；关节功能
Abstract：Objective： To study application of comprehensive exercise training in knee joint replacement and its effect on joint mobility and function Methods： 80 patients with comprehensive exercise training who received therapy from August 2014 to August 2016 in our hospital were selected. According to random number table，those patients were divided into the observation group (n=45) and the control group (n=45).After surgery，the control group was given simple passive training，the observation group was given comprehensive exercise training on the basis of the control group. After 1 months，then treatment effect were compared.Results： After surgery， the maximum extension angle of the knee joint of tow groups were reduced， The maximum flexion angle of the knee joint were increased(all P<0.05)，and the result of observation group was better than that of control group(all P<0.05)；the HSS score inthe observation group was higher than that of the control group[(90.85±2.17)scores vs(78.34±3.03)scores]，the VAS score was lower than that of the control group[(2.78±0.42)scores vs(4.59±0.53)scores](all P<0.05)；the total effective rate in the observation group was higher than that of the control group[93.33%(42/45)vs75.55%(34/45)](P<0.05)； the incidence rate of complication in observation group was lower than that in control group[2.22%(1/45)vs15.56(7/45)](P<0.05).Conclusion Comprehensive exercise training is well for postoperative patients with knee joint replacement，which can promote the recovery of joint mobility and function，reduce complications and improve prognosis，it’s worthy of application and promotion.
, 百拇医药
Key words：knee joint replacement；comprehensive exercise training；joint mobility；joint function
【中圖分类号】R263.59 【文献标识码】A 【文章编号】1005-0019(2018)03-0-01
在人体关节中，膝关节作为重要的组成部分，若其功能遭受到损伤时，会对患者的膝关节活动功能造成不同程度的影响，降低生活质量[1]。膝关节置换术已在关节疼痛、畸形、不稳，日常生活活动障碍，实施过保守治疗但病情未明显改善的患者中广泛开展[2-3]。在进行膝关节置换术患者的预后不仅和患者病情、手术适应证、医师操作水平等之间存在着密切的关系，且术后科学规范化运动功能训练，在恢复患者关节功能这一点也十分重要，但通常被医护人员所忽略[4-5]。本次研究在我院行膝关节置换术的患者术后应用综合运动功能训练，旨在探讨其对关节活动度和功能的影响，现报道如下。, http://www.100md.com(骆成虹 骆成勇)
, 百拇医药
【关键词】全膝关节置换术；综合运动训练；关节活动度；关节功能
Abstract：Objective： To study application of comprehensive exercise training in knee joint replacement and its effect on joint mobility and function Methods： 80 patients with comprehensive exercise training who received therapy from August 2014 to August 2016 in our hospital were selected. According to random number table，those patients were divided into the observation group (n=45) and the control group (n=45).After surgery，the control group was given simple passive training，the observation group was given comprehensive exercise training on the basis of the control group. After 1 months，then treatment effect were compared.Results： After surgery， the maximum extension angle of the knee joint of tow groups were reduced， The maximum flexion angle of the knee joint were increased(all P<0.05)，and the result of observation group was better than that of control group(all P<0.05)；the HSS score inthe observation group was higher than that of the control group[(90.85±2.17)scores vs(78.34±3.03)scores]，the VAS score was lower than that of the control group[(2.78±0.42)scores vs(4.59±0.53)scores](all P<0.05)；the total effective rate in the observation group was higher than that of the control group[93.33%(42/45)vs75.55%(34/45)](P<0.05)； the incidence rate of complication in observation group was lower than that in control group[2.22%(1/45)vs15.56(7/45)](P<0.05).Conclusion Comprehensive exercise training is well for postoperative patients with knee joint replacement，which can promote the recovery of joint mobility and function，reduce complications and improve prognosis，it’s worthy of application and promotion.
, 百拇医药
Key words：knee joint replacement；comprehensive exercise training；joint mobility；joint function
【中圖分类号】R263.59 【文献标识码】A 【文章编号】1005-0019(2018)03-0-01
在人体关节中，膝关节作为重要的组成部分，若其功能遭受到损伤时，会对患者的膝关节活动功能造成不同程度的影响，降低生活质量[1]。膝关节置换术已在关节疼痛、畸形、不稳，日常生活活动障碍，实施过保守治疗但病情未明显改善的患者中广泛开展[2-3]。在进行膝关节置换术患者的预后不仅和患者病情、手术适应证、医师操作水平等之间存在着密切的关系，且术后科学规范化运动功能训练，在恢复患者关节功能这一点也十分重要，但通常被医护人员所忽略[4-5]。本次研究在我院行膝关节置换术的患者术后应用综合运动功能训练，旨在探讨其对关节活动度和功能的影响，现报道如下。, http://www.100md.com(骆成虹 骆成勇)