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关节持续被动活动机训练联合综合康复治疗在下肢骨折后膝关节活动功能障碍患者中的应用效果
毕菲      蔡振媛▲
南京医科大学附属淮安第一医院关节外科,江苏淮安   223001
Application effects of joints continuous passive motion machine training combined with comprehensive rehabilitation therapy in patients with knee joint mobility dysfunction after lower limb fracture#br#
BI Fei   CAI Zhenyuan▲
Department of Joint Surgery, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian   223001, China
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摘要 目的 观察关节持续被动活动(CPM)机训练联合综合康复治疗在下肢骨折后膝关节活动功能障碍患者中的应用效果。 方法 选取2019年1月至2021年1月南京医科大学附属淮安第一医院下肢骨折后膝关节活动功能障碍患者80例,以随机数字表法将其分为康复组(40例,综合康复治疗)、联合组(40例,综合康复治疗联合关节CPM机),3周为1个疗程,两组共治疗3个疗程。比较治疗前后两组视觉模拟评分法(VAS)评分、关节活动度、膝关节Lysholm评分;比较两组临床疗效,记录两组不良反应发生情况。 结果 治疗后两组VAS评分均低于治疗前,关节活动度大于治疗前,膝关节Lysholm评分高于治疗前,且联合组VAS评分低于康复组,关节活动度大于康复组,Lysholm评分高于康复组,差异有统计学意义(P < 0.05)。联合组临床疗效优于康复组,差异有统计学意义(P < 0.05)。两组治疗期间均未发生不良反应。 结论 下肢骨折后膝关节活动功能障碍患者中综合康复治疗结合关节CPM机可减轻患者疼痛,改善膝关节活动度及功能,效果确切,且安全可靠。
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毕菲 蔡振媛▲
关键词 下肢骨折膝关节活动功能障碍综合康复治疗持续被动活动机    
Abstract:Objective To observe the application effects of joints continuous passive motion (CPM) machine training combined with comprehensive rehabilitation therapy in patients with knee joint mobility dysfunction after lower limb fracture. Methods A total of 80 patients with with knee joint mobility dysfunction after lower limb fracture admitted to Huaian First Hospital Affiliated to Nanjing Medical University from January 2019 to January 2021, they were divided into rehabilitation group (40 cases, the comprehensive rehabilitation therapy), the combined group (40 cases, the comprehensive rehabilitation therapy combined joint CPM machine) by random number table method. Three weeks as a course of treatment, the two groups were treated for three courses. Visual analogue scale (VAS) score, range of motion, and knee Lysholm score were compared between the two groups before and after treatment. The clinical efficacy of the two groups was compared. The incidence of adverse reactions in the two groups was recorded. Results After treatment, VAS scores of the two groups were lower than those before treatment, ranges of motion were higher than those before treatment, knee Lysholm scores were higher than those before treatment, and VAS scores of the combined group were lower than those of the rehabilitation group, ranges of motion were higher than those of the rehabilitation group, knee Lysholm scores were higher than those of the rehabilitation group, the differences were statistically significant (P < 0.05). The clinical efficacy of combined group was better than that of rehabilitation group, and the difference was statistically significant (P < 0.05). There were no adverse reactions in both groups during treatment. Conclusion In patients with knee mobility dysfunction after lower limb fracture, comprehensive rehabilitation combines with joints CPM machine can relieve pain and improve knee mobility and function, with accurate, safe, and reliable effect.
Key wordsLower limb fracture    Knee joint movement dysfunction    Comprehensive rehabilitation treatment    Joints continuous passive motion machine
    
基金资助:江苏省高校哲学社会科学研究基金项目(2018S JA2163)。
通讯作者: ▲通讯作者   
引用本文:   
毕菲 蔡振媛▲. 关节持续被动活动机训练联合综合康复治疗在下肢骨折后膝关节活动功能障碍患者中的应用效果[J]. 中国医药导报, 2022, 19(3): 79-82.
BI Fei CAI Zhenyuan▲. Application effects of joints continuous passive motion machine training combined with comprehensive rehabilitation therapy in patients with knee joint mobility dysfunction after lower limb fracture#br#. 中国医药导报, 2022, 19(3): 79-82.
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