Abstract：Objective To explore and analyze the effect of early rehabilitation nursing on the treatment of knee osteoarthritis under arthroscopic microfracture technique. Methods 110 patients with knee osteoarthritis under arthroscopic microfracture technique in the First Affiliated Hospital of Harbin Medical University from June 2014 to June 2016 were selected. All the patients divided into control group and observation group according to random number table, with 55 cases in each group. The control group was received routine nursing, while the observation group was received early rehabilitation nursing on the basis of the control group. The nursing satisfaction, the degree of HSS score were followed up for 6 months, and the quality of life scores of the two groups were compared. Results The satisfaction to nursing care of observation group was obviously higher than that of control group, with statistically significant difference (P < 0.05). The HSS knee score of observation group was better than that of control group, with statistically significant difference (P < 0.05). The scores of body pain, physical function, mental health, social function and overall health score of two groups were increased after treatment, and the increase of observation group after treatment were more remarkable than those of the control group, with statistically significant difference (P < 0.05). Conclusion Early rehabilitation nursing can help to improve the clinical effect of the microfracture technique on knee osteoarthritis, which can relieve pain and improve the quality of life.
周静 鄂晓强 . 早期康复护理在关节镜下微骨折技术治疗膝骨关节炎的临床效果[J]. 中国医药导报, 2017, 14(22): 162-164,172.
ZHOU Jing E Xiaoqiang. Effect of early rehabilitation nursing on the treatment of knee osteoarthritis under arthroscopic microfracture technique. 中国医药导报, 2017, 14(22): 162-164,172.
[1] Classen T，Zaps D，Landgraeber S，et al. Assessment and management of chronic pain in patients with stable total hip arthroplasty [J]. Inter Orthopaedics，2013，37（1）：1-7.
[2] 梁燕嫦.膝关节周围恶性骨肿瘤的综合保肢术后护理研究[J].中国医药指南，2012，10（29）：348-349.
[3] 杨莉.浅谈整体护理在骨科护理中的应用[J].中国保健营养，2012，9（3）：765-766.
[4] 胥少汀，葛宝丰，徐印坎.实用骨科学[M]. 3版.北京：人民军医出版社，2005.
[5] Hudetz D，Rod E，Radi■ A，et al. Diagnosis and treatment of peri-prosthetic infections in total hip replacement [J]. Med Glas（Zenica），2012，9（1）：152-159.
[6] 梁群英，梁建萍，何红燕，等.早期护理干预对骨科大手术后下肢深静脉血栓形成的影响[J].国际护理学杂志，2011，30（8）：1163-1164.
[7] 祝涛.关节镜下前交叉切带重建术病人术后功能锻炼的效果观察[J].全科护理，2011，9（13）：1153-1154.
[8] 许春红，祝瑾，程宏.综合护理干预方式对改善类风湿关节炎患者焦虑及抑郁状态的影响[J].中国医药导报，2012， 9（36）：123-124.
[9] 黎明，韩红.综合运动疗法与膝关节骨性关节炎复发的关系[J].中国全科医学，2011，14（35）：4082-4083.
[10] 刘晓林，林坚，黄雄昂，等.下肢肌肉链训练与股四头肌训练治疗膝骨关节炎的疗效对比研究[J].中国全科医学，2013，16（18）：2143-2145.
[11] Swank AM， Kachelman JB，Bibeau W，et al. Prehabilitation before total knee arthroplasty increases strength and function in older adults with severe osteoarthritis [J]. J Strength Cond Res，2011，25（2）：318-325.
[12] Falck-Ytter Y，Francis CW，Johanson NA，et al. Prevention of VTE in orthopedic surgery patients： antithrombotic therapy and prevention of thrombosis，9th ed：American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J]. Chest，2012，141（2 Suppl）：e278S-e325S.
[13] 王海燕.自我效能增强干预对膝关节置换术患者康复效果的影响[D].苏州：苏州大学，2014.
[14] 严林，彭昊.关节镜下微骨折治疗膝骨性关节炎临床疗效研究[J].中华实验外科杂志，2014，31（12）：2911-2913.
[15] 真启云，费文勇，肖黎，等.关节镜下微骨折技术治疗膝骨性关节炎的康复护理[J].现代临床护理，2011，10（12）：47-49.
[16] 赵伟，黄晖，付纳新，等.关节镜清理术后联合医用臭氧灌注治疗膝骨性关节炎的临床疗效观察[J].实用医学杂志，2013，29（24）：4017-4019.
[17] 赵继露.关节镜下微骨折技术治疗膝骨性关节炎的康复护理[J].中国继续医学教育，2014，6（4）：48-49.
[18] Iwamoto J，Sato Y，Takeda T，et al. Effectiveness of exercise in the treatment of lumbar spinal stenosis，knee osteoarthritis，and osteoporosis [J]. Aging Clin Exp Res，2010， 22（2）：116-122.
[19] 张瑛，商月娥，杨新明.超前镇痛在膝关节周围骨折术后患者护理中应用观察[J].护理研究，2012，26（11）：3032-3033.
[20] 涂娟，吴军，熊青媛，等.关节镜下微骨折术治疗膝关节软骨损伤术后中西医结合康复护理的临床研究[J].中国中医药现代远程教育，2015，13（16）：90-91.
2017, Vol. 14 
京公网安备 11010502046598号