文章摘要
闫冰,黄秋,张丹睿,张燕,王红川.术前短期家庭康复在全膝关节置换中的应用研究[J].中国康复,2018,33(2):129-132
术前短期家庭康复在全膝关节置换中的应用研究
Utility of short-term preoperative family rehabilitation on total knee arthroplasty
  
DOI:
中文关键词: 全膝关节置换术  术前康复  关节功能
英文关键词: total knee arthroplasty  preoperative rehabilitation  joint function
基金项目:
作者单位
闫冰 乐山市人民医院骨一科四川 乐山 614000 
黄秋 乐山市人民医院骨一科四川 乐山 614000 
张丹睿 乐山市人民医院骨一科四川 乐山 614000 
张燕 乐山市人民医院骨一科四川 乐山 614000 
王红川 乐山市人民医院骨一科四川 乐山 614000 
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中文摘要:
  目的: 探讨为期2周的术前短期家庭康复对人工全膝关节置换术(TKA)后早期疗效的影响。方法:将拟行TKA的30名患者随机分为术前康复组(n=15)和对照组(n=15)。术前康复组进行为期2周的家庭康复锻炼后完成单侧TKA,对照组术前无特殊康复锻炼。分别在就诊时、术前1天和术后8周记录患者疼痛视觉模拟评分(VAS)、关节主动活动度(AROM)、特种外科医院膝关节评分(HSS-KS);术后3天评价患者康复锻炼依从性、术后8周进行就医满意度评定。结果:术前,术前康复组VAS评分较就诊时明显降低(P<0.05),术后8周2组VAS评分较就诊时及术前明显降低(均P<0.05),且术前康复组明显低于对照组(P<0.05)。2组患者患膝AROM、HSS-KS评分在就诊时、术前均无统计学差异,术前康复组术前及术后8周患膝AROM、HSS-KS评分较就诊时没有明显改善,但术后8周术前康复组患膝AROM、HSS-KS评分均高于对照组(均P<0.05),术前康复组患者术后康复锻炼依从性及就医满意度明显优于对照组(均P<0.05)。结论:为期2周的短期术前家庭康复能够在TKA术前减轻患者疼痛,提高患者术后早期康复依从性,促进术后早期功能恢复,提高患者就医满意度。
英文摘要:
  Objective: To investigate the effect of short-term preoperative family rehabilitation on total knee arthroplasty (TKA). Methods: Thirty cases of TKA were randomly divided into the pre-rehabilitation group (n=15) and the control group (n=15). Patients in the pre-habilitation group received preoperative family rehabilitation for 2 weeks before TKA, while those in the control group did not adopt any preoperative rehabilitation. All patients received the same regular pre-surgical education, surgery and post-surgical rehabilitation. The Visual Analogue Scale (VAS) of pain, active range of motion (AROM), and Hospital for Special Surgery-Knee Scale (HSS-KS) were evaluated on admission, one day prior to the operation and 8 weeks after operation respectively. Patients were assessed for their rehabilitation compliance on the postoperative day (POD) 3 and satisfaction of patients at 8th week after operation between the two groups. Results: There was no significant difference in baseline data between the two groups (P>0.05). Before operation, the VAS score in the pre-rehabilitation group was significantly lower than that at admission (P<0.05). The scores of VAS at 8th week after TKA were reduced significantly in both two groups as compared with those at admission and before the surgery (P<0.05), and those in pre-rehabilitation group were significantly lower than those in the control group (P<0.05). No significant change in scores of AROM and HSS-KS was found in the two groups at admission and before operation (P>0.05).Though there was no significant improvement in scores of AROM and HSS-KS in the pre-rehabilitation group at admission as compared with pre-operation and 8 weeks after TKA, scores of AROM and HSS-KS at 8th week after TKA were significantly higher in the pre-rehabilitation group than those in the control group (P<0.05). The rehabilitation compliance and satisfaction in the prehabilitation group were significantly superior to those in the control group (P<0.05). Conclusion: Short-term preoperative family rehabilitation can relieve joint pain before TKA, and plays an important role in knee function improvement, rehabilitation exercise compliance, and satisfaction in patients after TKA.
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