首页|部分负重训练联合CPM训练器治疗对胫骨平台骨折术后患者康复的影响

部分负重训练联合CPM训练器治疗对胫骨平台骨折术后患者康复的影响

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目的:探究部分负重训练联合持续被动运动(CPM)训练器治疗对胫骨平台骨折术后患者康复的影响。方法:选择 2021年 4月—2024年 3月临朐县人民医院收治的62例胫骨平台骨折患者为研究对象,按随机数字表法将其分为对照组和研究组,各 31例。对照组采取常规康复训练治疗,研究组在对照组基础上采取部分负重训练联合CPM训练器治疗。两组均持续训练 3个月。比较两组膝关节活动度、疼痛程度、膝关节功能及日常活动能力及并发症发生情况。结果:治疗后,两组膝关节屈曲、内旋、伸直、外旋活动度均大于治疗前,且研究组均大于对照组,差异均有统计学意义(P<0。05)。治疗后,两组疼痛视觉模拟评分均低于治疗前,且研究组较对照组低,两组Lysholm膝关节评分及Barthel指数评分均高于治疗前,且研究组均高于对照组,差异均有统计学意义(P<0。05)。研究组并发症发生率为 6。45%,相较于对照组的 12。90%,差异无统计学意义(P>0。05)。结论:胫骨平台骨折术后患者采用部分负重训练联合CPM训练器治疗,可提升其膝关节活动度,缓解疼痛程度,改善膝关节功能及日常生活能力,具有一定安全性。
Effect of Partial Weight-Bearing Training Combined with CPM Trainer on Postoperative Patients with Tibial Plateau Fracture
Objective:To investigate the effect of partial weight-bearing training combined with continuous passive motion(CPM)trainer on postoperative patients with tibial plateau fracture.Methods:A total of 62 patients with tibial plateau fracture treated in Linqu County People's Hospital from April 2021 to March 2024 were selected as the study subjects.They were divided into a control group and a study group according to random number table method,with 31 cases in each group.The control group received routine rehabilitation training,the study group received partial weight-bearing training combined with CPM trainer on the basis of the control group.Both groups continued training for 3 months.Knee motion,pain degree,knee function and daily activity ability were compared between the two groups.Results:After treatment,knee flexion,internal rotation,extension and external rotation of both groups were bigger than before treatment,the study group was bigger than the control group,the differences were statistically significant(P<0.05).After treatment,the Pain Visual Analogue Scale score in both groups were lower than before treatment,the study group was lower than the control group;the Lysholm Knee Score and Barthel Index score in both groups were higher than before treatment,the study group were higher than the control group,with statistical significance(P<0.05).The complication rate of the study group was 6.45%,compared with 12.90%of the control group,the difference was not statistically significant(P>0.05).Conclusion:Partial weight-bearing training combined with CPM trainer can improve knee joint motion,effectively relieve pain,improve knee joint function recovery and daily living ability in patients with tibial plateau fracture,with certain security.

Tibial plateau fracturePostoperativePartial weight-bearing trainingContinuous passive motion trainerKnee joint motionPain degree

冯云峰

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山东省临朐县人民医院骨二科,山东 潍坊 262600

胫骨平台骨折 术后 部分负重训练 持续被动运动训练器 膝关节活动度 疼痛程度

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)