摘要
目的 探讨系统化康复治疗损伤所致膝关节疼痛及运动障碍的实施效果.方法 选取 2022-09 至 2023-09 在武警黑龙江总队医院康复医学与理疗科收治的损伤所致膝关节疼痛及运动障碍患者110 例,根据随机数表法分为观察组和对照组,每组各55 例.对照组实施基础理疗和推拿的常规康复治疗,观察组实施运动疗法主导的系统化康复治疗.比较两组出现感染、延迟愈合、创伤性关节炎以及下肢静脉血栓等并发症情况,比较膝关节功能评分、疼痛评分、生理功能、心理功能、社会功能及总体健康等评分情况.结果 观察组出现感染、延迟愈合、创伤性关节炎以及下肢静脉血栓等并发症的总概率低于对照组(P<0.05);治疗后观察组膝关节Lysholm评分高于对照组[(90.76±3.72)vs.(79.58±3.85),P<0.01],而VAS评分低于对照组[(2.36±0.69)vs.(5.47±1.34),P<0.01];观察组生理功能、心理功能、社会功能以及总体健康等评分高于对照组(P<0.01).结论 系统化康复治疗损伤所致膝关节疼痛及运动障碍的效果显著,可以显著改善患者膝关节活动度,恢复膝关节正常功能状态.
Abstract
Objective To explore the effect of systematic rehabilitation on knee pain and movement disorder caused by inju-ries.Methods A total of 110 injury-induced knee pain and movement disorder patients admitted to the Rehabilitation Medicine and Physiotherapy Department of Heilongjiang Provincial Corps Hospital of Chinese People's Armed Police Force from September 2022 to September 2023 were selected and divided into observation group and control group according to random number table method,with 55 patients in each group.The control group received routine rehabilitation therapy of basic physiotherapy and massage,while the observa-tion group received systematic rehabilitation therapy led by exercise therapy.Complications such as infection,delayed healing traumatic arthritis and venous thrombosis of lower limbs were compared between the two groups.Scores of knee joint function,pain,physiological function,psychological function,social function and overall health were also compared.Results The total incidence of infection,de-layed healing,traumatic arthritis and lower limb venous thrombosis in the observation group was significantly lower than those in the control group(P<0.05).After treatment,the knee Lysholm score of the observation group was higher than that of the control group[(90.76±3.72)vs.(79.58±3.85),P<0.01],while the VAS score was lower than that of the control group[(2.36±0.69)vs.(5.47±1.34),P<0.01].The scores of physiological function,psychological function,social function and general health in the obser-vation group were higher than those in the control group(P<0.01).Conclusions The effect of systematic rehabilitation on knee pain and movement disorder caused by injury is significant,which can significantly improve the patient's knee motion and restore the normal function of the knee joint.
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