首页|阶段性康复训练对全膝关节置换术患者疼痛程度及关节活动度的影响

阶段性康复训练对全膝关节置换术患者疼痛程度及关节活动度的影响

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目的:分析全膝关节置换术(TKA)患者应用阶段性康复训练对疼痛程度、关节活动度的影响。方法:选取2022 年 1 月—2023 年 12 月厦门大学附属第一医院收治的 130 例TKA患者作为研究对象,按随机数表法分为对照组和研究组,每组各 65 例。对照组行常规干预,研究组在此基础上联合阶段性康复训练。比较两组疼痛程度、关节活动度、关节功能及并发症发生情况。结果:研究组术后 1 d、术后 3 d、术后 5 d及术后 7 d视觉模拟量表(VAS)评分较对照组低,差异有统计学意义(P<0。05);研究组术后 4 周膝关节最大伸直角度较对照组低,最大屈曲角度较对照组高,差异有统计学意义(P<0。05);术后 3 个月两组美国特种外科医院膝关节量表(HSS)各项评分较术后当天提高,研究组提高更明显,差异有统计学意义(P<0。05);研究组并发症发生率较对照组低,差异有统计学意义(P<0。05)。结论:TKA患者应用阶段性康复训练可减轻术后疼痛,提高关节活动度,促进关节功能改善,且可减少并发症的发生。
The Effect of Staged Rehabilitation Training on the Pain Level and Joint Mobility of Patients Undergoing Total Knee Arthroplasty
Objective:To analyze the impact of staged rehabilitation training on pain level and joint mobility in patients undergoing total knee arthroplasty(TKA).Method:A total of 130 TKA patients admitted to the First Affiliated Hospital of Xiamen University from January 2022 to December 2023 were selected as the study objects and divided into control group and study group according to random number table method,with 65 cases in each group.The control group received routine intervention,and the study group combined phased rehabilitation training on this basis.The pain degree,joint motion,joint function and complications were compared between the two groups.Result:The visual analogue scale(VAS)scores of the study group were lower than those of the control group 1,3,5,7 days after surgery(P<0.05).The maximum extension angle of the knee joint in the study group was lower than that in the control group,while the maximum flexion angle was higher than that in the control group(P<0.05).3 months after surgery,the HSS scores of both groups increased compared with those on the same day after surgery,and the study group showed a more significant improvement(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The application of staged rehabilitation training in patients undergoing TKA can reduce postoperative pain,improve joint mobility,promote joint function improvement,and reduce complications.

Staged rehabilitation trainingPain levelTotal knee arthroplastyJoint mobilityVisual analogue scale

陈蓉蓉

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厦门大学附属第一医院 福建 厦门 361003

阶段性康复训练 疼痛程度 全膝关节置换术 关节活动度 视觉模拟评分法

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)