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[1]趙斌,曾憲輝,豐新建,等.持續(xù)被動運動在全膝關(guān)節(jié)置換術(shù)后康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2014,26(09):19-20.
　Zhao Bin*,Zeng Xianhui,Feng Xinjian,et al.Application of continuous passive motion to the postoperative rehabilitation after total knee arthroplasty[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(09):19-20.
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持續(xù)被動運動在全膝關(guān)節(jié)置換術(shù)后康復(fù)中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年09期
頁碼:
19-20
欄目:
骨科康復(fù)與運動療法
出版日期:
2014-09-30

文章信息/Info

Title:
Application of continuous passive motion to the postoperative rehabilitation after total knee arthroplasty
作者:
趙斌1; 曾憲輝1; 豐新建1; 曾嘯1; 周廣軍2; 吳聰2; 林宗漢2
1.廣西中醫(yī)藥大學(xué),廣西 南寧 530001;
2.廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011
Author(s):
Zhao Bin*; Zeng Xianhui; Feng Xinjian; Zeng Xiao; Zhou Guangjun; Wu Cong; Lin Zonghan
*Guangxi University of Traditional Chinese Medicine,Nanning 530001,Guangxi,China
關(guān)鍵詞:
關(guān)節(jié)成形術(shù); 置換; 膝 運動療法; 持續(xù)被動性 康復(fù)
Keywords:
Arthroplasty; replacement; knee;  Motion therapy;  continuous passive;  Rehabilitation
摘要:
目的:探討持續(xù)被動運動在全膝關(guān)節(jié)置換術(shù)后康復(fù)中的作用。方法:全膝關(guān)節(jié)置換術(shù)后患者88例,男58例,女30例。年齡45～72歲,中位數(shù)55歲。單側(cè)80例,雙側(cè)8例。膝關(guān)節(jié)骨性關(guān)節(jié)炎61例,類風(fēng)濕關(guān)節(jié)炎23例,創(chuàng)傷性骨關(guān)節(jié)炎4例。病程3～13個月,中位數(shù)8個月。隨機分為2組,治療組42例,對照組46例。治療組采用持續(xù)被動運動聯(lián)合常規(guī)康復(fù)方法治療,對照組采用常規(guī)康復(fù)方法治療。分別于治療前及治療開始后7 d、14 d評價并比較2組患者膝關(guān)節(jié)活動度,并采用Judet膝關(guān)節(jié)功能評價標準評價總體療效。結(jié)果:①膝關(guān)節(jié)活動度評分。治療前后不同時間點膝關(guān)節(jié)活動度評分比較,差異有統(tǒng)計學(xué)意義,存在時間效應(yīng)[治療組:(12.23±2.27)分,(39.99±3.87)分,(99.24±4.86)分,對照組:(14.29±1.07)分,(30.04±3.96)分,(70.14±4.28)分,F=16.816,P=0.039]; 2組患者膝關(guān)節(jié)活動度評分的組間差異總體上有統(tǒng)計學(xué)意義(t=-0.222,P=0.000),除治療前以外(t=0.689,P=0.084),治療開始后7 d、14 d治療組的膝關(guān)節(jié)活動度評分均高于對照組(t=-0.763,P=0.000; t=-0.148,P=0.000); 時間因素和分組因素之間存在交互效應(yīng)(F=10.254,P=0.024)。②總體療效。治療組優(yōu)36例、良5例、可1例,對照組優(yōu)2例、良13例、可17例、差14例。治療組的總體療效優(yōu)于對照組(Z=-2.670,P=0.024)。結(jié)論:持續(xù)被動運動可以有效改善全膝關(guān)節(jié)置換術(shù)后膝關(guān)節(jié)活動度,促進膝關(guān)節(jié)功能恢復(fù)。
Abstract:
Objective:To study the role of continuous passive motion(CPM)in the postoperative rehabilitation after total knee arthroplasty(TKA).Methods:TKA was performed in 88 patients(58 males and 30 females)between the ages of 45 and 72 years(Median=55 yrs).Unilateral TKA was performed in 80 patients and bilateral TKA was performed in 8 patients.Sixty-one patients were diagnosed as knee osteoarthritis(KOA),23 patients as rheumatoid arthritis(RA)and 4 patients as traumatic osteoarthritis(TOA).The course of disease ranged from 3 to 13 months(Median=8 months).The patients were randomly divided into 2 groups,42 cases in treatment group,46 cases in control group.The patients in the treatment group were treated with combination therapy of CPM and conventional rehabilitation,while those in the control group were treated with monotherapy of conventional rehabilitation.The knee range of motion(ROM)was evaluated before treatment and at the 7th and 14th day after the beginning of the treatment respectively,and the total curative effect was evaluated according to Judet knee function evaluation standard.Results:There was statistical difference in knee ROM scores between different timepoints(treatment group:12.23+/-2.27,39.99+/-3.87,99.24+/-4.86 points; control group:14.29+/-1.07,30.04+/-3.96,70.14+/-4.28 points,F=16.816,P=0.039),in other words,there was time effect.In general,there was statistical difference in knee ROM scores between the 2 groups(t=-0.222,P=0.000).The knee ROM score of the treatment group was higher than that of control group at the 7th and 14th day after the beginning of the treatment(t=-0.763,P=0.000; t=-0.148,P=0.000),and there was no statistical difference in knee ROM scores between the two groups before the treatment(t=0.689,P=0.084).There was interaction between time factor and grouping factor(F=10.254,P=0.024).Thirty-six patients obtained an excellent result,5 good and 1 fair in the treatment group; while 2 patients obtained an excellent result,13 good,17 fair and 1 poor in the control group.The treatment group surpassed the control group in the total curative effect(Z=-2.670,P=0.024).Conclusion:The therapy of continuous passive motion can effectively improve the knee ROM and promote the recovery of knee joint function after TKA.

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更新日期/Last Update: 2014-09-30