量化康复训练对胫骨平台骨折术后患者康复效果的观察.pdf

《量化康复训练对胫骨平台骨折术后患者康复效果的观察.pdf》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、中国疗养医学2017年第26卷第4期ChinJConvalescentMed，Apr.2017，Vol.26，No.4·377·量化康复训练对胫骨平台骨折术后患者康复效果的观察鲁丹【摘要】目的分析量化康复训练在胫骨平台骨折术后患者康复中的应用价值，为今后胫骨平台骨折术后康复训练的完善提供参考。方法收集解放军第89医院骨科行手术治疗的胫骨平台骨折患者70例，按术后康复训练方法不同分为对照组(常规训练)和观察组(量化康复训练)，对比两组患者Lysholm膝关节功能评分、关节活动度(ROM)，对比两组肌力恢复情况、膝关节功能恢复情况、骨折愈合时间，观察两组术后并发症发生情况。结

2、果观察组膝关节Lysholm评分较对照组高，肌力恢复优良率(94.29%)较对照组(62.86%)高，膝关节功能恢复优良率(97.14%)较对照组(65.71%)高，观察组ROM值较对照组大，P均＜0.05。观察组术后无并发症发生，对照组有1例畸形愈合，并发症发生率比较，P＜0.05。结论量化康复训练通过早期训练，合理制定训练强度，应用动静平衡等训练方法，有效提高患者行走能力和平衡能力，预防畸形愈合。【关键词】量化康复训练；胫骨平台骨折；膝关节功能；平衡能力【Abstract】ObjectiveToanalyzetheapplicationvalueofquantifie

3、drehabilitationtrainingintherehabilitationofpostoperativepatientswithtibialplateaufracture，soastoprovidereferencefortheimprovementofrehabilitationtrain-inginthetreatmentoftibialplateaufractureinthefuture.Methods70casesundergoingsurgicaltreatmentoftibialplateaufractureattheDepartmentofOrth

4、opaedicsinNo.89PLAHospitalwerecollectedanddividedintocontrolgroup(routinetraining)andobservationgroup(quantifiedrehabilitationtraining)accordingtothepostoperativerehabil-itationtrainingmethods.ComparisonwasmadebetweenthetwogroupsintermsofLysholmscoreofkneejointfunc-tion，jointrangeofmotion

5、(ROM)，muscleforcerecovery，kneejointfunctionrecoveryandfracturehealingtime.Thepostoperativecomplicationoccurrencesinthetwogroupswereobserved.ResultsTheLysholmkneescoreintheob-servationgroupwashigherthanthatthecontrolgroup，excellentrecoveryrateofmusclestrengthintheobservationgroup(94.29%)hi

6、gherthanthatinthecontrolgroup(62.86%)，excellentrecoveryrateofkneejointfunctionintheobservationgroup(97.14%)higherthanthatinthecontrolgroup(65.71%)，ROMvaluesintheobservationgrouphigherthanthecontrolgroup，allP＜0.05.Nocomplicationsoccurredintheobservationgroup，whiletherewas1caseofabnormalhea

7、linginthecontrolgroup，andtheincidenceofcomplicationswascompared，P＜0.05.ConclusionQuantifiedrehabilitationtrainingthroughearlytraining，reasonabletrainingintensity，theapplicationofstaticanddy-namicequilibriumandothertrainingmethods，caneffectivelyimprovethewalkingabili