早期系统化康复训练对全膝关节置换患者术后功能恢复的影响

Effect of Early Systematic Rehabilitation Training on Postoperative Functional Recovery of Patients with Total Knee Joint Replacement

目的探讨早期系统化康复训练在全膝关节置换(TKA)患者中的应用效果。方法选取我院2021年1月—2023年1月收治的行TKA治疗的98例患者作为研究对象,采用随机数字表法将其分为对照组和观察组。对照组(n=49)患者采取常规康复训练,观察组(n=49)患者在常规康复训练基础上采取早期系统化康复训练,两组均持续干预至患者出院,并随访观察至术后3个月。比较两组患者干预效果。结果干预前,两组膝关节活动度比较,差异无统计学意义(P>0.05);干预后,两组膝关节活动度均较干预前增大,且观察组膝关节活动度大于对照组,差异有统计学意义(P<0.05)。干预前,两组美国膝关节协会(AKS)评分比较,差异无统计学意义(P>0.05);干预后,两组AKS评分均较干预前升高,且观察组AKS评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.08%,低于对照组的18.37%,差异有统计学意义(P<0.05)。结论TKA术后患者经早期系统化康复训练干预后,可提升膝关节活动度,促进膝关节功能恢复,术后并发症更少。

Objective To explore the effect of early systematic rehabilitation training in patients with total knee Joint replacement(TKA).Methods 98 patients who underwent TKA treatment admitted to the hospital from January 2021 to January 2023 were selected as the study objects.They were randomly divided into a control group and an observation group using a random number table method.The control group(n=49)received routine care,while the observation group(n=49)received early systematic rehabilitation training on the basis of routine care.Both groups continued to intervene until the patients were discharged,and were followed up for 3 months after surgery.Compare the intervention effects of two groups of patients.Results Before the intervention,there was no statistically significant difference in knee joint mobility between the two groups(P>0.05);after intervention,the knee joint mobility of both groups increased compared to before intervention,and the knee joint mobility of the observation group was greater than that of the control group,with statistically significant differences between the groups(P<0.05).Before intervention,there was no statistically significant difference between the two groups in the American Knee Association(AKS)scores(P>0.05);after intervention,the AKS scores of both groups increased compared to before intervention,and the AKS scores of the observation group were higher than those of the control group,with statistically significant differences between the groups(P<0.05).The incidence of complications in the observation group was 4.08%,lower than 18.37%of the control group,with a statistically significant difference(P<0.05).Conclusion After TKA surgery,patients undergoing early systematic rehabilitation training can improve knee joint mobility,promote knee joint function recovery,and have fewer postoperative complications.