多元化康复护理结合早期部分负重训练对胫骨平台骨折患者术后并发症及膝关节功能恢复的影响

Effects of Diversified Rehabilitation Nursing Combined with Early Partial Weight Training on Postoperative Complications and Functional Recovery of Knee Joint in Patients with Tibial Plateau Fracture

目的探讨多元化康复护理结合早期部分负重训练对胫骨平台骨折患者术后并发症及膝关节功能恢复的影响.方法选择2020年2月—2022年1月我院收治的82例胫骨平台骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,每组各41例.两组均进行早期部分负重训练,对照组采用常规护理,观察组在对照组的基础上采用多元化康复护理.比较两组患者的膝关节功能恢复情况、生活质量、日常生活活动能力及并发症发生情况.结果观察组干预后lysholm膝关节评分、膝关节评分系统评分、简明生活质量调查量表评分、Barthel指数评分分别为(83.61±4.47)分、(86.59±5.54)分、(88.73±5.24)分、(85.39±5.17)分,均高于对照组的(75.46±3.13)分、(78.65±4.27)分、(74.22±3.72)分、(76.54±4.14)分,组间差异有统计学意义(P<0.05).观察组并发症发生率为7.32%,低于对照组的26.84%,差异有统计学意义(P<0.05).结论采用多元化康复护理联合早期部分负重训练干预,能够促进胫骨平台骨折患者膝关节功能恢复,降低并发症率,提升生活质量.

Objective To explore the effect of diversified rehabilitation nursing combined with early Weight training on postoperative complications and knee function recovery of patients with tibial plateau fractures.Methods 82 patients with tibial plateau fracture admitted to our hospital from February 2020 to January 2022 were selected as the study objects and divided into control group and observation group according to random number table method,with 41 cases in each group.Both groups received early partial weight training,the control group received routine nursing,and the observation group received diversified rehabilitation nursing based on the control group.Knee function recovery,quality of life,activities of daily living and complications were compared between the two groups.Results After intervention,lysholm knee joint score,Knee Joint Scoring System score,Concise Quality of Life Survey Scale score and Barthel index score were(83.61±4.47)points,(86.59±5.54)points,(88.73±5.24)points and(85.39±5.17)points,respectively,the score was higher than(75.46±3.13)points,(78.65±4.27)points,(74.22±3.72)points and(76.54±4.14)points of the control group,and the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 7.32%,lower than 26.84%in the control group,and the difference was statistically significant(P<0.05).Conclusion The diversified rehabilitation nursing combined with early weight training intervention can promote the recovery of knee joint function,reduce the complication rate and improve the quality of life of patients with tibial plateau fractures.