CPM加中药熏洗在膝部手术后关节功能康复的效果观察与护理

Curative observation and nursing of knee rehabilitation by CPM and fumigating and washing with chinese traditional medicine after knee operation

目的:总结与评价膝部手术后使用下肢持续被动运动机(CPM)加中药熏洗对患者膝关节功能康复的影响与护理要点。方法:膝部术后患者48例,随机分为A、B两组。A组24例,术后早期常规接受CPM锻炼;B组24例,除术后早期常规接受CPM锻炼外,伤口拆线后即加用中药熏洗。术后6周对A、B两组进行疗效评估。结果:术后6周B组膝关节屈伸角度显著高于A组(P<0.01);WOMAC评分中膝关节疼痛、功能积分和WOMAC总分均低于A组(P<0.05),膝关节僵硬积分与A组相比有显著性差异(P<0.01)。结论:CPM加中药熏洗比单纯使用CPM在改善膝关节的活动度、关节僵硬、关节功能及减轻疼痛更有效。

Objective To conclude and evaluate effect of knee rehabilitation and the main points of nursing by CPM and fumigating and washing with chinese traditional medicine after knee operation. Method 48 patients after knee operation were divided into group A and group B by random, The group A was 24 to accept CPM training routine after knee operation early; The group B was 24 to fumigate and wash with chinese traditional medicine after the wound taking out stitches beside accepting CPM training routine after knee operation early. Curative effect to the group of A and B were evaluated after post-operation six weeks. Results The group A of flexion and extend angle of knee joint were significantly higher than the group B after post-operation six weeks（P〈 0.01）, knee pain score, knee function score, total score of WOMAC were all lower than the group A （P〈0.05）, knee anchylosis score had significant difference than the group A（P〈0.01）. Conclusion CPM and fumigating and washing with chinese traditional medicine are more effect than single use of CPM on improving knee range of motion and knee anchylosis, knee function, and lessening pain.