烧伤后膝关节功能的康复效果研究

Effect of improved rehabilitation therapy on the function of knee joint after deep burn injury

目的:研究改进康复疗法对深度烧伤后膝关节功能康复效果。方法:126例下肢深度烧伤(包括腘窝周围皮肤烧伤)患者随机分为对照组(62例)和改进组(64例)。对照组应用常规康复疗法,改进组在医生的指导下应用常规康复疗法+持续被动活动器(CPM)+减重步态训练器+改进后的弹力套加压进行康复治疗。分别比较康复前后膝关节伸屈主动活动范围(ROM),被动ROM,平地行走45m、上下楼梯情况。结果:改进组康复前后膝关节伸屈主动ROM、被动ROM均有明显改善,与对照组相比较有显著性差异﹙P<0.01),平地行走45m情况两组相比较无明显差异(P>0.05),上下楼梯有显著性差异(P<0.01)。结论:应用常规康复疗法和常规康复疗法+CPM+减重步态训练器+改进弹力套加压治疗均可有效地恢复膝关节功能,但早期康复手段改进组的疗效更好。

Objective：To investigate the effect of improved rehabilitation therapy on the function of knee joint after deep bum injury. Method： One hundred and twenty-six patients with deep bum injury in lower extremity（involving skin of popliteal fossa） were randomly divided into control group （n=62） and improved group （n=64）. Control group took routine rehabilitation therapy, and improved group took improved rehabilitation therapy including routine rehabilitation therapy＋continuous passive motion （CPM）＋weight relief walking training＋improved pressure bandages. Active and passive range of motion （ROM） of knee joint, walking 45 metres on level ground and coming up and down stairs were studied in boty groups. Result： Active and passive ROM of knee joint and coming up and down stairs in improved group were better than that in controls（P〈0.01）. There was no difference in walking 45 metres on level ground between two groups （P 〉0.05）. Conclusion： Improved rehabilitation therapy including routine rehabilitation therapy＋CPM＋weight relief walking training＋improved pressure bandages was helpful in improving the function of knee joint, and the effect in improved group with earlier rehabilitation therapy was much better.