高龄患者人工全膝关节置换术围手术期护理及康复训练

Age patients artificial total knee replacement perioperative care and rehabilitation training

目的:总结22例人工全膝置换高龄患者的护理经验,探讨人工全膝置换术后患者康复训练的方法及效果。方法:选择我院2008年1月-2010年12月行人工全膝置换术的患者42例,随机分为对照组20例及康复组22例。对照组采用常规护理,康复组在对照组基础上,制定系统的康复训练计划,观察治疗效果。结果:术后1个月、3个月康复组与对照组的膝关节评分差异有统计学意义(P<0.05),康复组的膝关节功能恢复明显好于对照组。结论:精心的围手术期护理、规范化的康复训练是减少高龄患者全膝置换术后并发症,提高患者膝关节功能恢复及生活质量的关键。

Objective：Reviewed 22 cases total knee replacement artificially age patients of nursing experience and to explore the method and effect of rehabilitation training.Methods：42 patients with total knee replacement artificially patients were randomized into control 20 cases and recovery group 22 cases from January 2008-December 2010.Control group was used by routine nursing,recovery group to give formulate system based on the recovery of the training program,and curative effect.Result：The patients were followed up for 1 months,3 months.Recovery in the knee functional recovery group was better than control group,both groups was statistically significant differences between the knee rating（P0.05）.Conclusion：Elaborate perioperative care and rehabilitation training can improve the function of joint patients after TKR.