综合康复对下肢危重烧伤老年患者膝关节功能的效果

Effect of Comprehensive Rehabilitation on Knee Function in Old Patients after Severe Burn in Lower Extremity

目的探讨综合康复训练在下肢危重烧伤老年患者膝关节功能恢复中的临床效果。方法 49例下肢危重烧伤老年患者随机分为观察组(n=25)和对照组(n=24)。对照组采取普通康复措施,观察组采用综合康复。3个月后比较两组患者膝关节伸屈活动度(ROM)、平地行走45 m、上下楼梯情况、功能独立性测量(FIM)和肌力。结果观察组患者膝关节主、被动ROM,上下楼梯情况、FIM评分和肌力均优于对照组(P<0.05)。结论综合康复能促进下肢危重烧伤老年患者的膝关节功能恢复。

Objective To observe the effect of comprehensive rehabilitation on the recovery of knee joint function in old patients severe burned in lower extremity. Methods 49 patients severe burned in lower extremity were randomly divided into observation group （n=25） and control group （n=24）. The control group accepted routine rehabilitation, while the observation group accepted comprehensive rehabilitation. They were assessed with the range of motion （ROM） of knee flexion/extension, 45 m-walking, stair activity, Functional Independence Mea-sure （FIM） and muscle strength 3 months after rehabilitation. Results The active and passive ROM of knee, stair activity, FIM score and muscle strength improved more in the observation group than in the control group （P〈0.05）. Conclusion Comprehensive rehabilitation pro-motes the recovery of knee function of old patients with severe burn in lower extremity.