关节镜下微骨折术治疗膝关节软骨损伤术后中西医结合康复护理的临床研究

Clinical Study of Integrated Medicine in the Treatment of Knee Joint Cartilage Injury after Arthroscopic Treatment of Knee Cartilage Injury

目的探讨运用关节镜行微骨折术治疗膝关节软骨损伤术后早期中西医结合康复护理方法并与单纯康复护理方法进行对比研究。方法随机把100例膝关节软骨损伤患者分为观察组和对照组,每组50例。观察组由责任护士给予中西医结合康复护理。对照组采用传统的医疗护理模式进行。观察并记录两组患者患肢的疼痛、功能、活动度、肌力屈曲畸形、稳定性等项目进行评分,分优、良、中、差四个等级。结果两组差异有显著性(P<0.05)。结论分阶段对患者实施针对性的康复指导有利于维持膝关节的活动度,可达到充分的膝伸展,避免关节粘连,防止肌肉萎缩,重新建立本体感觉,恢复患肢负重及平衡能力,从而促进患肢的早日康复。

Objective To investigate the application of arthroscopic treatment of knee joint cartilage injury in early stage of integrated medicine rehabilitation nursing and the simple rehabilitation nursing method. Methods 100 cases of patients with knee injury were randomly divided into experimental group and control group, with 50 cases in each group. The experimental group was treated with integrated medicine rehabilitation nursing. The Ccontrol group used the traditional medical care mode. Patients ’ pain, function, activity, muscle strength and flexion deformity, stability and other items of the project score were observed and recorded. There were four levels of sub ex-cellent, good, medium and poor. Results There was significant difference between the two groups（ P 〈 0.05）. Conclusion The implementation of rehabilitation guidance to maintain a degree of knee joint activities can achieve full knee extension to prevent joint adhesion and prevent muscle atrophy, the reestablishment of proprioception, restore limb weight and balance ability, so as to promote the early re-covery of limb.