量化康复训练对胫骨平台骨折术后患者康复效果的观察

Rehabilitation efficacy of quantified rehabilitation training on postoperative patients with tibial plateau fracture

目的分析量化康复训练在胫骨平台骨折术后患者康复中的应用价值,为今后胫骨平台骨折术后康复训练的完善提供参考。方法收集解放军第89医院骨科行手术治疗的胫骨平台骨折患者70例,按术后康复训练方法不同分为对照组(常规训练)和观察组(量化康复训练),对比两组患者Lysholm膝关节功能评分、关节活动度(ROM),对比两组肌力恢复情况、膝关节功能恢复情况、骨折愈合时间,观察两组术后并发症发生情况。结果观察组膝关节Lysholm评分较对照组高,肌力恢复优良率(94.29%)较对照组(62.86%)高,膝关节功能恢复优良率(97.14%)较对照组(65.71%)高,观察组ROM值较对照组大,P均<0.05。观察组术后无并发症发生,对照组有1例畸形愈合,并发症发生率比较,P<0.05。结论量化康复训练通过早期训练,合理制定训练强度,应用动静平衡等训练方法,有效提高患者行走能力和平衡能力,预防畸形愈合。

Objective To analyze the application value of quantified rehabilitation training in the rehabilitation of postoperative patients with tibial plateau fracture, so as to provide reference for the improvement of rehabilitation train- ing in the treatment of tibial plateau fracture in the future. Methods 70 cases undergoing surgical treatment of tibial plateau fracture at the Department of Orthopaedics in No. 89 PLA Hospital were collected and divided into control group （routine training） and observation group（quantified rehabilitation training） according to the postoperative rehabil- itation training methods.Comparison was made between the two groups in terms of Lysholm score of knee joint func- tion,joint range of motion（ROM）,muscle force recovery,knee joint function recovery and fracture healing time.The postoperative complication occurrences in the two groups were observed. Results The Lysholm knee score in the ob- servation group was higher than that the control group, excellent recovery rate of muscle strength in the observation group（94.29%） higher than that in the control group（62.86%）,excellent recovery rate of knee joint function in the observation group（97.14%） higher than that in the control group （65.71%）, ROM values in the observation group higher than the control group,all P〈0.05.No complications occurred in the observation group ,while there was 1 case of abnormal healing in the control group, and the incidence of complications was compared, P〈0.05.Conclusion Quantified rehabilitation training through early training, reasonable training intensity, the application of static and dy- namic equilibrium and other training methods, can effectively improve the walking ability and balance ability, and pre- vent abnormal healing.