术后增加运动量对全膝关节置换病人关节功能的影响

EFFECT OF INCREASED AMOUNT OF EXERCISE AFTER SURGERY ON JOINT FUNCTION IN PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY

目的探讨全膝关节置换病人术后增加运动量对膝关节功能康复的效果。方法选取单侧全膝关节置换病人94例,随机分为对照组48例、观察组46例。对照组术后康复运动根据常规健康教育指导方法确定,观察组术后康复运动量根据病人关节活动度确定。两组病人分别于入院以及出院1、3、6个月行纽约特种外科医院膝关节评分、关节活动度测定。结果出院1、3、6个月观察组膝关节评分及关节活动度明显高于对照组,差异有显著性(t=2.052~5.832,P<0.05)。结论适当增加每日运动量可以提高关节置换病人康复锻炼积极性,加快全膝关节置换病人术后膝关节功能恢复。

Objective To investigate the effect of increased amount of exercise on functional rehabilitation of the knee joint in patients undergoing total knee arthroplasty. Methods A total of 94 patients who underwent unilateral total knee arthroplasty were enrolled and randomly divided into control group with 48 patients and observation group with 46 patients.The patients in the control group were given postoperative rehabilitation exercise determined by conventional health education methods,and those in the observation group were given postoperative rehabilitation exercise based on the patients＇ joint range of motion.The Hospital for Special Surgery knee score and joint range of motion were measured on admission and at 1,3,and 6months after discharge. Results The observation group had significantly higher Hospital for Special Surgery knee score and joint range of motion than the control group at 1,3,and 6months after discharge（t=2.052-5.832,P〈0.05）. Conclusion In patients undergoing total knee arthroplasty,appropriately increased daily exercise can improve their motivation for exercise and promote functional rehabilitation of the knee joint.