快速康复理论对全膝关节置换术患者预后的影响

The effect of accelarated rehabilitation therapy on the clinical outcome of patients with total knee arthroplasty

目的探讨快速康复理论运用于全膝关节置换术中的效果。方法本研究以2015年3月至2017年3月在资阳市人民医院行全膝关节置换术的患者80例作为研究对象。以实施常规康复方案的40例患者作为对照组,以实施快速康复方案的40例患者作为观察组,评估不同康复方案对患者关节功能、家庭功能、生活质量的影响。结果干预后观察组疼痛评分为(2.52±0.84)分、家庭功能为(2.18±0.23)分,均低于对照组;治疗4个月后观察组患者Lysholm评分为(88.93±12.58)分高于对照组(71.54±11.16)分差异有统计学意义(t=6.540,P<0.05);观察组患者干预后生活质量评分均低于对照组(t=3.564、3.370、2.348、2.713、2.671、4.637、2.079、4.159,P<0.05)。结论快速康复理论对全膝关节置换术患者有助于改善膝关节功能和家庭功能。

Objective To explore the effect of rapid rehabilitation therapy on clinical outcome of patients with total knee arthroplasty. Methods 80 patients with total knee replacement in Ziyang People′s Hospital from March 2015 to March 2017 were enrolled into our study and were divided evenly into two groups.Subjects（n=40）in control group received routine rehabilitation therapy,while patients（n=40）in observation group underwent accelerated rehabilitation therapy.The effects of different rehabilitation therapy on joint function,family function,quality of life were compared between two groups. Results 4 months after rehabilitation intervention,joint pain and family function of patients in observation group were significantly improved（P〈0.05）,and the Lysholm score was much higher compared to those in control group（88.93±12.58 vs 71.54±11.16,t=6.540,P〈0.05）.After intervention,the score of life quality of patients treated with rapid rehabilitation were also higher compared to those treated with traditional rehabilitation（t=3.564,3.370,2.348,2.713,2.671,4.637,2.079,4.159,P〈0.05）. Conclusions The application of rapid rehabilitation therapy in patients with total knee arthroplasty can improve the knee function and family function.