人工单髁关节置换和人工全膝关节置换围手术期康复护理的效果观察

Observation on the effect of perioperative rehabilitation nursing on artificial single ankle joint replacement and total knee arthroplasty

目的:观察围手术期康复护理对人工膝关节单髁置换与全膝关节置换的影响效果。方法:收治接受人工单髁关节置换和人工全膝关节置换治疗的患者128例,指导患者进行系统的康复训练,并将其分为UKA和TKA两组。每组各64例。观察比较两组患者的康复效果。结果:两组患者术后的所有置换关节稳定性、活动度及下肢肌力恢复情况差异均有统计学意义,UKA患者康复护理效果优于TKA患者。结论:康复护理指导应贯穿整个围手术期,并对患者进行系统专业的个性化指导,相同条件下单髁关节置换术后康复明显较快,疼痛少,且术后膝关节功能恢复良好,显著提升了患者生活质量。

Objective:To observe the effect of perioperative rehabilitation nursing on artificial single ankle joint replacement and total knee arthroplasty.Methods:128 patients received artificial single condylar arthroplasty and total knee replacement were selected,we guided the patients to carry out systematic rehabilitation training and divide them into the UKA group and the TKA group,64 cases in each group.The rehabilitation effects of the two groups were observed and compared.Results:There were significant differences in joint stability,range of motion and recovery of lower limb muscle strength between the two groups after operation.and the rehabilitation nursing effect of the UKA patients was better than that of the TKA patients.Conclusion: Rehabilitation nursing guidance should run through the whole perioperative period and provide systematic and professional personalized guidance to patients,under the same conditions,patients with single ankle joint replacement had significantly faster postoperative recovery,less pain,and good postoperative knee function recovery,which significantly improved the quality of life of patients.