系统性康复治疗对全膝关节置换术后关节功能恢复的效果及VAS评分的影响

Effect of Systemic Rehabilitation on Joint Function Recovery and VAS Score after Total Knee Arthroplasty

目的:探讨系统性康复治疗对全膝关节置换术后关节功能恢复的效果及VAS评分的影响。方法:选择2017年2月-2019年1月于笔者所在医院行全膝关节置换术78例患者进行研究,采用随机数字表法分为两组,每组39例。两组均由同一组具5年以上临床经验的医护人员行全膝关节置换术,对照组术后行常规康复治疗,观察组行系统性康复治疗。对比两组临床疗效、关节活动度、疼痛及膝关节功能情况。结果:对照组总有效率为79.48%,明显低于观察组的94.87%(P<0.05)。治疗后两组ROM及JKOM评分均较治疗前明显升高,且观察组升高幅度更显著(P<0.05)。治疗后两组VAS评分均较治疗前明显下降,且观察组下降幅度更显著(P<0.05)。结论:系统性康复治疗可明显提高全膝关节置换术临床效果,改善术后膝关节功能,增加活动度,缓解疼痛。

Objective:To investigate the effect of systemic rehabilitation on joint function recovery and VAS score after total knee arthroplasty.Method:A total of 78 patients who underwent total knee arthroplasty in our hospital from February 2017 to January 2019 were selected for study.The patients were divided into two groups by random number table method,with 39 cases in each group.Both groups were treated with total knee arthroplasty by medical staff with more than 5 years of clinical experience in the same group.Conventional rehabilitation was performed in the control group after operation,and systemic rehabilitation was performed in the observation group.The clinical efficacy,range of motion,pain and knee function were compared between the two groups.Result:The total effective rate of the control group was 79.48%,which was significantly lower than 94.87% of the observation group (P<0.05).After treatment,the ROM and JKOM scores of the two groups were significantly increased than those before treatment,and the increase was greater in the observation group (P<0.05).After treatment,the VAS scores of the two groups were significantly decreased than those before treatment,and the observation group was more significantly decreased (P<0.05).Conclusion:Systemic rehabilitation can significantly improve the effect of total knee arthroplasty,improve postoperative knee function,increase range of motion,and relieve pain.