综合康复治疗用于骨折后膝关节功能障碍的疗效

The Therapeutic Effect of Comprehensive Rehabilitation Therapy on Knee Joint Dysfunction after Fractures

目的:探讨综合康复治疗用于骨折后膝关节功能障碍的疗效。方法:选取2019年9月—2021年9月我院收治的90例骨折后膝关节功能障碍患者为研究对象,随机分为对照组和研究组,各45例。对照组应用常规康复治疗,研究组在对照组基础上应用综合康复治疗。结果:治疗前,2组的膝关节屈曲活动度、伸直度、屈曲弧度和VAS评分对比,差异无显著性意义(P>0.05);治疗后,2组的VAS评分均低于治疗前,膝关节屈膝活动度、伸直度、屈曲弧度均高于治疗前,且研究组的VAS评分比对照组低,膝关节屈膝活动度、伸直度、屈曲弧度均比对照组高,差异有显著性意义(P<0.05);治疗前,2组的驱体健康、社会功能、生理状态、主观判断与满意度评分对比,差异无显著性意义(P>0.05);治疗后,2组的躯体健康、社会功能、生理状态、主观判断与满意度评分均高于治疗前,且研究组高于对照组,差异有显著性意义(P<0.05);研究组治疗有效率比对照组高(P<0.05);治疗前,2组的稳定性、活动度、功能、肌力、屈曲畸形评分对比,差异无显著性意义(P>0.05);治疗后,2组的稳定性、活动度、功能、肌力、屈曲畸形评分均高于治疗前,且研究组高于对照组,差异有显著性意义(P<0.05);研究组满意度比对照组高(P<0.05)。结论:骨折后膝关节功能障碍患者应用综合康复治疗效果较好,可以有效降低患者的疼痛程度,提高其膝关节屈曲活动度、治疗有效率以及满意度,可改善患者的生活质量。

Objective:Exploring the therapeutic effect of comprehensive rehabilitation therapy on knee joint dysfunction after fractures.Methods:Selecting 90 patients with knee joint dysfunction after fractures admitted to our hospital from September 2019 to September 2021 as the research subjects,randomly divided into a control group and a study group,with 45 cases in each group.The control group was treated with routine rehabilitation,and the research group applied comprehensive rehabilitation therapy on the basis of the control group.Results:Before treatment,There was no significant difference in knee flexion range of motion,extension,flexion arc,and VAS scores between the two groups(P>0.05).After treatment,the VAS scores of both groups were lower than before treatment,and the knee flexion range of motion,straightness,and curvature were higher than before treatment,and the VAS score of the research group was lower than that of the control group,with higher knee flexion range of motion,straightness,and curvature than the control group,the difference was significant(P<0.05);Before treatment,the two groups there was no significant difference in the physical health,social function,physiological state,subjective judgment and satisfaction score of the patients(P>0.05).After treatment,The physical health,social function,physiological status,subjective judgment,and satisfaction scores of both groups were higher than before treatment,the difference is significant(P<0.05);The treatment effective rate of the study group is higher than that of the control group(P<0.05);Before treatment,there is no significant difference in stability,activity,function,muscle strength,and flexion deformity scores between the two groups(P>0.05).After treatment,the stability,mobility,function,muscle strength,and flexion deformity scores of the two groups were higher than those before treatment,and the study group was higher than the control Group,the difference was significant(P<0.05);The satisfaction level of the research group is higher than that of the control group(P<0.05).Conclusion:Comprehensive rehabilitation therapy for patients with knee dysfunction after fracture has a good effect,which can effectively reduce the pain of the patient,improve the knee flexion range of motion,treatment efficiency and satisfaction,and improve the quality of life of the patient.