CPM结合传统康复训练对左侧半月板损伤患者术后膝关节功能及康复效果的影响

Influence of CPM combined with traditional rehabilitation training on postoperative knee function and rehabilitation effect in patients with left meniscus injury

目的分析连续被动活动(CPM)结合传统康复训练对左侧半月板损伤患者术后膝关节功能及康复效果的影响。方法40例左侧半月板损伤患者,根据入院顺序的差异性分为对照组和研究组,每组20例。对照组予以传统康复训练,研究组从术后24 h、手术切口止血后为患者加行为期10 d的CPM干预。对比两组患者康复优良率、疼痛评分、膝关节功能评分、关节活动度、生活质量、并发症发生情况。结果与对照组康复优良率70.00%相比,研究组康复优良率95.00%更高(P<0.05)。干预后,两组疼痛评分均降低,膝关节功能评分、关节活动度均提高,且研究组疼痛评分(0.57±0.15)分相比对照组的(1.51±0.38)分更低,膝关节功能评分(89.05±8.13)分、关节活动度(129.79±8.91)°相比对照组的(77.48±6.01)分、(107.63±6.01)°更高(P<0.05)。干预后,两组心理状态、社会功能、生理状态、躯体疼痛评分均提高,且研究组心理状态评分(73.63±6.51)分、社会功能评分(73.27±6.36)分、生理状态评分(73.79±6.35)分、躯体疼痛评分(73.18±6.60)分相比对照组的(62.77±4.24)、(62.59±4.41)、(62.31±4.89)、(62.63±4.24)分更高(P<0.05)。研究组的并发症发生率5.00%相比对照组的15.00%较低,但不明显(P>0.05)。结论为左侧半月板损伤患者采取CPM结合传统康复训练可以显著改善其膝关节功能和活动度,减轻疼痛,提高患者生活质量和康复效果,降低并发症发生风险。

Objective To analyze the influence of continuous passive motion(CPM)combined with traditional rehabilitation training on postoperative knee function and rehabilitation effect in patients with left meniscus injury.Methods 40 patients with left meniscus injury were divided into a control group and a study group based on the differences in admission order,with 20 patients in each group.The control group was given traditional rehabilitation training,while the study group was given CPM intervention for a period of 10 d after 24 h postoperatively and after hemostasis of the surgical incision.The rehabilitation excellence rate,pain score,knee function score,joint range of motion,quality of life,and occurrence of complications were compared between the two groups.Results Compared with the rehabilitation excellence rate of 70.00%in the control group,the rehabilitation excellence rate of 95.00%in the study group was higher(P<0.05).After intervention,the pain scores of both groups were decreased,and the knee function scores and joint motion were improved;the pain score was(0.57±0.15)points in the study group,which was lower compared to(1.51±0.38)points in the control group;the study group had knee function score of(89.05±8.13)points and joint range of motion of(129.79±8.91)°,which were higher than(77.48±6.01)points and(107.63±6.01)°in the control group(P<0.05).After intervention,the scores of psychological state,social function,physiological state and bodily pain were improved in both groups;in the study group,the psychological status score was(73.63±6.51)points,the social function score was(73.27±6.36)points,the physiological status score was(73.79±6.35)points and the bodily pain score was(73.18±6.60)points,which were higher than(62.77±4.24),(62.59±4.41),(62.31±4.89)and(62.63±4.24)points in the control group(P<0.05).The complication rate was 5.00%in the study group,which was lower than 15.00%in the control group(P>0.05).Conclusion CPM combined with traditional rehabilitation training can significantly improve knee function and range of motion,alleviate pain,improve quality of life and rehabilitation effect,and reduce the risk of complications in patients with left meniscus injury.