CPM早期被动锻炼对胫骨平台SchatzkerII型骨折术后恢复的影响
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摘要
目的:观察CPM早期功能锻炼对胫骨平台Schatzker II型骨折术后膝关节功能恢复的影响。方法:回顾分析本科收治并手术治疗的胫骨平台Schatzker II型骨折患者62例,其中术后2周内采用CPM被动功能锻炼患者32例(观察组),术后采用主动功能锻炼进行康复训练的患者32例(观察组),观察两组术后3、5、7、14d及1个月时膝关节功能恢复情况。结果:观察组术后第3天疼痛缓解明显优于对照组,但术后第5天疼痛缓解明显差于对照组,差异具有统计学意义(P<0.05);观察组术后各时间点膝关节活动度均明显高于对照组,差异具有统计学意义(P<0.05);两组术后第3天、1个月时股四头肌肌力比较,差异无统计学意义(P>0.05);观察组术后第5、7、14天股四头肌肌力均明显高于对照组,差异具有统计学意义(P<0.05);两组术第3天膝关节功能恢复比较,差异具有统计学意义(P>0.05);观察组术后第5、7、14天及1个月时膝关节功能恢复程度均明显优于对照组,差异具有统计学意义(P<0.05)。结论:CPM早期功能锻炼可有效增强胫骨平台Schatzker II型骨折术患者股四头肌肌力,改善膝关节活动度,对术后膝关节功能恢复促进作用显著。
Objective:To explore effect of early passive exercise by CPM on patients with tibial plateau Schatzker II fracture after surgery.Methods:Clinical data of 60 cases with tibial plateau Schatzker II fracture receiving surgery were analyzed retrospectively,including 32 cases with early passive exercise by CPM(observation group)and 32 cases with active exercise(control group).The rehabilitation status of knee joint 3d,5d,7d,14 dand 1month after surgery was observed.Results:Three days after surgery,the relieving effect of observation group was more significant than that of control group,but the effect was weaker on the 5th day(P<0.05).Mobility of knee joint of observation group was higher than that of control group at all time points(P<0.05).Myodynamia of quadriceps femoris was stronger in observation group than that of control group 5d,7d,14 dafter surgery(P<0.05).Recovery degree of knee joint was more significant in observation group 5d,7d,14 dand 1month(P<0.05).Conclusions:Early passive exercise by CPM can effectively strengthen myodynamia of quadriceps femoris,improve mobility of knee joint,and can effectively promote function recovery.
Objective:To explore effect of early passive exercise by CPM on patients with tibial plateau Schatzker II fracture after surgery.Methods:Clinical data of 60 cases with tibial plateau Schatzker II fracture receiving surgery were analyzed retrospectively,including 32 cases with early passive exercise by CPM(observation group)and 32 cases with active exercise(control group).The rehabilitation status of knee joint 3d,5d,7d,14 dand 1month after surgery was observed.Results:Three days after surgery,the relieving effect of observation group was more significant than that of control group,but the effect was weaker on the 5th day(P<0.05).Mobility of knee joint of observation group was higher than that of control group at all time points(P<0.05).Myodynamia of quadriceps femoris was stronger in observation group than that of control group 5d,7d,14 dafter surgery(P<0.05).Recovery degree of knee joint was more significant in observation group 5d,7d,14 dand 1month(P<0.05).Conclusions:Early passive exercise by CPM can effectively strengthen myodynamia of quadriceps femoris,improve mobility of knee joint,and can effectively promote function recovery.
引文
1曹秀芬,戴文艺,郭静,等.CPM机在下肢骨折患者术后膝关节功能恢复中的应用及效果观察[J].中医临床研究,2014,6(1):130-132.
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8 Gill SD,McBurney H.Does exercise reduce pain and im-prove physical function before hip or knee replacement surgery a systematic review and meta-analysis of rando-mized controlled trials[J].Arch Phys Med Rehabil,2013,94(1):164-176.
9 李宗需.CPM机在骨科术后关节功能锻炼中的应用价值[J].实用临床医学,2014,15(11):63-65.
10 褚彦青,冯和林,李淑军,等.综合康复锻炼联合多模式镇痛对肿瘤膝关节置换术后功能恢复的意义[J].中国肿瘤临床与康复,2015,22(4):498-499.
11 黄衍玲.CPM锻炼护理对膝部骨折术后膝关节功能恢复的影响[J].中国继续医学教育,2015,7(7):126-127.
12 庄健,何小健,周凯华,等.双钢板固定治疗胫骨平台Schatzker IV型骨折[J].国际骨科学杂志,2012,33(2):129-131.
2 庄巧华,徐娟,傅晓云,等.早期CPM训练对膝部周围骨折术后膝关节功能恢复效果观察[J].齐鲁护理杂志,2010,16(24):12-13.
3 尹悦民.CPM机在膝关节镜术后康复中的应用[J].当代护士:专科版,2010(10):61-62.
4 邹科慧,汤六凤,黄秋兰,等.CPM机在骨科术后关节功能锻炼的应用[J].中外医疗,2010,29(12):80.
5 郁晓菊.CPM机在老年人股骨骨折术后功能锻炼中的应用[J].黑龙江医药,2011,24(3):461-462.
6 肖娜.CPM机在膝关节功能康复中的早期应用及护理效果观察[J].人民军医,2012(S2):33-34.
7 苏瑶瑶.CPM机被动锻炼对股骨下段骨折内固定术后临床疗效的影响[J].现代中西医结合杂志,2012,21(22):2442-2443.
8 Gill SD,McBurney H.Does exercise reduce pain and im-prove physical function before hip or knee replacement surgery a systematic review and meta-analysis of rando-mized controlled trials[J].Arch Phys Med Rehabil,2013,94(1):164-176.
9 李宗需.CPM机在骨科术后关节功能锻炼中的应用价值[J].实用临床医学,2014,15(11):63-65.
10 褚彦青,冯和林,李淑军,等.综合康复锻炼联合多模式镇痛对肿瘤膝关节置换术后功能恢复的意义[J].中国肿瘤临床与康复,2015,22(4):498-499.
11 黄衍玲.CPM锻炼护理对膝部骨折术后膝关节功能恢复的影响[J].中国继续医学教育,2015,7(7):126-127.
12 庄健,何小健,周凯华,等.双钢板固定治疗胫骨平台Schatzker IV型骨折[J].国际骨科学杂志,2012,33(2):129-131.