综合康复干预对地震伤员下肢骨折后膝关节功能恢复的影响
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摘要
目的观察综合康复干预对地震所致下肢骨折伤员术后膝关节功能恢复的影响。方法下肢开放性骨折术后膝关节功能障碍患者37例,分3组。其中康复1组为地震伤所致,康复2组为普通创伤所致,均在康复治疗师指导下进行康复训练。另选10例未行康复干预的普通创伤患者作为对照组。1个月后对3组患者的膝关节活动度进行测量比较。结果两组康复干预患者的膝关节活动度均优于对照组,而康复2组的疗效更优于康复1组,差异有统计学意义(P<0.01)。结论综合康复治疗对下肢骨折术后患者膝关节功能恢复有积极的促进作用,灾后的早期、持续康复介入,可有效地减轻伤员的残疾程度。
Objective To observe the effect of comprehensive rehabilitation intervention on Joint function recovery in earthquake patients with lower limb fracture.Methods 37 patients with postoperative knee joint dysfunction were divided into three groups.Patients in rehabilitation group 1(caused by earthquake) and rehabilitation group two(caused by common trauma)were treated with rehabilitation training under the guidance of rehabilitation therapist.Another ten patients (caused by common trauma)without rehabilitation intervention were served as control group.After one month,the motion of joint of three groups was measured and compared.Results The motion of knee joint of the rehabilitation group 1 or groups 2 was superior to that of the control groups and the motion of knee joint of the rehabilitation group 1 was superior to that of the groups 2.Conclusion Comprehensive rehabilitation intervention has a positive effect on joint function recovery in earthquake patients with lower limb fracture.Early consistent rehabilitation intervention can reduce patients'disability extent to a maximum limit.
Objective To observe the effect of comprehensive rehabilitation intervention on Joint function recovery in earthquake patients with lower limb fracture.Methods 37 patients with postoperative knee joint dysfunction were divided into three groups.Patients in rehabilitation group 1(caused by earthquake) and rehabilitation group two(caused by common trauma)were treated with rehabilitation training under the guidance of rehabilitation therapist.Another ten patients (caused by common trauma)without rehabilitation intervention were served as control group.After one month,the motion of joint of three groups was measured and compared.Results The motion of knee joint of the rehabilitation group 1 or groups 2 was superior to that of the control groups and the motion of knee joint of the rehabilitation group 1 was superior to that of the groups 2.Conclusion Comprehensive rehabilitation intervention has a positive effect on joint function recovery in earthquake patients with lower limb fracture.Early consistent rehabilitation intervention can reduce patients'disability extent to a maximum limit.
引文
[1]容国安,龙耀斌.综合康复治疗膝关节功能障碍的疗效[J].中华物理医学与康复杂志,2004,26(1):43-44.
[2]代小舟.医院震灾应急管理及实践[J].中国医院管理,2008,28(6):6.
[3]尹青,武继祥,刘宏亮,等.综合康复治疗骨折后膝关节功能障碍的疗效分析[J].中华物理医学与康复杂志,2004,26(5):304-306.
[4]冯和林,张英泽,李增炎,等.膝关节周围骨折术后早期功能训练的临床观察[J].中华物理医学与康复杂志,2006,28(1):54-56.
[5]Gerich T,Bosch U,Sshmidt E,el al.Knee joint prosthe-sis implantation after fractures of The head of the tibia.Intemediate term results of a cohort analysis[J].Unfallchiturg,2001,104(5):414.
[6]袁菊莲,代庆凯,段鑫等.地震后下肢截肢患者综合康复治疗的疗效分析[J].中国康复医学杂志,2009,24(8):741-743.
[2]代小舟.医院震灾应急管理及实践[J].中国医院管理,2008,28(6):6.
[3]尹青,武继祥,刘宏亮,等.综合康复治疗骨折后膝关节功能障碍的疗效分析[J].中华物理医学与康复杂志,2004,26(5):304-306.
[4]冯和林,张英泽,李增炎,等.膝关节周围骨折术后早期功能训练的临床观察[J].中华物理医学与康复杂志,2006,28(1):54-56.
[5]Gerich T,Bosch U,Sshmidt E,el al.Knee joint prosthe-sis implantation after fractures of The head of the tibia.Intemediate term results of a cohort analysis[J].Unfallchiturg,2001,104(5):414.
[6]袁菊莲,代庆凯,段鑫等.地震后下肢截肢患者综合康复治疗的疗效分析[J].中国康复医学杂志,2009,24(8):741-743.
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