中国康复2018，Vol.33Issue(2)：129-132,4.DOI:10.3870/zgkf.2018.02.011
术前短期家庭康复在全膝关节置换中的应用研究
Utility of short-term preoperative family rehabilitation on total knee arthroplasty
闫冰 1黄秋 1张丹睿 1张燕 1王红川1
作者信息
- 1. 乐山市人民医院骨一科,四川 乐山614000
- 折叠
摘要
Abstract
Objective:To investigate the effect of short-term preoperative family rehabilitation on total knee arthro-plasty (TKA).Methods:Thirty cases of TKA were randomly divided into the pre-rehabilitation group (n=1 5)and the control group (n=1 5).Patients in the pre-habilitation group received preoperative family rehabilitation for 2 weeks before TKA,while those in the control group did not adopt any preoperative rehabilitation.All patients re-ceived the same regular pre-surgical education,surgery and post-surgical rehabilitation.The Visual Analogue Scale (VAS)of pain,active range of motion (AROM),and Hospital for Special Surgery-Knee Scale (HSS-KS)were e-valuated on admission,one day prior to the operation and 8 weeks after operation respectively.Patients were as-sessed for their rehabilitation compliance on the postoperative day (POD)3 and satisfaction of patients at 8th week after operation between the two groups.Results:There was no significant difference in baseline data between the two groups (P>0.05).Before operation,the VAS score in the pre-rehabilitation group was significantly lower than that at admission (P<0.05).The scores of VAS at 8th week after TKA were reduced significantly in both two groups as compared with those at admission and before the surgery(P<0.05),and those in pre-rehabilitation group were significantly lower than those in the control group (P<0.05).No significant change in scores of AROM and HSS-KS was found in the two groups at admission and before operation(P>0.05).Though there was no significant improvement in scores of AROM and HSS-KS in the pre-rehabilitation group at admission as compared with pre-op-eration and 8 weeks after TKA,scores of AROM and HSS-KS at 8th week after TKA were significantly higher in the pre-rehabilitation group than those in the control group (P<0.05).The rehabilitation compliance and satisfac-tion in the prehabilitation group were significantly superior to those in the control group (P<0.05).Conclusion:Short-term preoperative family rehabilitation can relieve joint pain before TKA,and plays an important role in knee function improvement,rehabilitation exercise compliance,and satisfaction in patients after TKA.关键词
全膝关节置换术/术前康复/关节功能Key words
total knee arthroplasty/preoperative rehabilitation/joint function分类
医药卫生引用本文复制引用
闫冰,黄秋,张丹睿,张燕,王红川..术前短期家庭康复在全膝关节置换中的应用研究[J].中国康复,2018,33(2):129-132,4.
