全膝关节置换术后功能恢复的观察

发布时间：2018-03-29 02:33

本文选题：关节成形术　切入点：置换　出处：《重庆医学》2017年19期

【摘要】：目的探讨全膝关节置换术(TKA)后膝关节体位对患者术后关节功能的影响。方法选取该院2015年9月至2016年3月收治的TKA患者86例,根据患者术后膝关节的不同体位分为观察组和对照组(各43例),患者分别采取屈膝位、伸直位,观察两组患者术后引流量、输血率、并发症发生率及术后膝关节功能恢复情况。结果观察组患者总失血量、隐性失血量、引流量及术后膝关节周径明显低于对照组,术后血红蛋白水平明显高于对照组,差异均有统计学意义(P0.05);观察组患者输血率、切口感染率、深静脉血栓发生率、平均住院时间明显低于对照组,差异均有统计学意义(P0.05);两组患者术前VAS、AKS、HSS评分及膝关节活动度比较,差异无统计学意义(P0.05);术后6周观察组患者AKS、HSS评分与膝关节活动度明显高于对照组,而VAS评分明显低于对照组,差异均有统计学意义(P0.05)。结论 TKA可明显降低患者疼痛,改善患者膝关节功能,而TKA术后采用屈曲位进行康复有助于减少术后出血量,促进关节功能恢复。
[Abstract]:Objective to investigate the effect of knee position on postoperative joint function after total knee arthroplasty. Methods 86 patients with TKA were selected from September 2015 to March 2016. According to the different postures of the knee joint after operation, the patients were divided into observation group and control group (43 cases in each group). Results the total blood loss, recessive blood loss, drainage volume and postoperative peripheral diameter of knee joint in the observation group were significantly lower than those in the control group, and the postoperative hemoglobin level was significantly higher in the observation group than in the control group. The blood transfusion rate, incision infection rate, the incidence of deep vein thrombosis and the average hospitalization time in the observation group were significantly lower than those in the control group (P 0.05). At 6 weeks after operation, the scores of AKSU HSS and knee joint motion in the observation group were significantly higher than those in the control group, while the VAS score was significantly lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion TKA can significantly reduce the pain of the patients. The knee joint function was improved after TKA, and the recovery of joint function was improved by using flexion position after TKA.
【作者单位】：遵义医学院附属医院骨一科;遵义医学院附属医院介入科;
【分类号】：R687.4

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