超早期规范化物理治疗对缩短全膝关节置换术平均住院日的影响

发布时间：2018-11-03 07:08

【摘要】：目的:观察超早期规范化物理治疗对全膝关节置换术患者平均住院日的影响。方法:筛选符合研究条件的85例患者,分为试验组(50例)和对照组(35例),两组患者均给予骨科术后常规治疗,在此基础上试验组进行超早期规范化物理治疗。比较两组患者单次平均总住院日及术后平均住院日,术前、术后第1天—第3天及出院当天两组患者手术侧膝关节主动活动范围、"起立-行走计时测试"时间,以及术后平均住院日与关节主动活动范围和"起立-行走计时测试"时间的关系。结果:治疗前两组患者的年龄、术前住院日和"起立-行走试验"时间差异均无显著性意义(P0.05)。与对照组相比,试验组单次平均总住院日(9.92±2.57)d和术后平均住院日(5.04±1.17)d均明显降低,差异有显著性意义(P0.01);试验组术后第1天—第3天及出院当天的膝关节主动活动度明显改善、"起立-行走试验"时间缩短,差异有显著性意义(P0.05)。术后平均住院日与术后出院当天"起立-行走计时测试"时间呈正相关,与术后出院当天手术侧膝关节主动关节活动度呈负相关(P0.05)。结论:超早期规范化康复治疗能可改善术后膝关节主动活动度,缩短术后平均住院时间和单次平均总住院日。
[Abstract]:Objective: to observe the effect of super-early standardized physical therapy on average hospitalization days of total knee arthroplasty patients. Methods: 85 patients were selected and divided into two groups: experimental group (n = 50) and control group (n = 35). The average single total hospitalization days and postoperative hospitalization days were compared between the two groups. The range of active knee joint activity and the time of standing up and walking time test were compared between the two groups before operation, from the first day to the third day after operation and on the day of discharge. The relationship between the average hospitalization days after operation and the range of joint active activity and the time of standing-walking timing test. Results: there was no significant difference between the two groups in age, preoperative hospitalization days and the time of "standing-walk test" before treatment (P0.05). Compared with the control group, the average total hospitalization days of the trial group (9.92 卤2.57) days and the average postoperative hospitalization days (5.04 卤1.17) days were significantly lower than those of the control group (P0.01). In the experimental group, the active motion of knee joint improved significantly from the first day to the third day after operation and on the day of discharge, and the time of "stand-up walking test" was shortened, the difference was significant (P0.05). The average hospitalization days were positively correlated with the time of standing up and walking time test on the day of discharge from hospital, and negatively correlated with the motion of the knee joint active joint on the day of discharge (P0.05). Conclusion: Ultra-early standardized rehabilitation can improve the active motion of knee joint after operation, shorten the average hospitalization time and average total hospitalization time.
【作者单位】：安徽省立医院康复医学科;安徽省立医院骨科;
【分类号】：R687.4

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