自制下肢多功能支架对膝关节置换术术后的临床应用观察

发布时间：2018-11-03 18:03

【摘要】：目的;探讨自制下肢多功能支架对膝关节置换术后膝关节功能位的活动度,及对膝关节肿胀指数的评定,探讨自制下肢多功能支架的作用机制及其对膝关节功能的影响。方法:对于符合纳入标准的34例膝关节置换术后患者进行使用下肢多功能支架进行康复练习,术后1天开始,持续2周,一个月为一个周期。结果:运用自制下肢多功能支架进行膝关节置换术后康复功能练习,患者的肢体肿胀症状、体征和预防感染程度,均有不同程度的改善,与勃朗氏架比较,差异有统计学意义(p0.05)患者膝关节活动度明显改善,差异显著。结论:应用自制下肢多功能支架后患者膝关节及周围软组.织肿胀疼痛明显减轻,膝关节早期活动度增加,有效预防下肢深静脉血栓,同时兼顾治疗重度骨折术后患者康复,有效预防垂足。根据术后康复要求及生理解剖上的改变,选用自制下肢多功能支架对膝关节置换术后能够取得令人满意的康复效果。
[Abstract]:Objective: to investigate the range of motion of knee joint function position and the evaluation of knee swelling index after knee arthroplasty with self-made multifunctional lower limb scaffolds, and to explore the mechanism of self-made multifunctional lower limb scaffolds and their effects on knee joint function. Methods: 34 patients with knee arthroplasty who met the inclusion criteria were treated with lower limb multifunctional scaffolds for rehabilitation exercise. One day after operation lasted for 2 weeks and one month was a cycle. Results: after knee arthroplasty with self-made multifunctional lower limb scaffolds, the symptoms, signs and prevention of infection of the patients were improved in varying degrees. The difference was statistically significant (p 0.05). Conclusion: the knee joint and surrounding soft group were treated with self-made multi-functional lower limb stent. The dysmenia pain was alleviated obviously, the early movement of knee joint increased, the deep vein thrombosis of lower extremity was prevented effectively, and the rehabilitation of patients with severe fracture was taken into account to prevent foot droop effectively. According to the requirement of postoperative rehabilitation and the changes of physiologic anatomy, self-made multifunctional lower limb scaffolds can obtain satisfactory rehabilitation effect after knee arthroplasty.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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