| 薛凤卿,李 民,张 陆.阶梯式康复训练在胫骨平台骨折术后康复中的应用效果分析[J].中国烧伤创疡杂志,2023,(2):154~157. |
| DOI： |
| 中文关键词: 阶梯式康复训练 胫骨平台骨折 切开复位内固定 膝关节功能 满意度 |
| 英文关键词:Stepwise rehabilitation training Tibial plateau fracture Open reduction and internal fixation Knee joint function Satisfaction |
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| 中文摘要: |
| 【摘要】 目的 探讨分析阶梯式康复训练在胫骨平台骨折患者术后康复中的应用效果。方法 选取 2019 年7 月至 2021 年 4 月郑州人民医院收治的 100 例行切开复位内固定治疗的胫骨平台骨折患者作为研究对象, 并按照不同治疗方法将其分为观察组 (50 例) 与对照组 (50 例), 观察组患者切开复位内固定术后行阶梯式康复训练,对照组患者切开复位内固定术后行常规康复训练, 对比观察两组患者临床疗效、膝关节功能恢复情况及患者满意度。结果 术后3 个月, 观察组患者临床疗效为优22 例、良25 例、差3 例, 优良率为94.00% , 明显优于对照组患者的临床疗效为优 20 例、良 14 例、差 16 例, 优良率 68.00% (χ2= 10.981, P < 0.001); 术后 6 个月, 观察组患者Lysholm 评分为 (84.69±5.09) 分, 明显高于对照组患者的 Lysholm 评分 (80.67±6.02) 分 ( t = 3.606, P =0.001); 术后6 个月, 观察组患者中非常满意22 例、满意23 例、一般3 例、不满意2例，总满意度为90.00% , 明显高于对照组患者的非常满意18例、满意16例、一般6例、不满意 10 例, 总满意度 68.00% (χ2= 7.294, P =0.007)。结论 阶梯式康复训练可明显提高胫骨平台骨折患者术后膝关节功能恢复效果, 疗效显著, 患者满意度较高。 |
| 英文摘要: |
| 【Abstract】 Objective To investigate the curative effect of stepwise rehabilitation training in the postoperative rehabilitation of tibial plateau fracture. Methods 100 patients who underwent open reduction and internal fixation for tibial plateau fracture at People’s Hospital of Zhengzhou from July 2019 to April 2021, were enrolled as research subjects, and divided, based on the different treatments they received, into study group (n = 50) and control group (n = 50). Patients in study group received stepwise rehabilitation training after the open reduction and internal fixation, while patients in control group underwent conventional rehabilitation training after the operation. The clinical efficacy, recovery of knee joint function and patients’ satisfaction were compared between the two groups. Results Three months after operation, the clinical efficacy was evaluated as excellent in 22 cases, good in 25 cases, and poor in 3 cases in study group, with the excellent and good rate being 94.00% , which was significantly better than that in control group -excellent in 20 cases, good in 14 cases, and poor in 16 cases, with the excellent and good rate being 68.00% ( χ2= 10.981, P < 0.001 ). Six months after operation, the Lysholm score of patients in study group was (84.69±5.09) points, being significantly higher than (80.67 ±6.02) points in control group (t = 3.606, P = 0.001); in terms of patients’ satisfaction towards treatment, 22 cases were very satisfied, 23 cases were satisfied, 3 cases were basically satisfied, and 2 cases were dissatisfied in study group, with the total satisfaction rate being 90.00% , while in control group 18 cases were very satisfied, 16 cases satisfied, 6 cases basically satisfied, and 10 cases dissatisfied, with the total satisfaction rate being 68.00% , and thus the difference was statistically significant between the two groups ( χ2= 7.294, P = 0.007). Conclusion Stepwise rehabilitation training can significantly improve the postoperative recovery of knee joint functions of patients with tibial plateau fracture, realize definite therapeutic effect and much high patients’ satisfaction degree. |
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