| 彭 攀,姚 祯.水疗康复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,(3):224~227. |
| DOI： |
| 中文关键词: 水疗康复 胫骨平台骨折 膝关节功能 关节活动度 日常生活活动能力 |
| 英文关键词:Hydrotherapy Tibial plateau fracture Knee function Joint range of motion Activities of daily living |
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| 中文摘要: |
| 【摘要】 目的 研究分析水疗康复在胫骨平台骨折术后康复中的应用效果。方法 选取2021 年1月至2021年12月周口市中医院收治的100例胫骨平台骨折患者作为研究对象,按照随机数表法将其随机分为观察组(50例)与对照组(50例),观察组患者术后在常规康复训练的基础上联合应用水疗康复,对照组患者术后单纯采用常规康复训练, 对比观察两组患者血清碱性磷酸酶(ALP)与骨形态发生蛋白-2 (BMP-2)水平、疼痛评分、最大伸膝角度与屈膝角度、膝关节功能、日常生活活动能力、临床疗效以及并发症发生情况。结果 术后1个月,观察组患者血清ALP、BMP-2 水平均明显高于对照组(t=4.181、6.659,P均＜0.001),视觉模拟评分法(VAS)评分明显低于对照组(t=9.453, P＜0.001);术后3个月,观察组患者最大伸膝角度、最大屈膝角度均明显大于对照组(t=5.007、9.422，P均＜0.001),Lysholm 评分及日常生活活动量表(ADL)评分均明显高于对照组(t= 11.601、12.770, P均＜0.001),临床疗效明显优于对照组(Z =-2.835,P=0.005)；观察组患者并发症发生率与对照组无明显差异 (χ2= 1.596, P=0.207)。结论 水疗康复可明显缓解胫骨平台骨折患者术后疼痛、提高膝关节功能恢复效果及日常生活活动能力,疗效可靠。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the therapeutic effect of hydrotherapy in the postoperative rehabilitation of tibial plateau fracture. Methods 100 patients with tibial plateau fracture, admitted into Zhoukou Hospital of TCM between January 2021 and December 2021, were enrolled as research subjects, and then divided into study group ( n = 50) and control group (n = 50) using the random number table. Patients in the study group were given hydrotherapy on the basis of the routine rehabilitation training after surgery, while patients were given the routine rehabilitation training only after surgery in the control group. The following items of patients, including levels of serum alkaline phosphatase (ALP) and bone mor-phogenetic protein-2 (BMP-2), pain score, maximum knee extension and flexion angles, knee functions, activities of daily living, clinical efficacy and occurrence of complications, were compared between the two groups. Results At month 1 after surgery, the levels of serum ALP and BMP-2 of patients in the study group were obviously higher than that in the control group (t = 4.181 and 6.659, both P＜0.001), and the visual analogue scale (VAS) score was markedly lower in the studygroup (t = 9.453, P＜0.001). At month 3 after surgery, the maximum knee extension and flexion angles of patients were obviously larger in the study group compared with the control group (t = 5.007 and 9.422, both P＜0.001), Lysholm score and activity of daily living scale (ADL) score were significantly higher in the study group ( t = 11.601 and 12.770, both P＜0.001), and the clinical efficacy in the study group was markedly superior to that in the control group (Z = - 2.835,P = 0.005). There was no statistically significant difference between the two groups in terms of the incidence of complications (χ2= 1.596, P = 0.207). Conclusion Hydrotherapy can effectively alleviate the postoperative pain of patients with tibial plateau fracture, improve the recovery of knee functions and patients’ activities of daily living, and realize reliable therapeutic effect. |
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