摘要
目的 探讨下肢骨折内固定术后膝关节功能障碍行早期综合康复疗法治疗的临床效果。方法 选择我院2022年6月~2024年12月收治的68例下肢骨折内固定术后膝关节功能障碍患者,对照组接受常规康复干预,观察组则实施包含多种疗法在内的早期综合康复干预措施。对比两组康复治疗效果。结果 观察组VAS评分、HSS评分、膝关节屈曲活动度以及康复总有效率均优于对照组,差异有统计学意义(P<0.05)。结论 早期综合康复干预措施对下肢骨折术后膝关节功能障碍患者具有显著疗效,不仅能够有效减轻患者的疼痛感,还能显著改善其膝关节功能及屈曲活动度。
关键词: 下肢骨折;内固定术;膝关节功能障碍;早期综合康复疗法
Abstract
Objective To investigate the clinical effect of early comprehensive rehabilitation therapy for knee dysfunction after internal fixation of lower limb fractures. Methods 68 patients with knee dysfunction after lower limb fractures admitted to our hospital from June 2022 to December 2024 were selected. The control group received routine rehabilitation intervention, and the observation group implemented early comprehensive rehabilitation intervention measures including various therapies. The effect of rehabilitation treatment was compared between the two groups. Results The VAS score, HSS score, knee flexion range, and the total response rate were better than the control group, with significant differences (P <0.05). Conclusion Early comprehensive rehabilitation intervention has significant effect on patients with knee dysfunction after lower limb fracture, which can not only effectively reduce the pain of patients, but also significantly improve their knee function and flexion mobility.
Key words: Lower extremity fracture; Internal fixation; Knee joint dysfunction; Early comprehensive rehabilitation therapy
参考文献 References
[1] 容宝菊,黄杏珍,汤丽娟.综合康复治疗对骨折内固定术后膝关节功能障碍的临床效果分析[J].中国实用医药, 202015(32):186-188.
[2] 卢日红,对接受手术治疗后发生膝关节功能障碍的骨折患者进行综合康复治疗的效果[J].当代医药论丛,2020, 18(9):96-97.
[3] 江莉萍.综合康复治疗对下肢骨折内固定术后膝关节功能障碍的临床疗效观察[J].医学食疗与健康,2020.18(24):229.
[4] 汤炳煌,赵翠平,陈灵丹,等.探讨康复训练配合超激光疼痛治疗对膝关节内侧副韧带损伤的疗效及疼痛评分、功能障碍生活质量的影响[J].按摩与康复医学,2020,11(21):22-24.
[5] 于林.综合康复治疗应用于骨折内固定术后膝关节功能障碍病患的临床有效性研究[J].东方药膳,2021.17(14):42.
[6] 张全兵,周云,王锋,等.不同时机综合康复治疗对膝关节周围骨折术后膝关节挛缩的疗效分析[J].中国伤残医学2020.28(17):7-10.
[7] 陈怡妙,杨叶菲,汤丽月.温泉水疗法结合康复训练对创伤性膝关节功能障碍康复的改善作用[J].中国疗养医学2021,30(6):631-632.
[8] 蔡啸虎.体外冲击波结合康复训练对膝关节术后功能障碍的临床效果分析[J].反射疗法与康复医学,2022.3(17):85-87.
[9] 罗淑芬.下肢关节功能恢复器与综合康复训练在下肢骨折患者中的应用效果分析[J].基层医学论坛,2024.28(12):53-55.
[10] 李伟芳,冯兰兰,张黎,等.综合康复训练对下肢创伤骨折患者术后膝关节僵硬的影响研究[J].山西医药杂志, 202251(22):2588-2591.