| 段文秀,吴鸣,陆卉,等.超早期系统化康复治疗对胫骨平台骨折患者术后远期功能的影响[J].中国临床保健杂志,2021,24(2):171-174. |
| 超早期系统化康复治疗对胫骨平台骨折患者术后远期功能的影响 |
| Effect of ultra-early systematic rehabilitation on postoperative long-term function of patients with tibial plateau fracture |
| 投稿时间：2021-01-18 |
| DOI：10.3969/J.issn.1672-6790.2021.02.005 |
| 中文关键词: 胫骨骨折 康复 早期干预 预后 |
| 英文关键词: Tibial fractures Rehabilitation Early intervention Prognosis 〖FL |
| 基金项目:安徽省公益性技术应用研究联动计划项目(1704f0804005);安徽省重点研究与开发计划项目(202004h07020017);安徽省卫生健康软科学项目(2020WR215) |
| 作者 | 单位 | E-mail | | 段文秀 | 中国科学技术大学附属第一医院安徽省立医院,康复医学科,合肥 230001 | wumingkf@ustc.edu.cn | | 吴鸣 | 中国科学技术大学附属第一医院安徽省立医院,康复医学科,合肥 230001 | wumingkf@ustc.edu.cn | | 陆卉 | 中国科学技术大学附属第一医院安徽省立医院,创伤骨科,合肥 230001 | wumingkf@ustc.edu.cn | | 方诗元 | 中国科学技术大学附属第一医院安徽省立医院,创伤骨科,合肥 230001 | wumingkf@ustc.edu.cn | | 陶金 | 中国科学技术大学附属第一医院安徽省立医院,康复医学科,合肥 230001 | wumingkf@ustc.edu.cn | | 杨晓莉 | 中国科学技术大学附属第一医院安徽省立医院,康复医学科,合肥 230001 | wumingkf@ustc.edu.cn | | 倪朝民 | 中国科学技术大学附属第一医院安徽省立医院,康复医学科,合肥 230001 | wumingkf@ustc.edu.cn |
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| 中文摘要: |
| 目的 探讨超早期系统化康复治疗对胫骨平台骨折(TPF)患者术后远期功能的影响。方法 选取70名TPF术后患者,分为治疗组35例,对照组35例。治疗组给予超早期系统化康复治疗和自媒体(微信)远程康复指导,对照组仅接受骨科常规康复护理指导。结果 两组患者术后Lysholm膝关节评分比较均有不同程度好转；术后1个月、3个月、6个月和12个月,治疗组的Lysholm膝关节评分总分均优于对照组,差异有统计学意义(P<0.05)；术后1个月、3个月和6个月治疗组疼痛和肿胀均明显优于对照组(P<0.05)；术后3个月、6个月和12个月治疗组不稳定和跛行均明显优于对照组(P<0.05)。结论 超早期系统化康复治疗有助于提高TPF患者术后远期功能。 |
| 英文摘要: |
| Objective To explore the effect of a ultra-early systematic rehabilitation on postoperative long-term function of patients with tibial plateau fracture (TPF).Methods A total of 70 patients with TPF were selected and divided into treatment group (n=35) and control group (n=35).The treatment group was given ultra-early systematic rehabilitation therapy and remote rehabilitation guidance of We Media (WeChat),while the control group only received routine rehabilitation nursing guidance of orthopedic department.Results The Lysholm knee score was improved in both groups after operation.At 1,3,6 and 12 months after operation,the total Lysholm knee score in the treatment group was better than that in the control group (P<0.05).The pain and swelling in the treatment group were significantly better than those in the control group at 1,3 and 6 months after operation (P<0.05).The instability and claudication in the treatment group were significantly better than those in the control group at 3,6 and 12 months after operation (P<0.05).Conclusion Ultra-early systematic rehabilitation therapy is helpful to improve the long-term function of patients with TPF. |
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