摘要
目的探讨整体康复治疗对定制肿瘤型膝关节假体置换术患者的效果。方法选择贵州医科大学附属医院骨科接受定制肿瘤型膝关节假体置换术的患者72例,按简单随机法分为康复组和对照组各36例,康复组患者术后进行整体康复治疗,对照组患者术后进行常规骨科术后CPM训练。比较两组术前、术后2周、术后1个月及术后6个月膝关节评分标准(HSS)评分、SF-36生存质量评分。结果术后1个月及术后6个月康复组HSS评分高于对照组(P<0.01),SF-36生存质量评分中生理功能(PF)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、精神健康(MH)及情感职能(RE)评分均高于对照组,差异有统计学意义(P<0.01),而生理职能(RP)和社会功能(SF)两项评分差异无统计学意义(P>0.05)。结论对定制肿瘤型膝关节假体置换术后患者进行整体康复治疗能明显提高术后膝关节的运动功能,是达到预期治疗效果的重要措施。整个围手术期及术后的积极心理干预可以使患者的生存质量得到极大改善。
Objective To evaluate the effect of the comprehensive rehabilitation treatment for patients with customized tumor knee prosthesis replacement. Methods Seventy-two patients with malignant bone tumors around the knee joint accepted customized tumor knee prosthesis replacement surgery. They were divided into two groups： treatment group（ n = 36） receiving the comprehensive rehabilitation therapy and control group（ n = 36） receiving conventional orthopedic therapy. The curative effect was evaluated by comparing the HSS and SF-36 scores between the two groups. Results The scores of the HSS were obviously higher in the treatment group than that in the control group after the 1st month and the 6th month of operation（ P〈0. 01）. The scores of physical functioning（ PF）,body pain（ BP）,general health（ GH）,vitality（ VT）,mental health（ MH） and role emotional（ RE） in SF-36 scores in the treatment group were all higher than that in the control group（ P〉0. 05）. Whereas,there were no significant differences in role-physical（ RP）and social function（ SF） between the two groups（ P〈0. 05）. Conclusion The comprehensive rehabilitation treatment can significantly improve the knee joint function. It is an important measure to achieve the expected effect in patients with customized tumor knee prosthesis replacement surgery. Through the positive mental intervention,the quality of life of patients was greatly improved during the perioperative and postoperative period.
出处
《实用医院临床杂志》
2015年第6期44-47,共4页
Practical Journal of Clinical Medicine
关键词
定制肿瘤型假体
膝关节置换
康复治疗
SF-36生存质量
Customized tumor knee prosthesis
Knee replacement
Rehabilitation treatment
SF-36 survival quality
