摘要
目的探析为膝关节损伤手术治疗患者给予贯彻Bobath理念引导的康复护理对其术后膝关节功能恢复的影响。方法选取2017年2月至2019年6月本院接受外科手术治疗的膝关节损伤患者60例,以该群体相关数据为分析对象并用随机数字表方式分为两组,各30例。对照组给予常规膝关节损伤术后康复护理,观察组基于Bobath理念制定、调整膝关节损伤术后康复护理。比较不同康复护理模式下膝关节损伤患者膝关节活动度、膝关节功能恢复情况。结果干预前,两组患者膝关节活动度比较,差异均无统计学意义(均P>0.05);干预后,观察组F(屈屈角度)、R(关节活动范围)分别为(98.31±3.25)°、(93.16±5.13)°,均高于对照组(59.23±2.67)°、(50.25±4.82)°,E(伸展角度)为(3.29±1.54)°,低于对照组(9.23±3.34)°,差异均有统计学意义(均P<0.05);干预前,两组患者膝关节功能情况比较,差异无统计学意义(P>0.05);干预后4周、8周,观察组膝关节功能情况分别为(73.64±4.28)分、(87.74±3.25)分,均高于对照组(65.19±5.48)分、(74.16±3.56)分,差异均有统计学意义(均P<0.05)。结论为手术治疗的膝关节损伤患者提供基于Bobath理念指导的术后关节运动控制训练,对于提升膝关节稳定性、活动功能有积极价值,对患者术后顺利回归正常生活提供显著保障,值得推广。
Objective To explore the effect of rehabilitation nursing guided by Bobath on the recovery of knee function after operation.Methods Sixty patients with knee injuries who underwent surgical treatment in our hospital from February,2017 to June,2019 were selected,and were divided into a control group and an observation group by random number table,30 cases in each group.The control group was given postoperative routine rehabilitation nursing for knee joint injury,and the observation group was based on Bobath concept to formulate and adjust the postoperative rehabilitation nursing for knee injury.The knee joint mobility and knee function recovery were compared between the two groups.Results There was no statistical difference in knee joint mobility between the two groups before the intervention.After the intervention,the F(flexion and flexion angle)and R(joint range of motion)were higher and E(extension angle)was lower in the observation group than in the control group[(98.31±3.25)°vs.(59.23±2.67)°,(93.16±5.13)°vs.(50.25±4.82)°,and(3.29±1.54)°vs.(9.23±3.34)°;all P<0.05].There was no statistical difference in knee function between these two groups before the intervention(P>0.05).4 and 8 weeks after the intervention,the scores of knee function were higher in the observation group than in the control group[(73.64±4.28)vs.(65.19±5.48)and(87.74±3.25)vs.(74.16±3.56);both P<0.05].Conclusion Providing postoperative exercise control training based on Bobath for knee injury patients treated by surgery can improve their joint stability and activity function,and guarantee for their return to normal life after operation,so it is worth being popularized.
作者
田菊
马晓燕
Tian Ju;Ma Xiaoyan(Department of Joint Sports Medicine,Tengzhou Central People's Hospital,Tengzhou 277599,China)
出处
《国际医药卫生导报》
2020年第18期2716-2719,共4页
International Medicine and Health Guidance News