樊振勇，张长杰.持续被动运动对膝关节镜术后关节功能的影响[J].中华物理医学与康复杂志,2003,(9):.-
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| 持续被动运动对膝关节镜术后关节功能的影响 |
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| DOI： |
| 中文关键词: 持续被动运动 膝关节镜 关节功能 关节活动范围 |
| 英文关键词: CPM Arthroscopy Joint function ROM |
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| 中文摘要: |
| 目的观察早期持续被动运动对膝关节镜术后关节功能的影响。 方法将53例行膝关节镜手术的患者随机分成两组，其中对照组25例，术后未作持续被动运动(CPM)；CPM组28例，在手术24 h后即行CPM锻炼, 分别记录入院时、出院时、术后3个月时两组患者关节活动度和膝关节功能综合评分。 结果出院时膝关节活动度对照组屈（69.40±15.17）°，伸（-4.32±4.71）°；CPM组屈（90.64±16.57）°，伸（-0.71±3.78）°。膝关节功能评分对照组（11.24±1.42）分，CPM组（8.89±1.84）分。出院时关节活动范围达90°者, 对照组6例(24%),CPM组21例(75%)。 结论早期作CPM能明显提高膝关节镜术后效果，能增加膝关节活动度、改善膝关节功能、缩短住院时间，但远期效果还需进一步深入研究。 |
| 英文摘要: |
| Objective To study the effect of continuous passive motion (CPM) on joint function after arthroscopy in the knee joint. MethodsArthroscopy examinations and operations were performed in 53 patients. They were divided into study and control groups based on the use or not of CPM immediately in the postoperative period. The control group consisted of 25 patients treated without postoperative CPM and the study group consisted of 28 patients treated with CPM postoperatively. Range of motion (ROM) and the comprehensive function score of the knee joint were evaluated preoperatively, at discharge and at three months after operation. ResultsThere were statistically significant differences in the function score of the knee joint between the two groups at discharge. The mean flexion and extension in the study group were 90.64°±16.57° and -0.71°±3.78°, respectively, compared to 69.40°±15.17° and -4.32°±4.71° in the control group. The mean of the comprehensive function score of the knee joint in the control group were 11.24.compared to 8.89 in the study group. Seventy-five percent (21 cases) of the patients in the CPM group and 24% (6 cases)of patients in the control group had achieved 90° of flexion at the time of hospital discharge. ConclusionCPM had enhanced the therapeutic effects of arthroscopy in the knee joint and shortened the length of stay of the patients in the hospital. Further investigation is needed for evaluating the long-term effect of CPM. |
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