| 路 琳,柴家科,杨红明,庹晓晔.烧伤后膝关节功能的康复效果研究[J].中国康复医学杂志,2008,23(10):928~930 |
| 烧伤后膝关节功能的康复效果研究 点此下载全文 |
| 路 琳 柴家科 杨红明 庹晓晔 |
| 解放军总医院第一附属医院烧伤整形科,北京,100037 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 目的：研究改进康复疗法对深度烧伤后膝关节功能康复效果。方法：126例下肢深度烧伤（包括腘窝周围皮肤烧伤）患者随机分为对照组(62例)和改进组（64例）。对照组应用常规康复疗法，改进组在医生的指导下应用常规康复疗法+持续被动活动器（CPM）+减重步态训练器+改进后的弹力套加压进行康复治疗。分别比较康复前后膝关节伸屈主动活动范围(ROM)，被动ROM，平地行走45m、上下楼梯情况。结果：改进组康复前后膝关节伸屈主动ROM、被动ROM均有明显改善，与对照组相比较有显著性差异﹙P＜0.01)，平地行走45m情况两组相比较无明显差异（P＞0.05），上下楼梯有显著性差异(P＜0.01)。结论：应用常规康复疗法和常规康复疗法+CPM+减重步态训练器+改进弹力套加压治疗均可有效地恢复膝关节功能，但早期康复手段改进组的疗效更好。 |
| 关键词：膝关节 功能 康复 烧伤 |
| Effect of improved rehabilitation therapy on the function of knee joint after deep burn injury Download Fulltext |
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| Burns Institute, the First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, 100037 |
| Fund Project: |
| Abstract: |
| Objective:To investigate the effect of improved rehabilitation therapy on the function of knee joint after deep burn injury. Method: One hundred and twenty-six patients with deep burn injury in lower extremity(involving skin of popliteal fossa) were randomly divided into control group(n=62) and improved group(n=64). Control group took routine rehabilitation therapy, and improved group took improved rehabilitation therapy including routine rehabilitation therapy+continuous passive motion(CPM)+weight relief walking training+improved pressure bandages. Active and passive range of motion(ROM) of knee joint, walking 45 metres on level ground and coming up and down stairs were studied in boty groups. Result: Active and passive ROM of knee joint and coming up and down stairs in improved group were better than that in controls(P<0.01). There was no difference in walking 45 metres on level ground between two groups(P>0.05). Conclusion: Improved rehabilitation therapy including routine rehabilitation therapy+CPM+weight relief walking training+improved pressure bandages was helpful in improving the function of knee joint, and the effect in improved group with earlier rehabilitation therapy was much better. |
| Keywords:knee joint function rehabilitation burn injury |
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