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1、中國療養(yǎng)醫(yī)學(xué)2017年第26卷第4期ChinJConvalescentMed，Apr.2017，Vol.26，No.4·377·量化康復(fù)訓(xùn)練對脛骨平臺骨折術(shù)后患者康復(fù)效果的觀察魯?shù)ぁ菊磕康姆治隽炕祻?fù)訓(xùn)練在脛骨平臺骨折術(shù)后患者康復(fù)中的應(yīng)用價值，為今后脛骨平臺骨折術(shù)后康復(fù)訓(xùn)練的完善提供參考。方法收集解放軍第89醫(yī)院骨科行手術(shù)治療的脛骨平臺骨折患者70例，按術(shù)后康復(fù)訓(xùn)練方法不同分為對照組(常規(guī)訓(xùn)練)和觀察組(量化康復(fù)訓(xùn)練)，對比兩組患者Lysholm膝關(guān)節(jié)功能評分、關(guān)節(jié)活動度(ROM)，對比兩組肌力恢復(fù)情況、膝關(guān)節(jié)功能恢復(fù)情況、骨折愈合時間，觀察兩組術(shù)后并發(fā)癥發(fā)生情況。結(jié)
2、果觀察組膝關(guān)節(jié)Lysholm評分較對照組高，肌力恢復(fù)優(yōu)良率(94.29%)較對照組(62.86%)高，膝關(guān)節(jié)功能恢復(fù)優(yōu)良率(97.14%)較對照組(65.71%)高，觀察組ROM值較對照組大，P均＜0.05。觀察組術(shù)后無并發(fā)癥發(fā)生，對照組有1例畸形愈合，并發(fā)癥發(fā)生率比較，P＜0.05。結(jié)論量化康復(fù)訓(xùn)練通過早期訓(xùn)練，合理制定訓(xùn)練強度，應(yīng)用動靜平衡等訓(xùn)練方法，有效提高患者行走能力和平衡能力，預(yù)防畸形愈合?！娟P(guān)鍵詞】量化康復(fù)訓(xùn)練；脛骨平臺骨折；膝關(guān)節(jié)功能；平衡能力【Abstract】ObjectiveToanalyzetheapplicationvalueofquantifie
3、drehabilitationtrainingintherehabilitationofpostoperativepatientswithtibialplateaufracture，soastoprovidereferencefortheimprovementofrehabilitationtrain-inginthetreatmentoftibialplateaufractureinthefuture.Methods70casesundergoingsurgicaltreatmentoftibialplateaufractureattheDepartmentofOrth
4、opaedicsinNo.89PLAHospitalwerecollectedanddividedintocontrolgroup(routinetraining)andobservationgroup(quantifiedrehabilitationtraining)accordingtothepostoperativerehabil-itationtrainingmethods.ComparisonwasmadebetweenthetwogroupsintermsofLysholmscoreofkneejointfunc-tion，jointrangeofmotion
5、(ROM)，muscleforcerecovery，kneejointfunctionrecoveryandfracturehealingtime.Thepostoperativecomplicationoccurrencesinthetwogroupswereobserved.ResultsTheLysholmkneescoreintheob-servationgroupwashigherthanthatthecontrolgroup，excellentrecoveryrateofmusclestrengthintheobservationgroup(94.29%)hi
6、gherthanthatinthecontrolgroup(62.86%)，excellentrecoveryrateofkneejointfunctionintheobservationgroup(97.14%)higherthanthatinthecontrolgroup(65.71%)，ROMvaluesintheobservationgrouphigherthanthecontrolgroup，allP＜0.05.Nocomplicationsoccurredintheobservationgroup，whiletherewas1caseofabnormalhea
7、linginthecontrolgroup，andtheincidenceofcomplicationswascompared，P＜0.05.ConclusionQuantifiedrehabilitationtrainingthroughearlytraining，reasonabletrainingintensity，theapplicationofstaticanddy-namicequilibriumandothertrainingmethods，caneffectivelyimprovethewalkingabili
