| 汪祝莎,王华.应用标准化视频指导ACL重建术后病人康复的效果评价.骨科,2018,9(3): 197-200. |
| 应用标准化视频指导ACL重建术后病人康复的效果评价 |
| The effect of standardized video on rehabilitation after anterior cruciate ligament reconstruction. |
| 投稿时间：2017-11-13 |
| DOI：10.3969/j.issn.1674-8573.2018.03.007 |
| 中文关键词: 标准化视频 前交叉韧带重建 康复 |
| 英文关键词: Standardized video Anterior cruciate ligament reconstruction Rehabilitation |
| 基金项目:国家自然科学基金青年项目（81702159）；湖北省卫生计生委青年人才项目（WJ2017Q012） |
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| 中文摘要: |
| 目的 探讨标准化康复视频在前交叉韧带（anterior cruciate ligament, ACL）重建术后病人功能锻炼中的指导效果。方法 以2015年2月至2016年10月于我科就诊的130例ACL重建术病人为研究对象，按照入院时间将其分为两组，观察组62例病人，术后应用我科制作的标准化视频指导康复；对照组68例病人，术后按照传统的方法，提供书面康复训练计划指导病人康复，比较两组病人的住院时间、膝关节Lysholm功能评分及康复知识熟练掌握率、术后锻炼依从率、住院满意率等指标。结果 观察组病人的康复知识熟练掌握率、术后锻炼依从率、住院满意率分别为95.1%、95.1%、100.0%，显著高于对照组（64.7%、61.7%、79.1%）；观察组的住院时间为（6.8±1.8） d，较对照组的（9.2±2.3） d显著下降；观察组术后6个月的膝关节Lysholm功能评分为（90.2±3.5）分，较对照组的（70.8±2.8）分显著升高。上述指标组间比较的差异均有统计学意义（P均＜0.001）。结论 使用标准化康复视频指导ACL重建术后病人功能锻炼能显著提高病人对于康复知识的熟练程度及康复锻炼依从性，有利于提升住院满意度，有效缩短住院时间，快速恢复病人膝关节功能。 |
| 英文摘要: |
| Objective To explore the effect of standardized video on rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods From February 2015 to October 2016, 130 patients after ACL reconstruction in our department were collected, and divided into two groups according to the time of admission. Sixty-two patients in observation group were given the standardized video produced by our department for rehabilitation after surgery, and 68 patients received conventional rehabilitative education in control group. The indexes such as hospital stay, Lysholm scores were observed and compared. Results The mastery of rehabilitative knowledge, postoperative compliance of training and satisfaction in observation group were 95.1%, 95.1%, 100.0% respectively, which were all significantly higher than those in control group. The hospital stay in observation group was (9.2±2.3) days, which was obviously shorter than in control group. The Lysholm score in observation group was 90.2±3.5, which was higher than in control group. The differences between two groups were statistically significant (P＜0.001 for all). Conclusion The standardized video of postoperative training for ACL reconstruction could dramatically improve the mastery of rehabilitative knowledge, postoperative compliance of training and patient's satisfaction, effectively shorten the hospital stay and quickly restore postoperative knee function. |
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