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可穿戴式精准康复系统在老年全膝关节置换术后患者中的应用价值

Application value of a wearable precise rehabilitation system in treatment of elderly patients after total knee arthroplasty

    摘要
  • 摘要:
    目的 探讨可穿戴式精准康复系统在老年全膝关节置换术后患者中的应用价值。
    方法 采用临床前瞻性病例对照研究方法，选取2019年3月—2021年3月行单侧人工全膝关节置换术的86例老年患者为研究对象。最终有81例患者完成随访，将其随机分为对照组40例和观察组41例。对照组出院后根据医嘱自行进行康复训练，观察组使用可穿戴式精准康复系统(东南大学研究团队自主开发，专利编号为202120211016.2), 2组均随访6个月。比较2组患者随访1、3、6个月时患侧主动膝关节活动度(AROM)、美国特种外科医院(HSS)膝关节功能评分、平均每日康复时间、康复依从率、满意度以及生活质量量表(SF-36)评分。
    结果 随访1、3、6个月时, 2组患侧AROM及HSS评分均逐步升高，观察组随访1、3、6个月的AROM及HSS评分均高于对照组，差异有统计学意义(P < 0.05)。观察组每日康复时间为(4.6±0.7) h, 长于对照组的(2.3±0.3) h, 差异有统计学意义(P < 0.05); 观察组总依从率、总满意率依次为90.2%、82.9%, 高于对照组的72.5%、62.5%, 差异有统计学意义(P < 0.05)。随访6个月时，观察组身体健康、心理健康和社会关系评分以及总评分均高于对照组，差异有统计学意义(P < 0.05)。
    结论 穿戴式精准康复系统能够显著改善老年全膝关节置换术后患者的康复质量，提高康复依从率和满意度。

     

    Abstract:
    Objective To explore the application value of a wearable precise rehabilitation system in treatment of elderly patients after total knee arthroplasty.
    Methods A clinical prospective case-control study was adopted, and a total of 86 elderly patients with unilateral total knee arthroplasty from March 2019 to March 2021 were selected as research objects. Finally, 81 patients carried out the follow up, and they were randomly divided into control group with 40 cases and observation group with 41 cases. The control group carried out rehabilitation training according to the doctor′s instructions after discharge, while the observation group adopted the wearable precision rehabilitation system (independently developed by the research team of Southeast University, patent No.: 202120211016.2), and both groups were followed up for 6 months. The active range of motion (AROM) of affected side, knee joint function score of American Hospital for Special Surgery (HSS), average daily rehabilitation time, rehabilitation compliance rate, satisfaction degree and score of Short-form Health Survey (SF-36) were compared between the two groups at 1 month, 3 and 6 months of follow-up.
    Results At the 1 month, 3 and 6 months of follow-up, the AROM and HSS scores of knee joints of the affected side in both groups were gradually increased, and the AROM and HSS scores of the observation group at of 1 month, 3 and 6 months of follow-up were significantly higher than those of the control group (P < 0.05). The daily recovery time of the observation group was (4.6±0.7) h, which was significantly longer than (2.3±0.3) h of the control group (P < 0.05); the total compliance rate and total satisfaction rate of the observation group were 90.2% and 82.9%, respectively, which were significantly higher than 72.5% and 62.5% of the control group (P < 0.05). At 6 months of follow-up, the scores of physical health, mental health and social relations as well as the total score in the observation group were significantly higher than those in the control group (P < 0.05).
    Conclusion The wearable precision rehabilitation system can significantly improve the rehabilitation quality of elderly patients after knee arthroplasty, and improve the rehabilitation compliance rate and satisfaction degree.

     

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