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目的探讨CPM运动仪联合冷热敷法对股骨中下段骨折术后患者的膝关节功能恢复的影响。方法选择股骨中下段骨折患者60例,随机分为观察组和对照组各30例。观察并比较2组患者术后不同时间点的膝关节评分、视觉模拟疼痛评分、膝关节屈曲角度。结果观察组术后3 d、术后2周、术后6周、术后3个月膝关节评分、膝关节屈曲角度明显高于对照组;观察组术后3 d、术后2周、术后6周、术后3个月疼痛视觉模拟评分均低于对照组,比较差异均有统计学意义(P<0.05)。结论对股骨中下段骨折手术患者术后实施早期CPM运动仪联合冷热敷锻炼有助于患者术后膝关节功能的恢复,并提高患者的生活质量。
Objective To investigate the effect of CPM motion instrument combined with hot and cold compress on the recovery of knee joint function in patients with fractures of femur. Methods Sixty patients with middle and distal femoral fractures were randomly divided into observation group (30 cases) and control group (30 cases). The knee scores, visual analogue pain scores and knee flexion angles at different time points were observed and compared between the two groups. Results In the observation group, knee joint flexion and knee flexion at 3 days postoperatively, 2 weeks postoperatively, 6 weeks postoperatively and 3 months postoperatively were significantly higher than those in the control group. In the observation group 3 days postoperatively and 2 weeks postoperatively, After 6 weeks, 3 months after operation, the pain visual analogue scale was lower than the control group, the difference was statistically significant (P <0.05). Conclusions The implementation of early CPM exercise instrument combined with hot and cold pack after operation in patients with fractures of the femur may help to restore the postoperative knee function and improve the quality of life of the patients.