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目的探讨如何在关节镜下前交叉韧带重建手术前后正确实施康复护理措施,使患者尽快恢复膝关节功能。方法选择关节外科收治的患者18例,除实施常规康复护理措施外,特别加强术前康复及护具使用训练,以及术后本体感觉训练和冰敷方式指导。结果 18例患者Lysholm膝关节评分均有明显提高,患者膝关节功能恢复良好,无明显肌肉萎缩及平衡感觉缺如。结论重视心理护理,把握康复训练时机,关注护理过程中容易忽视的护具使用、本体感觉练习及冰敷方式等细节问题,能缩短康复时间,提高康复效果。
Objective To explore how to correctly implement the rehabilitation nursing measures before and after arthroscopic anterior cruciate ligament reconstruction so as to restore the knee joint function as soon as possible. Methods 18 patients admitted to the Department of Arthroscopical Surgery were enrolled in this study. In addition to the routine rehabilitation nursing interventions, preoperative rehabilitation and training on the use of protective gear, as well as postoperative proprioceptive training and ice-dressing method were specially recommended. Results The scores of Lysholm knee in all 18 patients were significantly improved. The knee joint function of patients recovered well without apparent muscle atrophy and lack of balance sensation. Conclusions Emphasis on psychological care, grasping the timing of rehabilitation training, paying attention to details of the use of protective gear, proprioceptive exercises and ice-dressing methods easily overlooked in the nursing process can shorten the recovery time and improve the rehabilitation effect.