标题：胫骨平台骨折术后患者辅助CPM治疗对膝关节功能的影响

      作者：李卫平，王江林，徐莉莉
    （泸州医学院附属医院康复科，四川 泸州 646000）

      卷次： 2013年24卷6期

      【摘要】 目的 探讨辅助持续被动运动(Continuous passive motion，CPM)治疗对胫骨平台骨折术后患者的膝
关节功能恢复的影响。方法 胫骨平台骨折患者85例，在采用膝关节镜术后分为CPM+主动运动训练(CPM组)47
例和主动运动训练(非CPM组) 38例，比较两组患者在术后2、4、6、12周膝关节伸屈活动度和术后3个月、12个月膝
关节功能的恢复情况。结果 两组患者患膝屈曲角度比较，CPM组第2、4、6周均优于非CPM组(P<0.05)，而第12
周两者比较差异无统计学意义(P>0.05)；Rasmussen临床评分比较，术后3个月优良率CPM组优于非CPM组，组间
比较差异有统计学意义(P<0.05)；术后12个月两组组间比较差异无统计学意义(P>0.05)。结论 早期功能锻炼有
助于患者术后膝关节功能的恢复，CPM训练有助于缩短其恢复时间，提高患者的生活质量。

      【关键词】 CPM；胫骨平台骨折；膝关节；功能

      【中图分类号】 R687 【文献标识码】 A 【文章编号】 1003—6350（2013）06—0812—03


Effect of CPM training on knee joint function in patients with tibial plateau fracture after operation.
LI
Wei-ping, WANG Jiang-lin, XU Li-li. Department of Rehabilitation Medicine, the Affiliated Hospital of Luzhou Medical
College, Luzhou 646000, Sichuan, CHINA

【Abstract】 Objective To study the effect of continuous passive motion (CPM) training on knee joint func-
tion in patients with tibial plateau fracture after operation. Methods Eighty-five patients with tibial plateau fracture
after operation were divided into two groups. The CPM group (n=47) was treated with CPM and active training, the
non-CPM group received active training only. After 2, 4, 6, and 12 weeks, knee range of motion was compared be-
tween the two groups. After 3 and 12 months, knee joint function was compared. Results The degree of knee flex-
ion of CPM group were significantly better than non-CPM group 2, 4 and 6 weeks after operation, (P<0.05), which
showed no statistically significant difference between the two groups 12 weeks after operation (P>0.05). Three months
after operation, the function recovery of CPM group were significantly better than non-CPM group (P<0.05), but 12
months after operation, there were no significant difference between the two groups (P>0.05). Conclusion Early
stage active training can recover the function of knee. CPM training can shorten the recovery time and improve the life
quality of the patients.

      【Key words】 CPM; Tibial plateau fracture; Knee joint; Function