赵志昕;温亮;郭文龙;张学东;贾斌;

• 1:北京德尔康尼骨科医院
• 2:首都医科大学附属北京朝阳医院

摘要(Abstract)：

[目的]研究人工全膝关节置换术后,患者应用智能可穿戴辅助康复系统进行辅助康复的治疗效果。[方法]按照标准筛选TKA手术患者120例,所有患者住院期间以相同的康复方案进行早期康复。患者出院后随机分为试验组和对照组各60例。试验组患者应用智能可穿戴辅助康复系统辅助,根据医生远程推送的康复方案和康复动作3D视频演示进行康复,同时由医生进行远程监测和沟通指导;对照组出院后继续按照住院期间的康复方案自行进行居家康复。记录比较两组患者手术前、出院时、术后1、3个月的关节活动度(ROM)、WOMAC评分和HSS膝关节功能评分。[结果]两组患者术后的主被动ROM、WOMAC及HSS评分均较术前有显著增加,差异有统计学意义(P<0.05)。术前和出院时主、被动ROM两组间的差异均无统计意义(P>0.05);术后1、3个月时试验组的主、被动ROM的改善情况优于对照组,差异具有统计学意义(P<0.05)。两组患者术前和出院时的WOMAC和HSS评分比较差异无统计学意义(P>0.05),术后1、3个月时试验组WOMAC和HSS评分优于对照组,差异有统计学意义(P<0.05)。[结论]与传统家庭康复模式相比,应用智能可穿戴辅助康复系统进行远程康复指导可在TKA术后短期内提高康复效果,并能够将康复宣教、智能预警和数据分析集为一体,值得进一步研究和推广。

关键词(KeyWords)： 全膝关节置换;智能可穿戴辅助系统;康复

Abstract:

Keywords:

基金项目(Foundation): G20工程支撑保障项目(编号:Z151100003815007);; 2017年度首都医科大学科研培育基金项目(编号:PYZ2017040)

作者(Author): 赵志昕;温亮;郭文龙;张学东;贾斌;

Email:

DOI:

参考文献(References)：

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