术前沙袋加压伸直训练在全膝关节置换术病人中的应用

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Application of preoperative sand⁃bag compression stretching training in patients undergoing total knee arthroplasty

HE Cailing， ZHANG Jiahui*， GUO Lixiao， ZHAO Na

Shanxi Provincial People's Hospital， Shanxi 030001 China

*Corresponding Author  ZHANG Jiahui， E⁃mail：1561157143@qq.com

Abstract  Objective：To explore the application effect of preoperative sand⁃bag compression stretching training in patients undergoing  a total knee arthroplasty.Methods：A total of 124 patients who underwent total knee arthroplasty in a tertiary grade A hospital in Shanxi province from January 2023 to November 2023 were selected as research subjects.The patients were divided into the control group and the observation group by random number table method，with 62 cases in each group.The control group received routine nursing and functional exercises on the day of surgery and postoperatively.The observation group used a self⁃made sand⁃bag compression device for sand⁃bag compression stretching training preoperatively in addition to the control group.The knee joint function，pain，knee joint extension，and activity of daily living between two groups of patients were compared.Results：The scores of knee joint function and activity of the daily living of observation group were higher than that of the control group at 1 week preoperatively，1 week postoperatively，1 month postoperatively，and 3 months postoperatively（all P<0.05），while the  knee joint extension were lower than that of the control group（all P<0.05）.The scores of pain  of the observation group was lower than that of the control group at 1 week preoperatively，1 week postoperatively，and 1 month postoperatively（all P<0.05）.Conclusions：Preoperative sand⁃bag compression stretching training using sand⁃bag compression device is beneficial for improving knee joint function，reducing pain，promoting knee joint extension recovery，and enhancing activity of daily living of patients  undergoing total knee arthroplasty.

Keywords    sand⁃bag compression; total knee arthroplasty; preoperative care; restricted extension of knee joint; joint function; pain; activity of daily living

摘要  目的：探讨术前沙袋加压伸直训练在全膝关节置换术病人中的应用效果。（剩余7366字）