目的：探讨膝关节多发韧带损伤关节镜下修复与重建术后的康复护理。方法对10例膝关节多发韧带损伤的患者，施行关节镜下膝关节前、后交叉等多韧带重建术，根据手术方式和患者的个体差异制定了有针对性的围术期康复计划，同时加强出院后持续康复训练指导，分阶段对康复训练效果进行随访。结果随访1周～24个月，平均随访（12．30±6．65）个月，全部患者入院时 Lysholm 膝关节功能评分为（26．90±5．07）分，末次随访时评分为（89．50±3．81）分，差异有统计学意义（P ＜0．01）。结论根据患者多发韧带损伤特点，制定个性化、有针对性的围术期康复训练计划，加强出院后持续康复训练指导，对促进多发韧带损伤修复重建术后关节功能的全面康复尤为重要。%Objective To investigate the rehabilitation nursing procedure and its effects af-ter arthroscopic reconstruction for multiple ligaments injury of knees.Methods 10 patients with multiple ligaments injuries of knee received anterior posterior cruciate ligaments reconstruction by arthroscopy.According to different surgical techniques and individual differences of patients,tar-geted rehabilitation training plans in perioperative period were specifically guided and managed.Pa-tients were followed up to evaluate the clinical effects of training in stages.Results All the patients were regularly followed up foroneweek to2 4 months ,with an average timeof (1 2 .3 0 ± 6.65)months.The difference was statistically significant since the average Lysholm score of the all cases were (26.90±5.07)and (89.50±3.81)before operation and at final follow-up respective-ly(P <0.01).Conclusion Planned and targeted rehabilitation nursing based on the different sur-gical techniques and individual differences can benefit functional recovery of knee joint.It is impor-tant for patients who have arthroscopic reconstruction of multiple ligament injuries to keep on reha-bilitation training after hospita1 discharge.
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