个性化下肢肌力运动处方在膝关节半月板损伤术后患者中的应用
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摘要
目的:探讨个性化下肢肌力运动处方在膝关节半月板损伤术后患者中的应用方法及效果。方法:将87例半月板损伤患者随机分为对照组42例和观察组45例,对照组采用常规康复护理,观察组在此基础上应用个性化下肢肌力运动处方进行康复护理干预,比较两组护理效果。结果:观察组患者术后3、6个月功能锻炼依从性优于对照组(P <0. 05)。两组术后3、6个月大腿周径萎缩指数低于术前(P <0. 05),观察组术后3、6个月大腿周径萎缩指数低于对照组(P <0. 05,P <0. 01)。两组患者术后3、6个月膝关节功能Lysholm评分高于术前(P <0. 05),观察组术后3、6个月膝关节功能Lysholm评分高于对照组(P <0. 01)。结论:个性化下肢肌力运动处方指导膝关节半月板损伤患者进行术后康复,可明显提高患者功能锻炼依从性,促进患肢肌力恢复,改善关节功能,快速患者康复。
Objective: To explore the application method and effect of personalized lower limb muscle strength exercise prescription in postoperative patients with meniscus injury of knee joint. Methods: A total of 87 patients with meniscus injury were randomly divided into the control group( n = 42) and the observation group( n = 45). The control group was given routine rehabilitation nursing,and the observation group was given individualized lower limb muscle strength exercise prescription for rehabilitation nursing intervention based on the control group. The nursing effects of the two groups were compared. Results: The functional exercise compliance of the observation group was better than that of the control group( P < 0. 05). Index of thigh circumference atrophy of the two groups 3 and 6 months after surgery was lower than that of before surgery( P < 0. 05),and that of the observation group was lower than that of the control group( P < 0. 01). Lysholm score of the knee function of the two groups 3 and 6 months after surgery was higher than that of before surgery( P < 0. 05),and that of the observation group was higher than that of the control group( P < 0. 01). Conclusion: Personalized lower limb muscle strength exercise prescription can guide postoperative rehabilitation of patients with meniscus injury of knee joint,significantly improve the patients' compliance with functional exercise,promote the recovery of limb muscle strength,improve joint function,and fast patients recovery.
Objective: To explore the application method and effect of personalized lower limb muscle strength exercise prescription in postoperative patients with meniscus injury of knee joint. Methods: A total of 87 patients with meniscus injury were randomly divided into the control group( n = 42) and the observation group( n = 45). The control group was given routine rehabilitation nursing,and the observation group was given individualized lower limb muscle strength exercise prescription for rehabilitation nursing intervention based on the control group. The nursing effects of the two groups were compared. Results: The functional exercise compliance of the observation group was better than that of the control group( P < 0. 05). Index of thigh circumference atrophy of the two groups 3 and 6 months after surgery was lower than that of before surgery( P < 0. 05),and that of the observation group was lower than that of the control group( P < 0. 01). Lysholm score of the knee function of the two groups 3 and 6 months after surgery was higher than that of before surgery( P < 0. 05),and that of the observation group was higher than that of the control group( P < 0. 01). Conclusion: Personalized lower limb muscle strength exercise prescription can guide postoperative rehabilitation of patients with meniscus injury of knee joint,significantly improve the patients' compliance with functional exercise,promote the recovery of limb muscle strength,improve joint function,and fast patients recovery.
引文
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[3]许莹莹,王宏,陈秀云,等.膝关节损伤患者门诊术前锻炼指导前后股四头肌肌力比较[J].中国运动医学杂志,2013,32(12):1108-1111.
[4]贺彩霞,贺永萍,张慧.护理干预对桡骨下端骨折患者治疗依从性的影响[J].中国医刊,2013,48(7):100-101.
[5]汪亚兵,李伦兰,倪秀梅,等.改良式肩关节外展支具在关节镜下肩袖修补术后患者中的应用[J].中华护理杂志,2016,51(11):1361-1363.
[6]杨伟毅,练文兴,曹学伟,等.肌力强化训练对膝关节前交叉韧带重建术后伴股四头肌萎缩患者肌力恢复的疗效[J].实用医学杂志,2012,28(13):2221-2223.
[7] Lysholm J,Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154.
[8] Kuptniratsaikul V,Tosayanonda O,Nilganuwong S,et al.The efficacy of a muscle exercise program to improve functional performance of the knee in patients with osteoarthritis[J]. J Med Assoc Thai,2002,85:33-40.
[9]何舜瑜,王菊.运动处方在前交叉韧带重建术后患者康复中应用效果的观察[J].现代临床护理,2012,11(5):52-54.
[2]李中正,王玉聪,方镇洙.外侧盘状半月板损伤关节镜下部分切除成形术与附加缝合术疗效比较[J].中国骨与关节损伤杂志,2015,30(10):1055-1057.
[3]许莹莹,王宏,陈秀云,等.膝关节损伤患者门诊术前锻炼指导前后股四头肌肌力比较[J].中国运动医学杂志,2013,32(12):1108-1111.
[4]贺彩霞,贺永萍,张慧.护理干预对桡骨下端骨折患者治疗依从性的影响[J].中国医刊,2013,48(7):100-101.
[5]汪亚兵,李伦兰,倪秀梅,等.改良式肩关节外展支具在关节镜下肩袖修补术后患者中的应用[J].中华护理杂志,2016,51(11):1361-1363.
[6]杨伟毅,练文兴,曹学伟,等.肌力强化训练对膝关节前交叉韧带重建术后伴股四头肌萎缩患者肌力恢复的疗效[J].实用医学杂志,2012,28(13):2221-2223.
[7] Lysholm J,Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154.
[8] Kuptniratsaikul V,Tosayanonda O,Nilganuwong S,et al.The efficacy of a muscle exercise program to improve functional performance of the knee in patients with osteoarthritis[J]. J Med Assoc Thai,2002,85:33-40.
[9]何舜瑜,王菊.运动处方在前交叉韧带重建术后患者康复中应用效果的观察[J].现代临床护理,2012,11(5):52-54.