关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效观察
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摘要
目的:探讨关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效。方法:选取本院2015年1月-2017年10月收治的行关节镜下膝前交叉韧带重建术的患者126例作为研究对象,按照随机数字表法将其分为观察组和对照组,各63例。对照组给予常规术后干预措施,观察组在此基础上给予阶段性系统康复训练干预措施,比较两组膝关节功能恢复情况以及干预后1、3、6个月的膝关节Lysholm、生活质量、满意度和依从性评分。结果:观察组膝关节功能恢复优良率为92.06%明显高于对照组的79.37%,差异有统计学意义(χ~2=4.148,P=0.042)。观察组干预后1、3、6个月的膝关节Lysholm评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组的生理功能、生理职能、情感职能、社会功能、活力、精神健康、躯体疼痛及总体健康评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组满意度和依从性评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效显著,显著提高患者生活质量,促进膝关节恢复,患者依从性和满意度好,值得进一步推广。
Objective:To explore the effect of rehabilitation training on knee joint stability after anterior cruciate ligament reconstruction under arthroscopy.Method:A total of 126 patients who undergone arthroscopic anterior cruciate ligament reconstruction in our hospital from January 2015 to October 2017 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,63 cases in each group.The control group was given routine postoperative interventions,the observation group was given periodic systematic rehabilitation training interventions on this basis.The functional recovery of knee joint and Lysholm of knee joint after intervention 1,3 and 6 months,quality of life,satisfaction and compliance scores between the two groups were compared.Result:The excellent and good rate of knee joint function recovery in the observation group was 92.06%,which was significantly higher than 79.37% in the control group,the difference was statistically significant( χ~2=4.148,P=0.042).The Lysholm scores of the knee jointafter intervention 1,3 and 6 months in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The scores of physiological function,physiological role,emotional role,social function,vitality,mental health,physical pain and general health in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The satisfaction and compliance scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Rehabilitation training after anterior cruciate ligament reconstruction under arthroscopy has a significant effect on knee joint stability,significantly improving the quality of life of patients,promoting knee joint recovery,good compliance and satisfaction of patients,which is worthy of further promotion.
Objective:To explore the effect of rehabilitation training on knee joint stability after anterior cruciate ligament reconstruction under arthroscopy.Method:A total of 126 patients who undergone arthroscopic anterior cruciate ligament reconstruction in our hospital from January 2015 to October 2017 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,63 cases in each group.The control group was given routine postoperative interventions,the observation group was given periodic systematic rehabilitation training interventions on this basis.The functional recovery of knee joint and Lysholm of knee joint after intervention 1,3 and 6 months,quality of life,satisfaction and compliance scores between the two groups were compared.Result:The excellent and good rate of knee joint function recovery in the observation group was 92.06%,which was significantly higher than 79.37% in the control group,the difference was statistically significant( χ~2=4.148,P=0.042).The Lysholm scores of the knee jointafter intervention 1,3 and 6 months in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The scores of physiological function,physiological role,emotional role,social function,vitality,mental health,physical pain and general health in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The satisfaction and compliance scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Rehabilitation training after anterior cruciate ligament reconstruction under arthroscopy has a significant effect on knee joint stability,significantly improving the quality of life of patients,promoting knee joint recovery,good compliance and satisfaction of patients,which is worthy of further promotion.
引文
[1]荆安龙,黄伟.关节镜下前交叉韧带重建术研究进展[J].检验医学与临床,2015,12(15):2287-2289.
[2]刘丽娟,敖丽娟.前交叉韧带重建术后的生物力学研究现状[J].中国康复医学杂志,2015,30(6):619-622.
[3]柯迪峰,宋洋,蒋欢.关节镜治疗膝关节前交叉韧带损伤合并内侧半月板Ramp损伤的近期疗效观察[J].中国当代医药,2016,23(18):47-50.
[4]刘欣伟,刘松波,刘铭,等.急性膝前交叉韧带损伤的关节镜治疗临床研究[J].创伤外科杂志,2017,19(7):527-529.
[5]张林.交叉韧带重建术后实施系统康复治疗对促进患者膝关节功能恢复的作用[J].中国医学创新,2017,14(3):96-99.
[6]李英英.早期康复干预对关节镜下前交叉韧带重建术后膝关节功能恢复的影响[J].山东医药,2014,54(18):105.
[7]刘书芳,矫玮,张晓辉.不同康复方案对前交叉韧带重建术后运动员骨隧道的影响[J].中国运动医学杂志,2016,35(2):141-146.
[8]张红梅,梁程亮,凌映月,等.早期康复护理干预对关节镜下前交叉韧带重建术后功能恢复的影响[J].中国医药科学,2015,5(7):107-109.
[9]朱洪江,郑祥,关健,等.关节镜下前交叉韧带重建术后不同康复方案临床疗效对比[J].中国老年学杂志,2016,36(10):2442-2444.
[10]孙昂扬,杨伟铭.阶段性本体感觉训练对前交叉韧带重建术后膝关节功能康复的影响[J].临床医学工程,2016,23(6):775-776.
[11] Ordahan B,Kücüksen S,Tuncay I,et al.The effect of proprioception exercises onfunctional status in patients with anterior cruciate ligament reconstruction[J].J Back Musculoskelet Rehabil,2015,28(3):531-537.
[12]庞红梅.前交叉韧带重建术后运动康复临床研究[J].河北医科大学学报,2015,36(5):528-531.
[13]柯剑萍.护理干预对关节镜下前交叉韧带重建术后功能恢复的影响[J].国际护理学杂志,2014,33(3):604-605.
[14]谢志,朱娟丽,韦映娟,等.膝关节镜下后交叉韧带重建术后康复护理探讨[J].现代中西医结合杂志,2014,23(7):777-778.
[15]朱群.创伤性膝关节多发韧带损伤关节镜下重建的疗效观察[J].现代实用医学,2015,27(2):154-155.
[16]张灵丽,李昕华.关节镜下前交叉韧带重建术病人出院后延续护理效果观察[J].护理研究,2014,28(5):564-565.
[17]王加利,张燕,蔺伟,等.早期康复训练对髌骨外脱位微创术后膝关节功能的影响[J].中华物理医学与康复杂志,2014,36(8):639-640.
[18]陈柯,张杰敏,张馨梅,等.阶段性系统康复锻炼在膝关节前交叉韧带损伤重建术后的应用效果[J].西部医学,2016,28(4):560-563.
[19]罗灏,刘君.康复训练在早期膝骨关节炎患者中应用价值的对比研究[J].安徽医药,2014,18(6):1077-1079.
[2]刘丽娟,敖丽娟.前交叉韧带重建术后的生物力学研究现状[J].中国康复医学杂志,2015,30(6):619-622.
[3]柯迪峰,宋洋,蒋欢.关节镜治疗膝关节前交叉韧带损伤合并内侧半月板Ramp损伤的近期疗效观察[J].中国当代医药,2016,23(18):47-50.
[4]刘欣伟,刘松波,刘铭,等.急性膝前交叉韧带损伤的关节镜治疗临床研究[J].创伤外科杂志,2017,19(7):527-529.
[5]张林.交叉韧带重建术后实施系统康复治疗对促进患者膝关节功能恢复的作用[J].中国医学创新,2017,14(3):96-99.
[6]李英英.早期康复干预对关节镜下前交叉韧带重建术后膝关节功能恢复的影响[J].山东医药,2014,54(18):105.
[7]刘书芳,矫玮,张晓辉.不同康复方案对前交叉韧带重建术后运动员骨隧道的影响[J].中国运动医学杂志,2016,35(2):141-146.
[8]张红梅,梁程亮,凌映月,等.早期康复护理干预对关节镜下前交叉韧带重建术后功能恢复的影响[J].中国医药科学,2015,5(7):107-109.
[9]朱洪江,郑祥,关健,等.关节镜下前交叉韧带重建术后不同康复方案临床疗效对比[J].中国老年学杂志,2016,36(10):2442-2444.
[10]孙昂扬,杨伟铭.阶段性本体感觉训练对前交叉韧带重建术后膝关节功能康复的影响[J].临床医学工程,2016,23(6):775-776.
[11] Ordahan B,Kücüksen S,Tuncay I,et al.The effect of proprioception exercises onfunctional status in patients with anterior cruciate ligament reconstruction[J].J Back Musculoskelet Rehabil,2015,28(3):531-537.
[12]庞红梅.前交叉韧带重建术后运动康复临床研究[J].河北医科大学学报,2015,36(5):528-531.
[13]柯剑萍.护理干预对关节镜下前交叉韧带重建术后功能恢复的影响[J].国际护理学杂志,2014,33(3):604-605.
[14]谢志,朱娟丽,韦映娟,等.膝关节镜下后交叉韧带重建术后康复护理探讨[J].现代中西医结合杂志,2014,23(7):777-778.
[15]朱群.创伤性膝关节多发韧带损伤关节镜下重建的疗效观察[J].现代实用医学,2015,27(2):154-155.
[16]张灵丽,李昕华.关节镜下前交叉韧带重建术病人出院后延续护理效果观察[J].护理研究,2014,28(5):564-565.
[17]王加利,张燕,蔺伟,等.早期康复训练对髌骨外脱位微创术后膝关节功能的影响[J].中华物理医学与康复杂志,2014,36(8):639-640.
[18]陈柯,张杰敏,张馨梅,等.阶段性系统康复锻炼在膝关节前交叉韧带损伤重建术后的应用效果[J].西部医学,2016,28(4):560-563.
[19]罗灏,刘君.康复训练在早期膝骨关节炎患者中应用价值的对比研究[J].安徽医药,2014,18(6):1077-1079.