膝关节骨性关节炎关节镜下清理术与全程康复的疗效分析  

Efficacy of arthroscopic debridement and whole-course rehabilitation therapy for osteoarthritis of the knee joint

作　　者：潘惠娟[1] 王惠芳[1] 王予彬[2] 崔芳[1] 李振华[1] 梁炳寅[1] 林研[3] 卢亮宇[2] 

机构地区：[1]同济大学附属东方医院康复医学科,上海200120 [2]同济大学附属东方医院运动医学科,上海200120 [3]上海市第七人民医院

出　　处：《中国康复医学杂志》2012年第1期26-29,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海浦东新区卫生局康复医学重点学科群项目(PWZXKQ201101)

摘　　要：目的:观察关节镜下清理术联合术后全程康复对膝关节骨性关节炎(OA)的治疗效果。方法:选取膝关节骨性关节炎患者70例,随机分为单纯清理组(A组,22例)、单纯康复组(B组,28例)、清理康复组(C组,20例)3组,分别予以关节镜下清理术、膝关节康复治疗和关节镜下清理术联合术后全程康复治疗,分别在治疗前及治疗后1个月时进行Lysholm评分、McGill疼痛评分,对结果进行统计学分析。结果:治疗前,3组的功能评分组间比较差异无显著性(P>0.05)。治疗1个月后,A组较治疗前功能无明显改善,B组较治疗前功能改善,疼痛减轻,C组功能显著改善,疼痛明显减轻,组间比较差异有显著性意义(P<0.01)。结论:关节镜下清理术联合术后全程康复治疗对膝关节骨性关节炎患者关节功能的恢复疗效肯定;保守的康复治疗可暂时缓解疼痛,起到一定的治疗作用,也为手术治疗增加了机会;单纯接受膝关节镜下清理术而不坚持术后正规康复治疗对膝关节功能无明显改善。Objective：To study the efficacy of arthroscopic debridement and rehabilitation therapy for osteoarthritis（OA） of knee joint. Method： Seventy cases with OA of knee joint were randomly divided into three groups according to different treat- merits： the patients underwent arthroscopic debridement only （Group A）, the patients underwent rehabilitation only （Group B）, the patients underwent both arthroscopic debridement and whole-course rehabilitation （Group C）. The outcome was evaluated with Lysholm scale and McGill scale before treatment, and one month after treatment. Result： The scores in three groups showed no statistically significant difference before treatment（P〉O.05）. One month after treatment, the scores of Lysholm and McGill scale were not improved in Group A, improved in Group B, and significantly improved in Group C. There were significant differences among three groups（P〈O.01）. Conclusion： Arthroscopic debridement combined with whole-course rehabilitation therapy is effective for improving knee function and relieving pain. Rehabilitation alone can temporarily relieve pain and improve the function of the knee. Arthroscopic debridement alone was not good for the recovery of knee function.

关 键 词：膝关节骨性关节炎 关节镜 康复 

分 类 号：R687.4[医药卫生—骨科学]