血流限制性运动对前交叉韧带重建术后膝关节功能的影响  

Effect of blood flow restriction training on knee function after anterior cruciate ligament reconstruction

作　　者：李奇[1] 李蕊[2] 罗昌禄[2] 杨震[3] 田家亮[3] 帅胜斌 刘亚斌[4] LI Qi;LI Rui;LUO Chang - lu;YANG Zhen;TIAN Jia - liang;SHUAI Sheng - bin;LIU Ya - bin(Department of Reha- bilitation,Tianjin Hospital,Tianjin 330021,China)

机构地区：[1]天津市天津医院康复科,天津330021 [2]贵州省人民医院康复科,贵州贵阳550002 [3]贵州省人民医院骨科,贵州贵阳550002 [4]天津市天津医院骨外科,天津330021

出　　处：《广东医学》2019年第10期1405-1408,共4页Guangdong Medical Journal

基　　金：国家自然科学基金资助项目(编号:31660265);天津市天津医院科技基金项目(编号:TJYY1703)

摘　　要：目的探索前交叉韧带(ACL)重建术后进行血流限制性运动(BFR)训练对膝关节功能的影响。方法选取膝关节ACL断裂重建术后患者36例,按随机抽签法将患者分为观察组(n=18)和对照组(n=18)。两组患者均按照ACL重建术康复常规方案进行训练,观察组在常规训练的基础上每周增加2次BFR训练,连续3个月。两组患者分别进行膝关节Lysholm评分,等速肌力测试对股四头肌肌力和横截面积进行测量。结果经过3个月的康复治疗后,观察组Lysholm评分、等速肌力测试值及股四头肌横截面积较对照组升高,差异有统计学意义(P<0.05)。其中观察组等速肌力测试的伸膝峰力矩、H/Q比值、伸膝相对峰力矩较对照组显著增加(P<0.05);另外,股四头肌横截面积较对照组增大(P<0.05)。结论 BFR训练对膝关节ACL重建术后患者膝关节功能有显著改善作用,股四头肌肌力明显提高,为ACL重建术后的康复治疗提供新的思路。Objective To explore the effect of blood flow restriction ( BFR) training on knee function after the anterior cruciate ligament ( ACL) reconstruction. Methods Thirty - six patients who after ACL reconstruction were ran- domly divided into two groups,treatment group and control group ( n = 18). All patients received the routine rehabilitation training program for ACL reconstruction. Meanwhile,the participants in treatment group received the BFR training twice weekly for three consecutive months. The Lysholm knee scores sale,strength and cross - sectional area of quadriceps mus- cle tested by isokinetic muscle strength test were compared. Results After 3 months of rehabilitation training,the Ly- sholm scores,and strength and cross - sectional area of quadriceps muscle in the treatment group were significantly in- creased compared with the control group ( P < 0. 05). Conclusion BFR training can significantly improve knee function in patients after ACL reconstruction,enhance the quadriceps muscle strength.

关 键 词：血流限制性运动 前交叉韧带 股四头肌横截面积 股四头肌肌力 等速肌力测试 

分 类 号：R493[医药卫生—康复医学] S857.16[医药卫生—临床医学]