膝关节损伤术后早期康复训练对其恢复的促进作用  

Promoting effect of early rehabilitation training after knee operation on knee function recovery

作　　者：周红 崔新会[1] ZHOU Hong;CUI Xin-hui(Department of Orthopedics,the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州市第七人民医院骨科

出　　处：《海南医学》2020年第1期92-95,共4页Hainan Medical Journal

摘　　要：目的分析膝关节损伤术后早期康复训练对膝关节功能恢复效果的影响。方法选择郑州市第七人民医院2015年2月至2017年2月期间进行骨折手术治疗后膝关节功能存在障碍患者共80例,根据随机数表法将患者分为观察组和对照组,每组40例。术后24 h,对照组患者进行连续被动活动(CPM)锻炼,观察组患者则在进行CPM锻炼时配合康复指导训练,训练时长每次30 min,2次/d,持续3周为一个疗程。于疗程结束后,采用Lysholm膝关节评分方法评定膝关节功能,评价指标包括临床疗效、伸屈肌的峰力矩(Peak Torque,PT)以及平均功率(Average Power,AP)和膝关节的活动度(伸膝最大的角度/屈膝最大的角度)。结果观察组患者的膝关节功能恢复的总优良率为80.0%,明显高于对照组的47.5%,差异具有统计学意义(P<0.05);观察组患者训练后的伸肌、屈肌时的PT分别为(81.46±18.22)(N·m)/kg、(56.33±8.20)(N·m)/kg,明显大于对照组的(70.84±12.20)(N·m)/kg、(48.25±8.04)(N·m)/kg,AP分别为(35.28±8.34)W、(29.33±5.22)W,明显大于对照组的(26.57±6.13)W、(21.66±4.23)W,差异均具有统计学意义(P<0.05);观察组患者术后8周及16周的伸膝最大角度分别为(0.30±0.16)°、(0.56±0.20)°,明显大于对照组的(0.12±0.07)°、(0.23±0.10)°,屈膝最大角度分别为(30.37±5.31)°、(31.44±7.53)°,明显大于对照组的(22.46±4.20)°、(22.36±6.31)°,差异均具有统计学意义(P<0.05)。结论膝关节损伤术后早期康复训练能有效改善膝关节损伤患者关节的功能,提高肌力的同时扩大膝关节的活动度。Objective To analyze the effect of early rehabilitation training after knee operation on knee function recovery.Methods A total of 80 patients with knee joint dysfunction after fracture surgery were selected from the 7th People’s Hospital of Zhengzhou during February 2015 and February 2017.According to the random number table method,the patients were divided into observation group and control group,with 40 cases in each group.24 hours after the operation,patients in the control group performed continuous passive motion(CPM),and patients in the observation group cooperated with rehabilitation guidance training during CPM exercise.The training duration was 30 minutes each time,twice a day,lasting for 3 weeks as a course of treatment.At the end of the course,Lysholm knee joint scoring method was used to evaluate knee function.The evaluation indexes included clinical efficacy,peak torque(PT),average power(AP),and knee joint activity(maximum knee extension angle/maximum knee flexion angle).Results The total excellent and good rate of knee function recovery was 80.0%in the observation group,which was significantly higher than 47.5%in the control group(P<0.05).After training,the PTs of the extensors and flexors was respectively(81.46±18.22)n.m/kg and(56.33±8.20)N·m/kg in the observation group,which was significantly higher than corresponding(70.84±12.20)N·m/kg and(48.25±8.04)N·m/kg in the control group;while AP of them was respectively(35.28±8.34)W and(29.33±5.22)W in the observation group,which was significantly higher than corresponding(26.57±6.13)W and(21.66±4.23)W in the control group;all differences were statistically significant(P<0.05).At 8 and 16 weeks after operation,the maximum extension knee angles was(0.30±0.16)degrees and(0.56±0.20)degrees in the observation group,respectively,which was significantly higher than corresponding(0.12±0.07)degrees and(0.23±0.10)degrees in the control group;and the maximum knee flexion angle was(30.37±5.31)degrees and(31.44±7.53)degrees,respectively,which was

关 键 词：膝关节损伤 早期康复 恢复研究 关节活动度 连续被动活动 

分 类 号：R684[医药卫生—骨科学]