早期下肢按摩联合康复训练对膝关节镜下前交叉韧带重建术后患者功能恢复的影响  

Effect of early lower limb massage combined with rehabilitation training on functional recovery of patients after anterior cruciate ligament reconstruction under knee arthroscopy

作　　者：陈春莉[1] 魏丹娜 苏舜红 曾机灿[1] 陈湘南[1] CHEN Chun-li;WEI Dan-na;SU Shun-hong(Department of Orthopedics,The Second Affiliated Hospital of Shantou University Medical College,Shantou Guangdong 515041,China)

机构地区：[1]汕头大学医学院第二附属医院骨关节科,广东汕头515041

出　　处：《临床和实验医学杂志》2020年第19期2095-2099,共5页Journal of Clinical and Experimental Medicine

基　　金：汕头市科技计划项目(编号:170822211931198)。

摘　　要：目的探讨早期下肢按摩联合康复训练对膝关节镜下前交叉韧带重建术后患者功能恢复的应用效果。方法前瞻性选取2017年9月至2019年11月在汕头大学医学院第二附属医院膝关节镜下前交叉韧带重建术的40例患者,随机分为对照组和实验组,各20例。对照组运用支具制动及负重等常规的康复方法,实验组则在常规康复的基础上增加下肢按摩的方法。分别比较两组患者在入院时、术后1 d、术后第1周、术后4周的疼痛评分,大腿周径差值、肌力;比较两组患者的术后并发症;比较两组患者手术前后的Lysholm分数。结果两组患者的疼痛评分在入院时、术后1 d的组间疼痛评分差异无统计学意义(P>0.05),实验组患者在术后1周、术后4周的疼痛评分低于对照组[(1.20±0.52)分vs.(2.30±0.66)分、(0.20±0.41)分vs.(1.25±0.55)分],差异具有统计学意义(P<0.05)。两组患者在入院时、术后1 d、术后1周的组间大腿周径差值差异无统计学意义(P>0.05),实验组在术后4周的大腿周径差值优于对照组[(-0.65±0.59)cm vs.(-1.35±0.81)cm],差异有统计学意义(P<0.05)。两组患者在入院时、术后1 d的组间肌力差异无统计学意义(P>0.05),实验组在术后1周、术后4周的肌力优于对照组(4.40±0.50级vs.4.10±0.31级、4.45±0.51级vs.4.15±0.37级),差异有统计学意义(P<0.05)。实验组患者的术后并发症的发生率10.00%,低于对照组25.00%,但差异无统计学意义(P>0.05)。两组患者入院时Lysholm评分比较,差异无统计学意义(P>0.05),实验组患者术后4周的Lysholm评分高于对照组[(66.50±7.76)分vs.(54.65±6.51)分],差异有统计学意义(P<0.05)。结论早期下肢按摩联合康复训练对膝关节镜下前交叉韧带重建术后患者的功能恢复的应用效果优于常规康复,有效降低患者的疼痛,减轻患肢肿胀,促进患者术后肌肉力量的恢复,减少术后膝关节的粘连、僵硬及肌肉萎缩并发症发生,促进�Objective To investigate the effect of early lower limb massage combined with rehabilitation training on functional recovery after anterior cruciate ligament reconstruction under knee arthroscopy.Methods 40 cases of anterior cruciate ligament reconstruction were randomly divided into control group and experimental group from September 2017 to November 2019.The control group used conventional rehabilitation methods such as bracing and weight bearing,while the experimental group added lower limb massage methods on the basis of conventional rehabilitation.The pain scores,thigh diameter difference and muscle strength of the two groups were compared,and the Lysholm scores before and after operation were compared.Results There was no significant difference in pain scores between the two groups of patients at the time of admission and 1 day after surgery(P>0.05).The pain scores of the experimental group were lower than those of the control group at 1 week and 4 weeks after surgery[(1.20±0.52)points vs.(2.30±0.66)points,(0.20±0.41)points vs.(1.25±0.55)points],the difference was statistically significant(P<0.05).There was no significant difference in thigh circumference difference between the two groups of patients at admission,1 day after operation,and 1 week after operation(P>0.05).The difference in thigh circumference of the experimental group was better than that at 4 weeks after operation in the control group[(-0.65±0.59)cm vs.(-1.35±0.81)cm],the difference was statistically significant(P<0.05).There was no statistically significant difference in muscle strength between the two groups of patients at admission and 1 day after surgery(P>0.05).The muscle strength of the experimental group was better than that of the control group at 1 week and 4 weeks after surgery(4.40±0.50.vs.4.10±0.31,4.45±0.51 vs.4.15±0.37),the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was 10.00%,which was lower than 25.00%in the control group,but the difference

关 键 词：前交叉韧带重建 康复 按摩 穴位 

分 类 号：R687.4[医药卫生—骨科学]