早期抗阻训练对老年骨关节炎患者全膝关节置换术后运动功能和预后的影响  

Effect of early resistance training on motor function and prognosis of elderly patients with osteoarthritis after total knee arthroplasty

作　　者：黄菲菲[1] 徐春香[1] 吴伟伟[1] 汤华英[1] 张巧云[2] Huang Feifei;Xu Chunxiang;Wu Weiwei;Tang Huaying;Zhang Qiaoyun(Department of Joint Surgery,Affiliated Hospital of Nantong University,Jiangsu,Nantong 226001,China;Out of Hand Centre,Affiliated Hospital of Nantong University,Jiangsu,Nantong 226001,China)

机构地区：[1]南通大学附属医院关节外科,江苏南通226001 [2]南通大学附属医院手外中心,江苏南通226001

出　　处：《中国医学前沿杂志（电子版）》2020年第12期46-49,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：2019年江苏省现代医院管理研究课题(JSY-3-2019058)。

摘　　要：目的分析早期抗阻训练对老年骨关节炎患者全膝关节置换术(total knee arthroplasty,TKA)术后运动功能和预后的影响。方法选取2017年1月至2020年1月南通大学附属医院收治的90例老年骨关节炎患者为研究对象。采用随机数字表法将入选患者分为观察组和对照组,每组各45例,均行TKA治疗。对照组患者术后接受常规康复管理,观察组患者术后在常规康复管理的基础上接受早期抗阻训练。比较两组患者术前和干预12周后膝关节功能、疼痛、运动功能变化,并于干预12周后评价两组患者预后。结果两组患者干预12周后美国特种外科医院(hospital for special surgery,HSS)评分均显著高于本组术前(均P<0.05),视觉模拟评分法(visual analogue score,VAS)评分和拮抗收缩指数(co-contraction index,CCI)均显著低于本组术前(均P<0.05),6 min步行距离均显著长于本组术前(均P<0.05);观察组患者干预12周后HSS评分和治疗总有效率均显著高于对照组(均P<0.05),VAS评分和CCI均显著低于对照组(均P<0.05),6 min步行距离显著长于对照组(P<0.05)。结论早期抗阻训练能够改善老年骨关节炎患者TKA术后膝关节功能,减轻疼痛,促进患者运动功能和预后的改善。Objective To analyze the effect of early resistance training on motor function and prognosis of elderly patients with osteoarthritis(OA)undergoing total knee arthroplasty(TKA).Method From January 2017 to January 2020,90 cases of elderly patients with OA admitted to Affiliated Hospital of Nantong University were randomly divided into observation group and control group,with 45 cases in each group.Control group patients received routine rehabilitation management after operation,and observation group patients received early postoperative resistance training on the basis of routine rehabilitation management.The changes of knee joint function,pain and motor function before and after 12 weeks of intervention were compared between the two groups,and the clinical prognosis of the two groups were evaluated after 12 weeks of intervention.Result After 12 weeks of intervention,the hospital for special surgery(HSS)in the two groups were significantly higher than those before operation(all P<0.05),the visual analogue score(VAS)scores and co-contraction index(CCI)of the two groups were significantly lower than those before operation(all P<0.05),the 6-min walking distances were significantly longer than those before operation(all P<0.05).After 12 weeks of intervention,the HSS score and the total effective rate of observation group were higher than those of control group(all P<0.05),VAS score and CCI were significantly lower than those of control group(all P<0.05),the 6-min walking distance was significantly longer than that of control group(P<0.05).Conclusion Early resistance training can improve knee joint function,relieve pain,and promote the improvement of motor function and prognosis of elderly patients with OA after TKA.

关 键 词：抗阻训练 老年 骨关节炎 全膝关节置换术 运动功能 

分 类 号：R687.4[医药卫生—骨科学]