膝关节手术术后关节源性肌肉抑制的原理及治疗  

Mechanism and Treatment of Arthrogenic Muscle Inhibition after Knee Surgery:A Systematic Review

作　　者：孙文娟 任玉香[1] 杨鑫 杨力 尤田[1] SUN Wen-juan;REN Yu-xiang;YANG Xin;YANG Li;YOU Tian(Sports Medicine and Rehabilitation Medicine,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China;Department of Nursing,Faculty of Medicine of Yangtze University,Jingzhou 434023,Hubei Province,China)

机构地区：[1]广东省深圳市北京大学深圳医院运动医学与康复医学科,广东深圳518000 [2]长江大学医学部护理系,湖北荆州434023

出　　处：《罕少疾病杂志》2022年第1期109-112,共4页Journal of Rare and Uncommon Diseases

基　　金：北京大学深圳医院科研项目基金(LCYJ2020003);广东省体育局科技创新和体育文化发展科研项目(GDSS2020N002);北京大学深圳医院科研项目(LCYJ2020005)。

摘　　要：股四头肌肌力减弱、收缩障碍、伸膝障碍是膝关节术后常见的临床表现,这一现象被称为关节源性肌肉抑制(AMI)。AMI会导致肌力训练无效、肌肉萎缩、运动功能下降,甚至骨关节炎的发生。然而,关于AMI的原理和治疗国内关注和报道较少。本文通过对中国知网、万方、维普、Pubmed、CINAHL、EMBASE、Cochrane Library电子数据进行全面的检索,仅纳入同行评议文章,用描述性系统综述的方法简述膝关节术后股四头肌抑制的原理,总结目前国内外股四头肌抑制的治疗方法,以期为临床工作提供借鉴。Quadriceps muscle atrophy,contraction disorder and knee extension deficit are common clinical manifestations after knee surgery,which is known as arthrogenic muscle inhibition(AMI).AMI can lead to ineffective muscle strength training,muscle atrophy,decreased motor activiation,even osteoarthritis.However,the theory and treatment of AMI have not been understood or reported very well in China.Through comprehensive review of electronic data from CNKI,Wanfang,VIP,Pubmed,CINAHL,EMBASE and Cochrane Library,we aimed to explain the mechanism and possible treatments of AMI using a narrative systematic review,in which only peer-reviewed articles were included.This paper will summarize the current evidence of AMI world-widely,so as to provide some hints for clinical staff.

关 键 词：膝关节手术 关节源性肌肉抑制 原理 治疗 

分 类 号：R473.6[医药卫生—护理学]