膝关节镜术后肌力强化训练对膝关节骨性关节炎患者膝关节功能的影响  

Effect of muscle strength strengthening training on knee function in patients with knee osteoarthritis after knee arthroscopy

作　　者：张华[1] 薛飞 田林强[1] ZHANG Hua;XUE Fei;TIAN Linqiang(Trauma Medicine Department/Orthopaedics Department,the Third Affiliated Hospital Xinxiang Medical University,Xinxiang 453003,China)

机构地区：[1]新乡医学院第三附属医院创伤医学科/骨科,河南新乡453003

出　　处：《临床医学研究与实践》2022年第4期36-40,共5页Clinical Research and Practice

基　　金：河南省医学科技攻关计划(联合共建)项目(No.LHGJ20190491)。

摘　　要：目的探讨膝关节骨性关节炎(KOA)患者膝关节镜术后肌力强化训练的临床疗效,并分析其对膝关节功能的影响。方法选择2018年12月至2020年12月于我院行膝关节镜手术治疗的86例KOA患者为研究对象,根据术后康复方案的不同将其分为对照组和观察组,每组43例。对照组术后进行常规康复训练,观察组在对照组基础上增加肌力强化训练。采用骨关节炎指数(WOMAC)评估表、Lysholm膝关节评估量表、TUGT测试时间、HSS膝关节功能分级评价两组的术后康复效果。结果术后第1天及1个月,两组的WOMAC、Lysholm膝关节评分、TUGT时间及HSS膝关节功能分级比较,差异均不具有统计学意义(P>0.05)。术后3、6个月,观察组的WOMAC评分明显低于对照组,Lysholm膝关节评分明显高于对照组,TUGT时间明显短于对照组,HSS膝关节功能分级均明显优于对照组,差异具有统计学意义(P<0.05)。术后3、6个月,观察组的复发率显著低于对照组,差异具有统计学意义(P<0.05)。结论 KOA患者膝关节镜术后康复阶段进行肌力强化训练,能够明显改善关节炎症状和步行能力,促进术后膝关节功能的恢复,是一种有效的康复方案。Objective To investigate the clinical efficacy of muscle strength strengthening training in patients with knee osteoarthritis(KOA) after knee arthroscopy, and to analyze its influence on knee function. Methods A total of 86 patients with KOA who underwent knee arthroscopy in our hospital from December 2018 to December 2020 were selected as the research objects. According to the different of postoperative rehabilitation scheme, the patients were divided into control group and observation group, with 43 cases in each group. The control group received routine rehabilitation training after operation, and the observation group received muscle strength strengthening training on the basis of the control group. The postoperative rehabilitation effects of the two groups were evaluated by osteoarthritis index(WOMAC)evaluation scale, Lysholm knee evaluation scale, TUGT test time and HSS knee function classification. Results On the first day and 1 month after operation, there were no significant differences between the two groups in the WOMAC,Lysholm knee scores, TUGT time and HSS knee function classification(P>0.05). At 3 and 6 months after operation, the WOMAC score of the observation group was significantly lower than that of the control group, the Lysholm knee score was significantly higher than that of the control group, the TUGT time was significantly shorter than that of the control group, and the knee function classification of HSS was significantly better than that of the control group, the differences were statistically significant(P<0.05). At 3 and 6 months after operation, the recurrence rate of the observation group was significantly lower than that of the control group, and the difference was statistically significant(P <0.05). Conclusion Muscle strength strengthening training in the rehabilitation stage of KOA patients after knee arthroscopy can significantly improve the symptoms of arthritis and walking ability, and promote the recovery of knee function after operation. It is an effective rehabilitation schem

关 键 词：关节镜手术 肌力强化训练 膝关节骨性关节炎 膝关节功能 骨关节炎指数 

分 类 号：R684.3[医药卫生—骨科学]