静态进展牵伸技术联合综合康复治疗对膝关节术后活动受限患者功能康复的影响  

Effect of static progressive drafting combined with comprehensive rehabilitation on functional rehabilitation of patients with limited mobility after knee surgery

作　　者：刘翠萍 侯娜 于小迪 赵琰 LIU Cui-ping;HOU Na;YU Xiao-di(Department of Orthopedics,986 Hospital,Xijing Hospital,Xi'an Shaanxi 710054,China)

机构地区：[1]西京医院九八六医院骨科,陕西西安710054

出　　处：《临床和实验医学杂志》2022年第8期856-860,共5页Journal of Clinical and Experimental Medicine

基　　金：国家自然科学基金面上项目(编号:81772328)。

摘　　要：目的 研究静态进展牵伸技术(SPS)联合综合康复治疗对膝关节术后活动受限患者功能康复的影响。方法回顾性选取2020年1月至2021年1月西京医院九八六医院收治入院的72例膝关节术后活动受限患者为研究对象,根据治疗方法不同分为对照组(n=36)与实验组(n=36)。对照组行综合康复治疗,实验组基于综合康复治疗行SPS治疗。比较两组患者治疗前后膝关节主动活动度(AROM)、美国特种外科医院膝关节评分(HSS)、生活质量评分与临床疗效。结果 治疗前,两组患者AROM差异无统计学意义(P> 0.05);治疗后,两组患者的AROM均明显高于治疗前,且实验组患者的AROM为(116.03±14.62)分,明显高于对照组[(104.97±15.01)分],差异均有统计学意义(P<0.05)。治疗前,两组患者HSS及生活质量评分差异无统计学意义(P> 0.05);治疗后,两组患者的HSS及生活质量评分均明显高于治疗前,且实验组HSS及生活质量评分均明显高于对照组,差异均有统计学意义(P <0.05)。实验组患者的治疗总有效率为94.44%,明显高于对照组(75.00%),差异有统计学意义(P <0.05)。结论 膝关节术后活动受限患者治疗中SPS联合综合康复治疗的应用效果显著,可进一步改善患者膝关节主动活动度,还可促使其膝关节功能快速恢复及提升生活质量。Objective To study the effect of static progressive drafting( SPS) combined with comprehensive rehabilitation therapy on functional rehabilitation of patients with limited movement after knee joint surgery.Methods A total of 72 patients with limited mobility after knee joint surgery who were admitted to the 986 Hospital,Xijing Hospital from January 2020 to January 2021were retrospectively selected as the research objects,and were divided into control group( n = 36) and experimental group( n = 36) according to treatment methods.The control group received comprehensive rehabilitation treatment,and the experimental group received SPS treatment based on comprehensive rehabilitation treatment.The active knee mobility( AROM),hospital for special surgery knee score( HSS),quality of life score and post-treatment efficiency were compared between 2 groups before and after treatment.Results Before treatment,there was no significant difference in AROM between the two groups( P > 0.05);after treatment,the AROM of the two groups were significantly higher than those before treatment,and the AROM of the experimental group were( 116.03 ± 14.62) points,which were significantly higher than those of the control group [( 104.97 ± 15.01) points],the differences were statistically significant( P < 0.05).Before treatment,there was no significant difference in the scores of HSS and quality of life between the two groups( P > 0.05);after treatment,the scores of HSS and quality of life in the two groups were significantly higher than those before treatment,and the scores of HSS and quality of life in the experimental group were significantly higher than those in the control group,the differences were statistically significant( P < 0.05).The total effective rate of patients in the experimental group was 94.44%,which was significantly higher than that in the control group( 75.00%),and the difference was statistically significant( P < 0.05).Conclusion The application of SPS combined with comprehensive rehabilitation therapy in the treatment

关 键 词：膝关节 活动受限 静态进展牵伸技术 综合康复治疗 生活质量 

分 类 号：R687.4[医药卫生—骨科学] R493[医药卫生—外科学]