术前短期预康复对关节镜辅助下关节清理术治疗膝关节骨性关节炎的影响:一项前瞻性随机对照试验  

Effect of preoperative short term prehabilitation on arthroscope-assisted joint debridement in treating knee osteoarthritis:a prospective randomized controlled trial

作　　者：温呈洪[1] 杨扬[2] 华强[1] 钱文多 张家金 WEN Chenghong;YANG Yang;HUA Qiang;QIAN Wenduo;ZHANG Jiajin(Department of Sports Injury,Affiliated Sport Hospital,Chengdu Sport University,Chengdu,Sichuan 610041,China;Department of Integrated Traditional and Western Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;Chongqing Municipal Orthopedic Hospital of Traditional Chinese Medicine,Chongqing 400038,China)

机构地区：[1]成都体育学院附属体育医院运动性伤病科,610041 [2]四川大学华西医院中西医结合科,成都610041 [3]重庆市中医骨科医院,400038

出　　处：《重庆医学》2022年第24期4241-4245,共5页Chongqing medicine

摘　　要：目的探讨术前预康复联合关节镜辅助下关节清理术(AD)治疗膝关节骨性关节炎的临床疗效。方法选取2019年1月至2020年12月成都体育学院附属体育医院收治的行AD治疗的膝关节骨关节炎患者80例作为研究对象,采用随机数字表法分为研究组和对照组,每组40例。对照组行单纯AD治疗,研究组给予术前预康复联合AD治疗。术后12周采用加拿大西安大略和麦克玛斯特大学骨关节炎指数(WOMAC)、膝关节损伤和骨关节炎评分(KOOS)、健康调查12条简表(SF-12)评分对两组患者进行评价。结果研究组患者术后12周WOMAC、KOOS、SF-12评分均明显优于对照组,差异均有统计学意义(P<0.05)。结论术前预康复联合AD对骨关节炎患者术后早期WOMAC、KOOS、SF-12评分均明显改善,效果优于单纯AD治疗患者。Objective To investigate the clinical effect of preoperative prehabilitation combined with arthroscope-assisted debridement(AD)in the treatment of knee osteoarthritis.Methods Eighty patients with knee osteoarthritis treated by AD in the Affiliated Sport Hospital of Chengdu Sport University from Jan.2019 to Dec.2020 were selected as the study subjects and divided into the study group and control group by adopting the random number table method.The control group conducted the AD treatment;the study group was treated with preoperative prehabilitation and AD treatment.The clinical effects were evaluated by the Western Ontario and McMaster Universities Osteoarthrtis Index(WOMAC),Knee Injury and Osteoarthritis Outcome Score(KOOS)and 12-Item Short-Form Health Survey(SF-12)in postoperative 12 weeks.Results The WOMAC,KOOS and SF-12 scores in postoperative 12 weeks in the study group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The preoperative prehabilitation combined with AD could significantly improve the WOMAC,KOOS and SF-12 scores,and the effects are superior to simple AD treatment.

关 键 词：关节镜 关节清理术 预康复 骨关节炎 膝关节 

分 类 号：R684.3[医药卫生—骨科学]