关节镜松解术联合上肢康复训练机器人治疗肘关节僵硬  

Arthroscopic Releasing Combined with Upper Limb Rehabilitation Training Robot in the Treatment of Elbow Stiffness

作　　者：邹文 邹平安 熊杰 周明[1] 范少勇[1] 侯慧铭[1] 龚礼 胡梁深 Zou Wen;Zou Pingan;Xiong Jie;Zhou Ming;Fan Shaoyong;Hou Huiming;Gong Li;Hu Liangshen(Department of Sports Medicine,Hongdu Hospital of TCM,Nanchang 330006,China;Jiang Xi Tumor Hospital,Nanchang 330029,China)

机构地区：[1]南昌市洪都中医院运动医学科,江西南昌330006 [2]江西省肿瘤医院骨科,江西南昌330029

出　　处：《实用骨科杂志》2022年第12期1066-1069,共4页Journal of Practical Orthopaedics

基　　金：江西省卫生健康委科技计划项目(SKJP220218296)。

摘　　要：目的探讨关节镜下松解术联合自适应力跟踪主动上肢康复训练机器人治疗肘关节僵硬的临床疗效。方法收集2018年1月至2021年6月期间南昌市洪都中医院收治的肘关节僵硬患者31例,随机分为对照组15例和观察组16例,其中对照组患者男8例,女7例;平均年龄(33.5±6.2)岁;采用单纯关节镜下肘关节松解手术。观察组男10例,女6例;平均年龄(37.2±5.2)岁;采用关节镜下松解术联合自适应力跟踪主动上肢康复训练机器人康复训练。对比两组患者手术前后关节活动度(range of motion,ROM)变化以及使用Mayo评分标准评价患肘功能康复情况。结果两组患者均获得10~15个月随访,平均随访(11.5±3.3)个月。两组患者术后的Mayo评分、优良率及ROM均比术前均有所增加,且观察组比对照组增加的更明显,差异均有统计学意义(P<0.05)。结论关节镜下松解术联合自适应力跟踪主动上肢康复训练机器人治疗肘关节僵硬,对肘关节活动度及功能的改善优于单纯的关节镜松解手术,具有良好的临床疗效。Objective To explore the clinical efficacy of arthroscopic releaseing combined with active upper limb rehabilitation training robot for elbow stiffness.Methods 31 patients with elbow stiffness treated in Hongdu hospital of TCM from January 2018 to June 2021 were collected.After the study was approved by the hospital ethics committee and obtained the informed consent of the patients,they were randomly divided into two group.There were 15 cases in the control group and 16 cases in the observation group.The patients in the control group were treated with simple arthroscopic elbow releasing surgery.In the control group,there were 8 males and 7 females with an average age of(33.5±6.2)years.The observation group were treated with arthroscopic release surgery combined with adaptive tracking active upper limb rehabilitation training robot training.In the observation group,there were 10 males and 6 females with an average age of(37.2±5.2)years.The changes of range of motion(ROM)before and after operation were compared between the two groups,and the rehabilitation of elbow function was evaluated by Mayo score standard.Results The patients in both groups were followed up for 10 to15 months,with an average of(11.5±3.3)months.According to the Mayo score,excellent rate and joint range of motion of the two groups after operation were higher than those before operation,and the increase in the observation group was more obvious than that in the control group(P<0.05).Conclusion Arthroscopic releasing combined with adaptive tracking active upper limb rehabilitation training robot in the treatment of elbow stiffness is better than simple arthroscopic release in the improvement of elbow range of motion and function,and has a good clinical effect.

关 键 词：肘关节僵硬 关节镜 康复训练 应力跟踪 

分 类 号：R684[医药卫生—骨科学]