骨科康复一体化模式对前交叉韧带重建术后早期功能恢复的影响研究  

Study of Effect of Integrated Orthopedic Rehabilitation Model on Early Functional Recovery After Anterior Cruciate Ligament Reconstruction

作　　者：卞海萍 祁晓 陈丽萍[1] 李亚 郭建业 Bian Hai-ping;Qi Xiao;Chen Li-ping;Li Ya;Guo Jian-ye(Department of Rehabilitation,Wujin Hospital Affiliated to Jiangsu University(Wujin Clinical College,Xuzhou Medical University),Changzhou 213100,Jiangsu Province,China;Department of Rehabilitation,Zhongda Hospital,Southeast University,Nanjing 210000,Jiangsu Province,China)

机构地区：[1]江苏大学附属武进医院(徐州医科大学武进临床学院)康复科,江苏常州213100 [2]东南大学附属中大医院康复科,江苏南京210000

出　　处：《中国社区医师》2023年第3期124-126,共3页Chinese Community Doctors

摘　　要：目的:探讨骨科康复一体化模式对关节镜下前交叉韧带重建术(ACLR)后功能恢复的影响。方法:选取2021年7月-2022年4月于东南大学附属中大医院骨科行关节镜下ACLR的60例患者的资料进行回顾性研究,将采用骨科康复一体化模式的患者纳入观察组,采用常规骨科治疗模式的患者纳入对照组,各30例。对比术前及术后1周、术后1个月、术后3个月两组疼痛程度、膝关节活动及膝关节功能恢复情况。结果:术前,两组数字评估量表(NRS)评分比较,差异无统计学意义(P>0.05);术后1周、术后1个月、术后3个月两组NRS评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。术前,两组膝关节主动关节活动度(AROM)比较,差异无统计学意义(P>0.05);术后1周、术后1个月、术后3个月两组AROM均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。术前,两组膝关节功能评分表(HSS)评分比较,差异无统计学意义(P>0.05);术后1个月、术后3个月两组HSS评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:对于初次行关节镜ACLR的患者,骨科康复一体化治疗模式在术后早期临床治疗中能够有效缓解术后疼痛,提高膝关节活动度,改善膝关节功能,值得予以推广。Objective:To investigate the effect of integrated orthopedic rehabilitation mode on functional recovery after arthroscopic anterior cruciate ligament reconstruction(ACLR).Methods:The date of 60 patients who underwent arthroscopic ACLR in Zhongda Hospital,Southeast University from July 2021 to April 2022 were retrospectively studied.30 patients who underwent integrated orthopedic rehabilitation mode were included in observation group,and 30 patients who underwent conventional orthopedic treatment mode were included in control group.The pain level,range of knee joint motion and knee function recovery of the two groups were compared before surgery and at 1 week,1 month and 3 months after surgery.Results:There was no significant difference in the scores of numeric rating scale(NRS) between the two groups before surgery(P>0.05).The NRS scores in two groups at 1 week,1 month and 3 months after surgery were lower than those before surgery,and the observation group was lower than the control group,with statistically significant difference(P<0.05).Before surgery,there was no significant difference in active range of motion(A ROM) of knee joint between the two groups(P>0.05).The A ROM in two groups at 1 week,1 month and 3 months after surgery was higher than that before surgery,and the observation group was higher than the control group,with statistically significant difference(P<0.05).Before surgery,there was no significant difference in the scores of knee function scale(HSS) between the two groups(P>0.05).The HSS scores in two groups at 1 month and 3 months after surgery were higher than those before surgery,and the observation group was higher than the control group,with statistically significant difference(P<0.05).Conclusion:For patients undergoing arthroscopic ACLR for the first time,the integrated orthopedic rehabilitation mode can effectively relieve postoperative pain,improve the range of knee motion and improve the function of knee joint in the early postoperative clinical treatment.

关 键 词：骨科康复一体化 前交叉韧带重建术 术后疼痛 关节活动度 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]