远程智能康复系统在肩袖损伤患者关节镜微创术后康复中的应用效果  

Application effect of remote intelligent rehabilitation system in rehabilitation of patients with rotator cuff injury following minimally invasive arthroscopic surgery

作　　者：王晖[1] 王求永 何继业[1] 蔡贵泉[1] 徐艳[1] 王栋梁[1] 张培培[3] Wang Hui;Wang Qiuyong;He Jiye;Cai Guiquan;Xu Yan;Wang Dongliang;Zhang Peipei(Department of Orthopedics,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Orthopedics,Nan′an Hospital,Nan′an 362300,China;Operating Department,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院骨科,上海200092 [2]福建省南安市医院骨科,南安362300 [3]上海交通大学医学院附属新华医院手术室,上海200092

出　　处：《中华创伤杂志》2023年第10期876-884,共9页Chinese Journal of Trauma

基　　金：上海市科学教育委员会课题(21140904900)。

摘　　要：目的比较远程智能康复系统和传统康复在肩袖损伤患者关节镜微创术后康复中的应用效果。方法采用回顾性队列研究分析2022年1月至2022年7月上海交通大学医学院附属新华医院收治的47例肩袖损伤患者的临床资料, 其中男18例, 女29例;年龄45~65岁[(56.7±6.3)岁]。患者均接受关节镜下肩袖破裂修补微创手术治疗, 其中25例术后采用常规宣教自行康复(常规康复组), 22例术后采用远程智能康复系统进行系统康复(远程康复组)。入院当天和术后4, 8, 12周及末次随访时比较两组Constant肩关节评分, 美国加州大学洛杉矶分校(UCLA)肩关节评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟评分(VAS)。术后6周采用肩关节MRI比较两组患者肩关节内积液及骨髓水肿程度。术后12周比较两组肩关节活动度。末次随访时比较两组康复满意度。结果患者均获随访6~10个月[(8.5±2.2)个月]。入院当天两组Constant肩关节评分, UCLA肩关节评分、SAS评分、SDS评分、VAS差异无统计学意义(P均>0.05)。术后4周两组Constant评分、UCLA评分、SAS评分差异无统计学意义(P均>0.05);远程康复组SDS评分和VAS分别为(31.8±6.6)分、(3.6±1.1)分, 优于常规康复组的(40.5±5.6)分、(4.7±1.3)分(P均<0.05)。术后8周远程康复组Constant评分、UCLA评分、SAS评分、SDS评分和VAS分别为(62.5±5.5)分、(18.5±3.3)分、(20.5±4.7)分、(22.5±4.6)分、(2.5±0.6)分, 优于常规康复组的(41.3±4.7)分、(15.3±3.1)分、(28.5±4.8)分、(38.5±3.7)分、(3.3±1.3)分(P<0.05或0.01)。术后12周远程康复组Constant评分、UCLA评分、SAS评分和SDS评分分别为(85.4±6.4)分、(32.2±3.8)分、(13.6±2.8)分、(18.4±3.9)分, 优于常规康复组的(60.3±6.7)分、(25.2±4.1)分、(21.5±4.9)分、(26.7±6.6)分(P均<0.05);两组VAS差异无统计学意义(P>0.05)。末次随访时两组Constant肩关节评分、UCLA评分、SAS评分、SDS评分Objective To compare the application effect of remote intelligent rehabilitation system and conventional rehabilitation in rehabilitation of patients with rotator cuff injury following minimally invasive arthroscopic surgery.Methods A retrospective cohort study was used to analyze the clinical data of 47 patients with rotator cuff injury admitted to Xinhua Hospital,Shanghai Jiao Tong University School of Medicine from January to July 2022,including 18 males and 29 females;aged 45-65 years[(56.7±6.3)years].All patients underwent minimally invasive arthroscopic surgical repair of rotator cuff rupture.After surgery,25 patients underwent self-rehabilitation with conventional education(conventional rehabilitation group),and 22 patients underwent systematic rehabilitation with remote intelligent rehabilitation system(remote rehabilitation group).Constant shoulder score,University of California at Los Angeles(UCLA)shoulder score,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and visual analog score(VAS)were compared between the two groups on the day of admission,4,8,12 weeks after surgery and at the last follow-up.Shoulder MRI was applied at 6 weeks after surgery to compare the degree of intra-articular effusion and bone marrow edema between the two groups.The shoulder range of motion of the two groups was compared at 12 weeks after operation.The satisfaction with the rehabilitation of the two groups was compared at the last follow-up.Results All the patients were followed up for 6-10 months[(8.5±2.2)months].There was no significant difference in Constant shoulder score,UCLA shoulder score,SAS score,SDS score and VAS between the two groups on the day of admission(all P>0.05).There was no significant difference in Constant score,UCLA score and SAS score between the two groups at 4 weeks after surgery(all P>0.05).The values of SDS score and VAS at 4 weeks after surgery were(31.8±6.6)points and(3.6±1.1)points in the remote rehabilitation group,which were better than those in the conventional

关 键 词：肩损伤 人工智能 康复 关节镜 

分 类 号：R687.4[医药卫生—骨科学]