富血小板血浆关节腔注射联合本体觉运动疗法应用于膝关节交叉韧带损伤术后的单中心前瞻性研究  

Single center prospective study on the application of platelet-rich plasma intraarticular injection combined with proprioceptive exercise therapy for postoperative cruciate ligament injury in the knee joint

作　　者：乔源鑫 宋子民 张荣方 于江飞 QIAO Yuan-xin;SONG Zi-min;ZHANG Rong-fang;YU Jiang-fei

机构地区：[1]南阳市中医院运动医学科,河南南阳473006 [2]南阳市中医院冲击波治疗室,河南南阳473006

出　　处：《中国疗养医学》2023年第12期1267-1270,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的研究富血小板血浆关节腔注射联合本体觉运动疗法对膝关节交叉韧带损伤术后的应用价值,以期为临床术后干预、改善预后提供参考。方法选取南阳市中医院2019年3月至2022年10月收治的膝关节前交叉韧带损伤患者60例,随机双盲法分为对照组、观察组各30例。两组均进行富血小板血浆关节腔注射联合前交叉韧带重建术治疗,对照组术后行常规康复治疗,观察组术后行本体觉运动疗法治疗。比较两组临床疗效、治疗前后视觉模拟疼痛评分(VAS)、Lysholm评分、患膝肿胀值、膝关节活动度(内旋、外旋、屈伸)、等速肌力[屈膝相对峰力矩(PT/BW)、腘绳肌与股四头肌肌力比值(H/Q)、屈膝和伸膝峰力矩值(PT)]。结果观察组临床总有效率(93.33%)高于对照组(73.33%),差异有统计学意义(P<0.05);观察组治疗后VAS评分低于对照组,Lysholm评分高于对照组(P<0.05);与对照组相比,治疗后观察组患膝肿胀值较小(P<0.05);治疗后观察组内旋、外旋、屈伸活动度增大幅度大于对照组(P<0.05);与对照组相比,治疗后观察组屈膝PT、伸膝PT、屈膝PT/BW、H/Q值较大(P<0.05)。结论富血小板血浆关节腔注射联合本体觉运动疗法对于膝关节交叉韧带损伤术后疗效显著,可促进膝关节活动度、等速肌力改善,减轻疼痛、肿胀程度,改善预后。Objective To study the application value of platelet-rich plasma intra-articular injection combined with proprioceptive exercise therapy for postoperative cruciate ligament injury in the knee joint,in order to provide reference for clinical postoperative intervention and improvement of prognosis.Methods Sixty patients with anterior cruciate ligament injury in the knee joint admitted to Nanyang Traditional Chinese Medicine Hospital from March 2019 to October 2022 were randomly divided into a control group and an observation group with 30 cases each.Both groups underwent joint cavity injection of platelet-rich plasma combined with anterior cruciate ligament reconstruction surgery.The control group received routine rehabilitation treatment after surgery,while the observation group received proprioceptive exercise therapy after surgery.The clinical efficacy,visual analog pain score(VAS)before and after treatment,Lysholm score,affected knee swelling value,knee joint range of motion(internal rotation,external rotation,flexion and extension),isokinetic muscle strength(relative peak moment of knee flexion[PT/BW]),ratio of hamstring to quadriceps femoris muscle strength[H/Q],and peak moment value of knee flexion and extension[PT]between the two groups were compared.Results The total clinical effective rate of the observation group(93.33%)was higher than that of the control group(73.33%),with a statistically significant difference(P<0.05);After treatment,the VAS score of the observation group was lower than that of the control group,while the Lysholm score was higher than that of the control group(P<0.05);Compared with the control group,the swelling value of the affected knee in the observation group after treatment was smaller(P<0.05);After treatment,the increase in internal rotation,external rotation,and flexion extension activity in the observation group was greater than that in the control group(P<0.05);Compared with the control group,the observation group had higher values of knee flexion PT,knee extension PT,knee fle

关 键 词：富血小板血浆 本体觉运动疗法 前交叉韧带重建术 膝关节交叉韧带损伤 

分 类 号：R687.4[医药卫生—骨科学]