基于循证的分阶段干预策略对前交叉韧带重建术后患者的影响  

Effect of Evidence-Based Phased Intervention Strategy on Patients After Anterior Cruciate Ligament Reconstruction Surgery

作　　者：邹春雨 杨澜波 ZOU Chunyu;YANG Lanbo(Sports Medicine Center,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopaedic Hospital),Luoyang 471000,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)运动医学中心,河南洛阳471000

出　　处：《河南医学研究》2023年第24期4484-4487,共4页Henan Medical Research

摘　　要：目的探讨基于循证的分阶段干预策略对前交叉韧带重建术后患者静态稳定性及关节功能的影响。方法选择河南省洛阳正骨医院2020年10月至2022年10月收治的102例前交叉韧带断裂患者进行随机对照研究。通过随机数表法将其分为观察组与对照组,各51例。对照组患者接受常规康复干预,观察组患者接受基于循证的分阶段干预策略,两组均连续干预30 d。对比干预前、干预30 d时静态稳定性[压力中心X轴、压力中心Y轴、功能表面区域的轨迹长度(LFS)指数、覆盖90%椭圆区域面积]、关节功能[Lysholm膝关节功能评分(LKS)、美国特种外科医院膝关节功能评分(HSS)]。结果干预后,两组压力中心X轴、压力中心Y轴、LFS、覆盖90%椭圆区域面积均下降,观察组低于对照组(P<0.05)。干预后,两组LKS、HSS评分均上升,观察组高于对照组(P<0.05)。结论基于循证的分阶段干预策略能提高前交叉韧带重建术后患者静态稳定性,促进关节功能更好恢复。Objective To explore the effect of evidence-based phased intervention strategies on the static stability and joint function of patients after anterior cruciate ligament reconstruction surgery.Methods A prospective randomized controlled study was conducted on 102 patients with anterior cruciate ligament rupture admitted to Luoyang Orthopedic-Traumatological Hospital of Henan Province from October 2020 to October 2022.They were divided into observation group and control group by random number table method,with 51 cases in each group.The control group received routine rehabilitation intervention,while the observation group received evidence-based phased intervention strategy.Both groups received continuous intervention for 30 days.The static stability[pressure center X axis,pressure center Y axis,trajectory length of functional surface area(LFS)index,area covering 90%ellipse area]and joint function[Lysholm knee function score(LKS),hospital for special surgery knee function score(HSS)]were compared before intervention and 30 days after intervention.Results After intervention,the Xaxis,Yaxis,LFS and 90%coverage area of the pressure center in both groups were decreased,and the observation group was lower than the control group(P<0.05).After intervention,the LKS and HSS scores of both groups were increased,and the observation group was higher than the control group(P<0.05).Conclusion Evidence-based phased intervention strategy can improve the static stability of patients after anterior cruciate ligament reconstruction surgery and promote better joint function recovery.

关 键 词：前交叉韧带重建术 分阶段干预 循证护理 静态稳定性 关节功能 

分 类 号：R473.6[医药卫生—护理学]