基于动静平衡理念髌骨骨折术后康复量化方案临床观察  

Clinical Observation of Quantitative Rehabilitation Program after Patellar Fracture Surgery Based on Concept of“Dynamic and Static Balance”

作　　者：陈龙 苗祎祎 张俊忠[3] CHEN Long;MIAO Yiyi;ZHANG Junzhong(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Guizhou University of Traditional Chinese Medicine,Guiyang 550000,Guizhou,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]贵州中医药大学,贵州贵阳550000 [3]山东中医药大学附属医院,山东济南250011

出　　处：《辽宁中医杂志》2024年第1期114-117,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82074579);山东省自然科学基金项目(ZR2020MH360)。

摘　　要：目的基于“动静平衡”理念的髌骨骨折术后不同康复量对患者膝关节活动度及相关功能的影响。方法选取山东省中医院骨科收治的90例髌骨骨折手术治疗后患者,按照随机数字表法将患者分为观察组A组、观察组B组和对照组C组,每组30例,观察组分别以不同的康复量进行功能锻炼,对照组以传统的“无痛”康复方法进行锻炼。观察A、B、C三组患者膝关节主动屈伸角度、WOMAC骨关节炎指数评分和临床疗效。结果①A组、B组膝关节主动屈伸角度均大于对照组C,且差异具有统计学意义(P<0.05);②A组、B组的疼痛、僵硬、关节功能评分及WOMAC总分均低于对照组C,差异有统计学意义(P<0.05);③A组的优良率为93.33%,B组为90.00%,对照组C为70.00%,三组比较差异有统计学意义(P<0.05);④A组与B组间疗效比较无显著性差异(P>0.05)。结论髌骨骨折术后采用“量化控制”康复方法治疗,可提高膝关节活动度,减少膝关节疼痛僵硬,恢复膝关节正常生理功能,疗效优于传统无痛康复方法,值得推广。Objective Based on the concept of“dynamic and static balance”,to observe the effect of different amounts of rehabilitation after patellar fracture on knee joint range of motion and related functions.Methods Ninety patients with patellar fractures who underwent surgical treatment at the Orthopedic Department of Shandong Provincial Hospital of Traditional Chinese Medicine were selected and randomly divided into observation group A,observation group B and control group C using a random number table method.Each group had 30 patients.The observation group received functional exercise at different rehabilitation levels,while the control group received exercise using the traditional“painless”rehabilitation method.The active knee flexion and extension angle,WOMAC osteoarthritis index score and clinical efficacy of patients in group A,B,and C were observed.Results①The active flexion and extension angles of knee joint in group A and group B were higher than those in control group C,and the difference was statistically significant(P<0.05).②The scores of pain,stiffness,joint function and WOMAC in group A and group B were lower than those in control group C,and the differences were statistically significant(P<0.05).③The good and excellent rate of group A was 93.33%,thatof group B was 90.00%and that of the control group C was 70.00%.The difference was statistically significant(P<0.05).④There was no significant difference between group A and group B(P>0.05).Conclusion Quantitative control rehabilitation after patella fracture can improve the knee joint mobility,reduce the knee joint pain and stiffness and restore the normal physiological function of knee joint.The curative effect is better than the traditional painless rehabilitation method,which is worthy of promoting.

关 键 词：髌骨骨折 手术治疗 动静平衡 量化控制 功能康复 安全有效康复量 

分 类 号：R274[医药卫生—中医骨伤科学]