膝关节及其周围损伤患者关节挛缩的危险因素分析  

Risk factors analysis of joint contracture in patients with injuries of knee and surrounding tissues

作　　者：张全兵[1] 张锐 周云[1,2] 王取南 王华[3] ZHANG Quanbing;ZHANG Rui;ZHOU Yun;WANG Qu′nan;WANG Hua(不详;Department of Rehabilitation Medicine,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院康复医学科,合肥230601 [2]安徽医科大学基础医学院 [3]安徽医科大学公共卫生学院卫生毒理学教研室

出　　处：《中国临床保健杂志》2024年第4期558-561,共4页Chinese Journal of Clinical Healthcare

基　　金：安徽省卫生健康科研项目(AHWJ2022b063);安徽省卫生健康科研项目(AHWJ2023A30077);安徽医科大学高峰学科(临床医学)学科建设项目(2022GFXK-EFY08)。

摘　　要：目的探讨膝关节及其周围损伤后关节挛缩相关危险因素,为膝关节挛缩患者早期康复干预提供思路。方法回顾性分析2017年7月至2023年1月就诊于安徽医科大学第二附属医院的150例膝关节及其周围损伤患者病历资料。根据关节挛缩的状况将患者分为关节挛缩组(病例组)和非关节挛缩组(对照组)。收集患者的性别、年龄、体重指数(BMI)、损伤类型、疼痛评分、未有效康复干预时长等基本资料,建立多因素模型并进行统计学分析。结果膝关节及其周围损伤后发生关节挛缩104例,关节挛缩发生率69.33%;病例组和对照组性别、损伤类型、视觉模拟评分(VAS)和未有效康复干预时长的分布比较,差异有统计学意义(P<0.05);病例组和对照组患者年龄、BMI比较,差异无统计学意义(P>0.05)。结论男性、VAS≥3分、损伤类型、未有效康复干预时长≥30 d是关节挛缩发生的危险因素。Objective To explore the risk factors of joint contracture after injuries of knee and surrounding tissues and provide guidance for early rehabilitation intervention of patients with knee joint contracture.Methods Retrospective analysis of medical records of 150 patients with knee joint and surrounding injuries who visited the Second Affiliated Hospital of Anhui Medical University from July 2017 to January 2023 was collected.According to the occurrence of joint contracture,the patients were divided into joint contracture group(case group)and non-joint contracture group(control group).Basic data such as gender,age,body mass index(BMI),injury type,pain and duration without effective rehabilitation intervention were collected,and a multi-factor model was established and analyzed statistically.Results Joint contracture occurred in 104 cases after injury of knee joint and its surroundings,the incidence of joint contracture was 69.33%.There were significant differences in gender,injury type,visual analogue score(VAS),and duration without effective rehabilitation intervention between the case and control groups(P<0.05).There was no significant differences in age and BMI between case group and control groups(P>0.05).Conclusions The male,VAS≥3 points,injury type,and duration without effective rehabilitation intervention≥30 d are risk factors of joint contracture.

关 键 词：关节挛缩 膝关节 危险因素 日常生活活动 生活质量 

分 类 号：R684[医药卫生—骨科学]