骨科人工全膝关节置换伴肌少症患者围手术期运动方案的制定和应用效果评价  

Development and Application Effect Evaluation of Perioperative Exercise Program for Patients with Osteoarthritis Undergoing Total Knee Arthroplasty Accompanied by Sarcopenia

作　　者：李丹丹[1] 李沙沙 刘琼[1] 朱萍 游孟孟 王彦艳[1] 王培霞[1] LI Dandan;LI Shasha;LIU Qiong;ZHU Ping;YOU Mengmeng;WANG Yanyan;WANG Peixia(Department of Orthopaedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院骨科,河南郑州450000

出　　处：《河南医学研究》2024年第20期3802-3806,共5页Henan Medical Research

基　　金：河南省高等学校重点科研项目计划(23B320008)。

摘　　要：目的 探究围手术期运动方案的制定和应用对骨科人工全膝关节置换(TKA)伴肌少症患者的影响。方法 选取2023年1—8月郑州大学第一附属医院接受TKA伴肌少症患者98例,根据随机数表法分为对照组和观察组,各49例。对照组采取常规护理,观察组在对照组基础上采取运动护理方案。观察两组康复情况、美国膝关节协会评分(AKS)、身体成分指标[四肢骨骼肌量(ASM)、手握力(HGS)]、恐动心理[简版恐动症评估量表(TSK-11)]。结果 观察组骨折愈合时间与负重时间短于对照组(P>0.05);干预2个月后,观察组AKS评分高于对照组(P<0.05),TSK-11评分低于对照组(P<0.05),ASM、HGS水平高于对照组(P<0.05)。结论 围手术期运动方案的制定和应用能减轻TKA伴肌少症患者恐动心理,改善患者骨骼肌量,加速患者术后康复。Objective To explore the influence of perioperative exercise program on orthopaedic total knee arthroplasty(TKA)patients with sarcopenia.Methods From January to August 2023,98 patients with TKA with sarcopenia were selected from the First Affiliated Hospital of Zhengzhou University and divided into control group and observation group according to random number table method,49 cases in each group.The control group received routine nursing,and the observation group received exercise nursing based on the control group.The rehabilitation status,American Knee Association score(AKS),body composition index[appendicular skeletal muscle mass(ASM),hand grip strength(HGS)],and tampa scale of kinesiophobia-11(TSK-11)were observed in both groups.Results The fracture healing time and weight-bearing time in observation group were shorter than those in control group(P>0.05).After 2 months of intervention,AKS score in observation group was higher than that in control group(P<0.05),the TSK-11 score was lower than that of the control group(P<0.05),the levels of ASM and HGS were higher than those in the control group(P<0.05).Conclusion The formulation and application of perioperative exercise program can reduce the kinesophobia of TKA patients with sarcopenia,improve the skeletal muscle mass and accelerate the postoperative recovery.

关 键 词：全膝关节置换 肌少症 运动方案 康复情况 骨骼肌量 

分 类 号：R473.6[医药卫生—护理学]