神经肌肉电刺激疗法联合超声波对胫骨平台骨折患者术后膝关节康复的影响  

Effect of Neuromuscular Electrical Stimulation Therapy Combined with Ultrasound on Knee Rehabilitation after Tibial Plateau Fracture

作　　者：孙明洋 SUN Mingyang(Department of Rehabilitation,Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽宁省辽阳市中心医院康复科,辽宁辽阳111000

出　　处：《中国伤残医学》2024年第14期16-18,33,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨神经肌肉电刺激疗法与超声波联合对胫骨平台骨折患者术后膝关节康复的影响。方法:选取2021年10月—2024年1月辽阳市中心医院收治的60例胫骨平台骨折患者为研究对象,按随机数字表法将其分为研究组和对照组,各30例。对照组采用超声波治疗,研究组采用神经肌肉电刺激疗法联合超声波治疗。比较两组膝关节功能、肿胀程度、疼痛程度及肌力水平。结果:治疗后,两组膝关节功能评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组膝关节肿胀值均短于治疗前,且研究组短于对照组,差异均有统计学意义(P<0.05)。治疗后,两组的疼痛程度评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组肌力优良率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论:神经肌肉电刺激疗法与超声波联合应用,可提高胫骨平台骨折患者术后的肌力水平及膝关节功能,减轻其疼痛及肿胀程度。Objective:To explore the effect of neuromuscular electrical stimulation therapy combined with ultrasound on knee rehabilitation after tibial plateau fracture.Methods:A total of 60 patients with tibial plateau fracture admitted to Liaoyang Central Hospital from October 2021 to January 2024 were selected as the study objects.They were divided into a study group and a control group according to random number table method,with 30 cases in each group.The control group was treated with ultrasound,the study group was treated with neuromuscular electrical stimulation therapy combined with ultrasound.Knee function,swelling degree,pain degree and muscle strength were compared between the two groups.Results:After treatment,the knee function scores of both groups were higher than before treatment,the study group was higher than that of the control group,with statistical significance(P<0.05).After treatment,the knee swelling degree of both groups were shorter than before treatment,the study group was shorter than the control group,with statistical significance(P<0.05).After treatment,the pain degree scores of both groups were lower than before treatment,the study group was lower than that of the control group,with statistical significance(P<0.05).After treatment,the excellent and good rate of muscle strength in the study group was 93.33%,which was higher than 73.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:Neuromuscular electrical stimulation therapy combined with ultrasound can improve the muscle strength and knee function of patients with tibial plateau fracture after surgery,reduce the degree of pain and swelling.

关 键 词：胫骨平台骨折 神经肌肉电刺激疗法 超声波 膝关节 康复 

分 类 号：R68[医药卫生—骨科学]