体外冲击波对前交叉韧带重建术后康复的早期疗效研究  

Study on early therapeutic effect of extracorporeal shock wave on postoperative rehabilitation of anterior cruciate ligament reconstruction

作　　者：陈一萌 陶钧 朱涛[1] 杜鸿 马帅[2] 吴成玉 韩宝昆 Chen Yimeng;Tao Jun;Zhu Tao;Du Hong;Ma Shuai;Wu Chengyu;Han Baokun(School of Medicine,Anhui University of Science and Technology,Huainan,Anhui 232001,China;The First Affiliated Hospital of Anhui University of Science and Technology,Huainan,Anhui 232007,China;Department of Sports,Anhui University of Science and Technology,Huainan,Anhui 232001,China)

机构地区：[1]安徽理工大学医学院,安徽淮南232001 [2]安徽理工大学第一附属医院,安徽淮南232007 [3]安徽理工大学体育部,安徽淮南232001

出　　处：《齐齐哈尔医学院学报》2025年第8期760-766,共7页Journal of Qiqihar Medical University

基　　金：2021年度安徽省教育厅高校自然科学重点项目(KJ2021A0420)。

摘　　要：目的探究体外冲击波疗法(Extracorporeal shock wave therapy,ESWT)对前交叉韧带重建术(Anterior cruciate ligament reconstruction,ACLR)后康复的早期治疗效果。方法选择2022年9月-2024年1月安徽理工大学第一附属医院骨科收治的30例行前交叉韧带重建术患者作为研究对象,随机数表法分为实验组(冲击波治疗+阶梯式康复组)和对照组(阶梯式康复组)两组,每组各15例。两组患者术后康复前性别、年龄和损伤原因等一般资料比较,差异无统计学意义(P>0.05)。对照组接受阶梯式康复治疗,实验组在阶梯式康复治疗的基础上进行ESWT,两组疗程均为3个月。通过比较两组治疗前、治疗后1个月、3个月视觉模拟评分(VAS)、Lysholm评分(LKS)、2000国际膝部文件委员会(IKDC)评分、膝关节主动活动度、膝关节肢体围度、膝关节核磁共振影像(MRI)等检查结果。结果与对照组相比,治疗后1个月实验组患者的VAS、膝关节肢体围度显著降低(P<0.05),Lysholm评分、IKDC评分、膝关节主动活动度均显著高于对照组,差异具有统计学意义(P<0.05);治疗后3个月实验组患者的VAS、膝关节肢体围度显著降低,差异具有统计学意义(P<0.05),Lysholm评分、IKDC评分、膝关节主动活动度均高于对照组,差异具有统计学意义(P<0.05)。结论ESWT可显著减轻前交叉韧带重建术后患者膝关节水肿,降低疼痛,促进患者关节活动度的恢复,对前交叉韧带重建术后患者膝关节的早期功能性康复具有促进作用。Objective To observe the early therapeutic effect of extracorporeal shock wave therapy(ESWT)on postoperative rehabilitation of anterior cruciate ligament reconstruction(ACLR).Methods A total of thirty patients who underwent anterior cruciate ligament reconstruction surgery in the orthopedics department of the first affiliated hospital of Anhui University of Science and Technology from September 2022 to January 2024 were enrolled as study subjects.They were randomly divided into a control group(step rehabilitation)and an experimental group(extracorporeal shock wave therapy and step rehabilitation)according to the random number table method,with 15 cases in each group.There was no significant difference in basic indexes such as age,gender,and reason for injury between the two groups before postoperative recovery(P>0.05).Patients in the control group were treated with traditional rehabilitation therapy,while patients in the experimental group were treated with ESWT on the basis of traditional rehabilitation.Both groups had a treatment course of 3 months.The visual analog score(VAS),Lysholm knee joint score(LKS),International Knee Documentation Committee(IKDC)score,knee joint active range of motion,limb circumference,and knee magnetic resonance imaging(MRI)results were recorded and compared between the two groups at 1st and 3rd month after treatment.Results Compared with the control group,the VAS and limb circumference of patients in the experimental group were significantly reduced at one month after surgery(P<0.05),while the Lysholm score,IKDC score,and active range of motion of the knee joint were all higher than those of the control group(P<0.05).Three months after surgery,the VAS and limb circumference of the experimental group were significantly reduced compared to one month after surgery(P<0.05),and the Lysholm score,IKDC score,and active range of motion of the knee joint were all higher than those of the control group(P<0.05).Conclusions ESWT can significantly alleviate knee joint edema,reduce pain,promote th

关 键 词：前交叉韧带重建术 体外冲击波 康复疗效 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]