关节镜下膝ACL重建术后不同康复方案的对比的研究.pdfVIP

目 录 中文摘要······································一·····1 英文摘要·······················一一一一一············2 引弓l言··················································44舌 。。。。’。。。。。。。。。。。。。‘。。。。。。。‘。。‘‘。。。。。。。‘。。。。······· 正文··················································5 1．实验材料和方法···································5 2．实验结果··········································10 3。讨论···············································12 6 4．存在的问题和展望································1 参考文献············································17 综述·················································19 致谢·················································26 攻读学位期间发表的学术论文目录·················27 8 作者声明-···········································2 个人简历················一··························291 中文摘要 目 的：通过对比研究不同康复方案对关节镜下膝ACL重建术后关节功 能恢复的影响及作用，优选出安全、合理、有效、可行、有推广意义的 康复方案。 方 法：通过对采用同样的移植重建材料和手术方式的68侈,]ACL损伤患 者，随机分为激进康复组和渐进康复组，分别采用激进康复方案和渐进 康复方案进行康复功能训练的评价。观察两组病例术后第2、4、6周患者 主观疼痛感、膝关节活动度、膝关节围度变化以及1年后两组患者膝关节 fi勺Lysholm、IKDC评分情况。 结 果：激进康复组术后第2、4、6周主观疼痛感比渐进康复组明显， 疼痛缓解慢，P0．05；激进康复组术后第2、4、6N肢体围度的差值比渐 进康复组差别小，关节肿胀消退陵，P0．05；激进康复组膝关节活动度 和IKDC评分无明显差异，／b0．05。 结 论：激进康复训练可以更早的恢复关节活动度，更快获得膝关节 良好的功能，缩短了康复时间，但疼痛感强烈；渐进康复训练较为温和， 循序渐进，依从性好，6周内膝关节总体功能恢复稍慢；但激进康复组和 渐进康复组术后1年的疗效评估无明显差异。在临床应用中，渐进康复 方案具有更好的依从性，易于推广。 关键词：关节镜；前交叉韧带；骨一髌腱一骨；康复训练 kneeafterACLreconstructionof Arthroscopic Comparison differentrehabilitation programs ABSTRACT rehabilitationschemeon the ofdifferent Objective：Throughcomparison ACLreconstructionofinfluenceand combinationof recovery