系统性康复锻炼对膝关节骨性关节炎行关节镜手术后患者关节功能的影响及疗效观察.docVIP

裁节骨iws炎彳朕馆手术后患 I 3i I 三I 者关噱 2018-03-29 10:29:48中国现代医生2018年5期 邵灵萍应丽丽罗利飞 ［ ］戸的探讨系统性康复锻炼对膝关节骨性关节炎(OA)行关节镜手术后患者关节功能的 影响及疗效观察。方法 选取2016年1?12月骨科住院手术治疗的膝关节OA患者74例，随机将其 分为康复组和对照组。两组患者予以行关节镜手术，对照组患者术后予以常规康复训练，康复组患者 在对照组基础上予以系统性康复锻炼干预。观察并比较两组术前及术后6个月膝关节疼痛和功能的变 化,并评估其临床效果。结果术后6个月，两组VAS评分较前均有不同程度下降(PvO.05或PvO.01), 且康复组下降幅度比对照组更显著(PvO.05)；同时康复组膝关节Lysholm评分优良率高于对照组 (X2=5.10, P0.05)，临床总有效率优于对照组(x2=4.16, P0.05) ?结论系统性康复锻炼干 预可提高膝关节OA行关节镜手术后的临床效果，能促进术后关节功能康复，减轻其疼痛程度，提高 其活动度，改善关节功能。 ［关键词］骨性关节炎；膝关节；关节镜；系统性康复锻炼 ［中图分类号］R493； R684 ［文献标识码］B ［文章编#］ 1673-9701 (2018) 05-0090-04 ［Abstract］ Objective To investigate the effect of systemic rehabilitation exercise on the joint function of patients with knee osteoarthritis (OA) after arthroscopic surgery and its curative effect. Methods A total of 74 patients with knee OA who were treated with surgery in the Department of Orthopedics from January to December 2016 were randomly divided into rehabilitation group and control group? The patients in the two groups were treated with arthroscopic surgery. The patients in the control group were treated with routine rehabilitation training after surgery. The patients in the rehabilitation group were treated with systemic rehabilitation on the basis of the treatment of the control group? The changes of knee joint pain and function in the two groups were observed before and 6 months after operation, and the clinical curative effect was compared. Results The VAS scores of the two groups at 6 months after surgery were significantly lower than those before surgery (P0.05 or P0.01), and the descending rate of the rehabilitation group was more obvious than that of the control group (P0.05)? The excellent and good rate of the knee Lysholm score in therehabilitation group was significantly higher than that of the control group(x2=5.10, P0.05). The total effective rate of rehabilitation group was significantly better than the control group (X2=4.16, P0.05) . Conclusion The systematic rehabilitation exercise can impr