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常规康复结合强化本体感觉训练对运动所致膝关节前交叉韧带并半月板损伤患者术后康复效果的观察
周述娜,李景云
0
北京市第一康复医院康复医学科(北京 100044)
摘要:
目的:探讨分析运动所致膝关节前交叉韧带并半月板损伤患者术后康复训练对临床疗效和预后的影响。方法:选取收治的 178 例运动所致膝关节前交叉韧带并半月板损伤患者进行研究分析,患者均采用高频超声、MRI 诊断,关节镜手术治疗。根据术后康复训练方法的不同分为两组,每组 89 例。研究组采用常规及本体感觉强化康复训练,对照组采用常规康复训练。观察比较两组患者半月板损伤及处理的结果,采用 Lysholm 评分、IKDC 评分评价膝关节功能恢复情况及安全性。结果:全部患者治疗后随访 6~12 月,研究组愈合时间为(2.16±1.05)月,对照组为(3.87±1.24)月,研究组短于对照组(P<0.05);研究组治疗前、治疗后 6 月、治疗后 12 月的 IKDC 评分分别为(40.38±8.12)分、(65.19±7.54)分、(84.15±6.78)分,Lysholm 评分分别为(45.12±5.98)分、(72.38±6.26)分、(89.41±7.50)分;而对照组在此三个时间点的 IKDC 评分分别为(41.04±8.33)分、(54.06±7.82)分、(70.21±6.90)分,Lysholm 评分分别为(45.67±6.44)分、(65.49±7.03)分、(76.35±6.82)分,研究组治疗后 IKDC 评分和 Lysholm 评分均小于对照组(P<0.05)。两组治疗后均无韧带断裂、关节粘连、滑膜炎等并发症。结论:运动所致膝关节前交叉韧带并半月板损伤患者术后采用常规康复训练结合强化本体感觉训练效果较佳,能有效减轻膝关节功能障碍, 预后良好,适合临床推广。
关键词:  膝关节  前交叉韧带损伤  半月板损伤  康复训练
DOI:10.3969/j.issn.1007-6948.2019.02.013
基金项目:
Effect Observation of Routine Rehabilitation Combined with Proprioceptive Training on Postoperative Rehabilitation of Patients with Exercise-induced Anterior Cruciate Ligament and Meniscus Injury of Knee Joint
ZHOU Shu-na,LI Jing-yun
Department of Rehabilitation Medicine, Beijing First Rehabilitation Hospital, Beijing (100044), China
Abstract:
Objective To investigate the effect of postoperative rehabilitation training on the clinical outcome and prognosis of patients with motion-induced anterior cruciate ligament (ACL) and meniscal injury. Methods A total of 178 patients with anterior cruciate ligament and meniscus injury caused by exercise in our hospital from April 2015 to September 2017 were enrolled. All patients underwent high-frequency ultrasound, MRI diagnosis and arthroscopic surgery. According to the different postoperative rehabilitation training methods, the patients were divided into study group (using conventional + proprioceptive intensive rehabilitation training) and control group (using conventional rehabilitation training), respectively, each group with 89 cases. The meniscus injury and treatment results, knee functionrecovery (using Lysholm score and IKDC score) and safety were compared between the two groups. Results After treatment, the patients were followed up for 6–12 months. The healing time of the study group and control group was (2.16±1.05) months and (3.87±1.24) months (P<0.05). The IKDC scores of the study group before and after 6 and 12 months of treatment were (40.38±8.12), (65.19±7.54) and ( 84 . 15 ± 6 . 78 ), respectively. The IKDC scores of the control group before and after 6 and 12 months of treatment were (41.04±8.33), (54.06±7.82) and (70.21±6.90) (P<0.05). The Lysholm scores of the study group before and after 6 and 12 months of treatment were (45.12±5.98), (72.38±6.26) and (89.41±7.50), respectively. The Lysholm scores of the control group before and after 6 and 12 months of treatment were (45.67 ± 6.44), (65.49 ± 7 . 03 ) and ( 76 . 35 ± 6 . 82 ), respectively (P < 0 . 05 ). There were no complications such as ligament rupture, joint adhesion and synovitis after treatment in the study group and control group (P>0.05). Conclusion The routine rehabilitation training combined with enhanced proprioceptive training has better effect on patients with exercise-induced knee anterior cruciate ligament and meniscus injury, can effectively reduce knee dysfunction, with good prognosis, and is suitable for clinical promotion.
Key words:  Knee joint  anterior cruciate ligament injury  meniscus injury  rehabilitation training

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