文章摘要
王虹丹,颜夏威.关节镜术后行系统性康复锻炼对膝关节股性关节炎患者关节功能的影响[J].中国临床保健杂志,2018,21(6):819-822.
关节镜术后行系统性康复锻炼对膝关节股性关节炎患者关节功能的影响
Effect of systemic rehabilitation exercise on articular function of patients with knee joint femoral arthritis after arthroscopy
投稿时间:2018-10-10  
DOI:10.3969/J.issn.1672-6790.2018.06.025
中文关键词: 骨关节炎,膝  关节镜检查  运动疗法
英文关键词: Osteoarthritis,knee  Arthroscopy  Exercise therapy 〖FL
基金项目:浙江省中医药科技计划项目(2015ZA206)
作者单位E-mail
王虹丹 浙江绍兴市中医院骨伤科四病区脊柱关节科,312000 353802407@qq.com 
颜夏威 浙江绍兴市中医院骨伤科四病区脊柱关节科,312000  
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中文摘要:
      目的 探讨关节镜术后行系统性康复锻炼对膝关节骨性关节炎患者关节功能的影响。 方法 选取行关节镜手术治疗的膝关节骨性关节炎患者96例,按照随机数字表法分为观察组和对照组各48例。对照组患者应用常规康复锻炼,观察组患者应用系统性康复锻炼。比较两组患者干预前及干预6个月后的疼痛情况[采用视觉模拟评分法(VAS)]、膝关节功能变化[采用膝关节功能评分(HSS)]及膝关节主动活动度[膝关节活动度评分(ROM)],并观察两组患者术后6周的近期疗效及术后6个月的远期疗效。 结果 干预前,两组患者VAS、HSS及ROM评分比较,差异无统计学意义(P>0.05);干预6个月后,观察组患者VAS评分低于对照组(P<0.05);观察组患者HSS及ROM评分均高于对照组(P均<0.05);术后6周,观察组患者临床总有效率为79.2%,对照组为62.5%(P=0.072);术后6个月,观察组患者治疗总有效率为93.8%远高于对照组的72.9%(P<0.05)。 结论 系统性康复锻炼可有效提高膝关节股性关节炎患者行关节镜术后的膝关节功能及主动活动度,有效降低患者疼痛,对患者远期疗效好。
英文摘要:
      Objective To investigate the effect of systemic rehabilitation exercise after arthroscopy on joint function in patients with knee osteoarthritis. Methods A total of 96 patients with knee osteoarthritis who underwent arthroscopic surgery in our hospital from February to February 2018 were enrolled.The patients were divided into observation group and control group according to the random number table method.Patients in the control group were given routine rehabilitation exercise,and patients in the observation group were treated with systemic rehabilitation.The pain of the two groups before and after 6 months of intervention (visual analog scale,VAS score),knee function change (knee function score,HSS) and knee active activity (knee activity score) were compared.ROM),and observed the short-term efficacy of 6 weeks after surgery and the long-term efficacy of 6 months after surgery. Results Before intervention,there was no significant difference in VAS,HSS and ROM scores between the two groups (P>0.05);6 months after intervention,the VAS scores of the observation group were lower than those of the control group (P<0.05);the HSS and ROM scores of the observation group were higher than those of the control group (P<0.05);6 weeks after operation,the total clinical effective rate of the observation group was 79.2%,and that of the control group was 62.5% (P=0.072).6 months after operation,the total effective rate of the observation group was 93.8%,which was much higher than 72.9% of the control group (P<0.05). Conclusion Systemic rehabilitation exercise can effectively improve the knee joint function and active activity of arthroscopy patients with knee joint femoral arthritis,effectively reduce the pain of patients,and have good long-term effect on patients.
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