摘要
目的 探讨基于强化股四头肌锻炼的康复护理对半月板损伤关节镜术后患者膝关节功能恢复的影响。方法 选取2019年1月—2020年8月在福建中医药大学附属康复医院行关节镜手术的64例半月板损伤患者,采用随机数字表法分为对照组与研究组,每组32例。对照组患者采用常规康复锻炼,研究组患者采用强化股四头肌锻炼,比较2组患者膝关节功能恢复情况、股四头肌萎缩程度及并发症发生情况。结果 2组患者治疗后3个月Lysholm膝关节评分量表(LKSS)评分及国际膝关节评分委员会(IKDC)膝关节主观功能评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。2组患者术后7 d股四头肌萎缩指数高于治疗前,而术后15 d及术后1个月股四头肌萎缩指数逐渐下降,差异均有统计学意义(P<0.05);研究组患者术后7 d、术后15 d及术后1个月股四头肌萎缩指数均低于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率为6.25%(2/32),低于对照组的31.25%(10/32),差异有统计学意义(χ^(2)=6.564,P=0.010)。结论 强化股四头肌锻炼有助于促进半月板损伤关节镜术后患者的膝关节功能恢复,降低患者股四头肌萎缩程度及术后并发症发生风险,值得临床推广实践。
Objective To investigate the effect of rehabilitation care based on enhanced quadriceps femoris exercise on the recovery of knee joint function in patients with meniscus injuries after arthroscopic surgery.Methods Sixty-four patients with meniscus injury who underwent arthroscopic surgery in the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine from January 2019 to August 2020 were randomly assigned to the control group(n=32) and study group(n=32).Patients in the control group and the study group received routine rehabilitation exercise and intensive quadriceps exercise,respectively.The recovery of knee joint function,the degree of quadriceps atrophy,and the occurrence of complications were compared between the two groups.Results The Lysholm Knee Scoring Scale(LKSS) and International Knee Documentation Committee(IKDC) Subjective Knee Evaluation scores at 3 months after treatment in the two groups were significantly higher than those before treatment,and the study group was higher than the control group(P<0.05),The quadriceps atrophy index at 7 d after the surgery in the two groups was significantly higher than that before treatment,while the quadriceps atrophy index gradually significantly decreased at 15 d after the surgery and 1 month after the surgery(P<0.05).The quadriceps atrophy index at 7 d,15 d,and 1 month after the surgery in the study group were significantly lower than those in the control group(P<0.05).The incidence rate of complications in the study group was 6.25 %(2/32),which was significantly lower than that(31.25%,10/32) in the control group(χ^(2)=6.564,P=0.010).Conclusion Strengthening quadriceps femoris exercise is helpful to promote the recovery of knee joint function and reduce the degree of quadriceps femoris atrophy and the risk of postoperative complications in patients with meniscus injury after arthroscopic surgery.These advantages hold promise for a wider application of this procedure clinically.
作者
江群明
石美英
张兴蓉
Jiang Qunming;Shi Meiying;Zhang Xingrong(The Ninth Ward of Inpatient Department,The Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Fujian Provincial Key Laboratory of Rehabilitation Technology,Fuzhou 350003,China)
出处
《保健医学研究与实践》
2022年第12期146-149,共4页
Health Medicine Research and Practice
关键词
强化锻炼
半月板损伤
关节镜手术
膝关节功能
股四头肌
并发症
Intensive exercise
Meniscus injury
Arthroscopic surgery
Knee function
Quadriceps femoris muscle
Complications
