目的 比较快速康复训练与传统康复训练对军人患者前交叉韧带重建术后膝关节功能及运动恢复的影响。方法 回顾性分析2018-06至2019-06在东部战区总医院骨科行关节镜下前交叉韧带重建术的102例军人患者资料,分为快速康复组(51例)和传统康复组(51例)。分别记录两组患者术前、术后疼痛视觉模拟量表(VAS)评分、Lysholm评分,受伤前、术后8、12个月的30 m“蛇形跑”成绩来评价膝关节功能情况,并比较两组间的疗效差异。结果 两组患者在术后2 d和3、6、12个月的VAS评分差异无统计学意义(t=0.835、0.361、0.903、0.758)。但快速康复组术后3、6、12个月的Lysholm评分高于传统康复组,差异有统计学意义(t=7.788、6.973、4.582,P＜0.05)。术后8、12个月的30 m“蛇形跑”成绩比较,快速康复组优于传统康复组,差异有统计学意义(t=5.398、2.429,P＜0.05)。末次随访两组均无康复训练相关并发症。结论 前交叉韧带重建术后,军人患者应用快速康复训练能够促进膝关节功能快速恢复,并缩短运动水平恢复时间。
Abstract
Objective To compare the effects of rapid rehabilitation treatment and traditional rehabilitation treatment on the function of knee joints and motion recovery after anterior cruciate ligament (ACL) reconstruction for military personnel.Methods The clinical data on 102 military patients undergoing arthroscopic ACL reconstruction between June 2018 and June 2019 was retrospectively analyzed. These patients were divided into the rapid rehabilitation group (51 cases) and traditional rehabilitation group (51 cases). The visual analogue scale (VAS) score and Lysholm score were calculated before and after operation. The results of 30-meter snake running before injury, 8 and 12 months after operation were recorded to evaluate the function of knee joints, and the difference between the two groups was studied.Results There was no significant difference in VAS scores between the two groups at 2 days, 3 months, 6 months and 1 year after operation (t=0.835, 0.361, 0.903, 0.758). But the Lysholm score of the rapid group was higher than that of the traditional group at 3 months, 6 months and 1 year after operation (t=7.788, 6.973 and 4.582, P<0.05). The results of 30-meter snake running in the rapid group were better than those in the traditional group 8 months and 1 year after operation, and the difference was statistically significant (t=5.398, 2.429,P<0.05). During the last follow-up, there were no rehabilitation-related complications in either group.Conclusions The rapid rehabilitation treatment can promote recovery of knee joint function and shorten the recovery time of exercise levels in military patients after ACL reconstruction.
关键词
快速康复 /
前交叉韧带重建 /
膝关节功能 /
前交叉韧带损伤
Key words
rapid rehabilitation program /
anterior cruciate ligament reconstruction /
knee function /
anterior cruciate ligament injury
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