首页|早期康复治疗对关节镜下前交叉韧带重建术后膝关节功能恢复的影响

早期康复治疗对关节镜下前交叉韧带重建术后膝关节功能恢复的影响

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目的 探讨早期康复治疗对关节镜下膝关节前交叉韧带(ACL)重建术后膝关节功能恢复的影响。方法 选取2021 年1 月~2023 年12 月解放军总医院第八医学中心康复医学科接受治疗的80 例ACL损伤患者,所有患者均行关节镜下ACL重建术治疗,并根据康复介入治疗时间点的不同将患者分为观察组和对照组,每组 40 例。比较两组患者的首次下床时间、住院总时间、视觉模拟评分(VAS)评分,以及不同时间的Barthel指数、Lysholm膝关节功能评分、患膝肿胀值和关节活动度。结果 观察组患者的首次下床时间、住院时间均短于对照组患者,24 h VAS评分低于对照组患者,差异均有统计学意义(t=7。455、2。502、9。312,P<0。05)。观察组患者的Barthel指数和Lysholm评分均高于对照组患者,差异均有统计学意义(t=4。738、3。297,P<0。05)。结论 早期康复治疗可以改善关节镜下ACL重建术后患者的疼痛、肿胀等症状,促进关节活动度和患膝关节功能的恢复,缩短住院时间。
Influence of Early Rehabilitation on Knee Function Recovery after Arthroscopic Anterior Cruciate Ligament Reconstruction
Objective To explore the impact of early rehabilitation on the recovery of knee function following arthroscopic anterior cruciate ligament(ACL)reconstruction.Methods Eighty patients with ACL injuries treated at The 8th Medical Center of Chinese PLA General Hospital from January 2021 to December 2023 were selected.All patients underwent arthroscopic ACL reconstruction and were divided into an observation group and a control group,each consisting of 40 cases.The timing of rehabilitation intervention varied between the groups.The first time out of bed,total hospital stay,Visual Analog Scale(VAS)scores,and various time points of Barthel Index,Lysholm Knee Score,swelling of the affected knee,and range of joint motion were compared between the two groups.Results The observation group had shorter times to first ambulation and hospital stay compared to the control group,and lower 24-hour VAS scores,all with statistically significant differences(t=7.455,2.502,9.312,P<0.05).The observation group also had higher Barthel Index and Lysholm scores than the control group,with statistically significant differences(t=4.738,3.297,P<0.05).Conclusion Early rehabilitation can ameliorate pain,swelling,and other symptoms in patients after arthroscopic ACL reconstruction,enhance joint mobility,and expedite the recovery of knee joint function,thereby reducing the length of hospital stay.

Anterior Cruciate LigamentACL ReconstructionArthroscopyRehabilitationOutcome Assessment

池成海、王兰香、祁昌杰、赵晨钰、杨冰、兰苗苗

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100091 北京,解放军总医院第八医学中心康复医学科

前交叉韧带 前交叉韧带重建术 关节镜 康复治疗 康复效果

国家重点研发计划课题

2023YFC3603504

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(5)