首页|膝关节及其周围损伤患者关节挛缩的危险因素分析

膝关节及其周围损伤患者关节挛缩的危险因素分析

Risk factors analysis of joint contracture in patients with injuries of knee and surrounding tissues

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目的 探讨膝关节及其周围损伤后关节挛缩相关危险因素,为膝关节挛缩患者早期康复干预提供思路.方法 回顾性分析2017年7月至2023年1月就诊于安徽医科大学第二附属医院的150例膝关节及其周围损伤患者病历资料.根据关节挛缩的状况将患者分为关节挛缩组(病例组)和非关节挛缩组(对照组).收集患者的性别、年龄、体重指数(BMI)、损伤类型、疼痛评分、未有效康复干预时长等基本资料,建立多因素模型并进行统计学分析.结果 膝关节及其周围损伤后发生关节挛缩104例,关节挛缩发生率69.33%;病例组和对照组性别、损伤类型、视觉模拟评分(VAS)和未有效康复干预时长的分布比较,差异有统计学意义(P<0.05);病例组和对照组患者年龄、BMI比较,差异无统计学意义(P>0.05).结论 男性、VAS≥3分、损伤类型、未有效康复干预时长≥30 d是关节挛缩发生的危险因素.
Objective To explore the risk factors of joint contracture after injuries of knee and surrounding tis-sues and provide guidance for early rehabilitation intervention of patients with knee joint contracture.Methods Retro-spective analysis of medical records of 150 patients with knee joint and surrounding injuries who visited the Second Affil-iated Hospital of Anhui Medical University from July 2017 to January 2023 was collected.According to the occurrence of joint contracture,the patients were divided into joint contracture group(case group)and non-joint contracture group(control group).Basic data such as gender,age,body mass index(BMI),injury type,pain and duration without effec-tive rehabilitation intervention were collected,and a multi-factor model was established and analyzed statistically.Results Joint contracture occurred in 104 cases after injury of knee joint and its surroundings,the incidence of joint contrac-ture was 69.33%.There were significant differences in gender,injury type,visual analogue score(VAS),and duration without effective rehabilitation intervention between the case and control groups(P<0.05).There was no significant differences in age and BMI between case group and control groups(P>0.05).Conclusions The male,VAS ≥3 points,injury type,and duration without effective rehabilitation intervention ≥30 d are risk factors of joint contracture.

ArthrogryposisKnee jointRisk factorsActivities of daily livingQuality of life

张全兵、张锐、周云、王取南、王华

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安徽医科大学第二附属医院康复医学科,合肥 230601

安徽医科大学基础医学院

安徽医科大学公共卫生学院卫生毒理学教研室

关节挛缩 膝关节 危险因素 日常生活活动 生活质量

2024

中国临床保健杂志
卫生部北京医院 安徽省保健委员会

中国临床保健杂志

CSTPCD
影响因子:0.931
ISSN:1672-6790
年,卷(期):2024.27(4)