中老年患者前交叉韧带重建术后行"精细个体化"康复教育的疗效分析
Efficacy of individual rehabilitation for elderly patients with anterior cruciate ligament injury
张驰 1白炳君2
作者信息
- 1. 310003 浙江杭州,浙江大学医学院附属第一医院运动医学中心
- 2. 浙江大学医学院附属邵逸夫医院肛肠外科
- 折叠
摘要
目的 分析中老年患者前交叉韧带重建术后行"精细个体化"康复教育的疗效.方法 选择接受前交叉韧带重建的中老年患者68 例,根据术后的康复方式将其分为试验组(n=36)和对照组(n=32).对照组患者接受常规康复功能锻炼,试验组患者接受"精细个体化"的康复教育指导模式下的康复功能锻炼.手术半年后,比较两组患者的膝关节功能恢复和并发症情况.结果 经过半年的随访,试验组患者的膝关节功能(IKDC)评分和膝关节Lysholm评分明显高于对照组,差异均有统计学意义(t分别=10.19、7.94,P均＜0.05).在膝关节视觉模拟评分(VAS)和膝关节稳定性(前抽屉试验和Lachman试验)方面,两组比较,差异均无统计学意义(t=-0.33,χ2分别=0.79、1.35,P均＞0.05).两组患者在手术过程中均未出现因大血管神经损伤或灌注液外渗导致下肢筋膜腔水肿,术后也无发生感染、血肿、血栓等并发症.结论 前交叉韧带重建术后,中老年患者需要接受健康教育和"精细个体化"的康复指导,可以显著提升康复效果并改善预后.
Abstract
Objective To assess the efficacy of individual rehabilitation for elderly patients suffering from anterior cru-ciate ligament(ACL)injury.Methods A total of 68 elderly patients who underwent ACL reconstruction were enrolled in this study.They were divided into study group(n=36)and control group(n=32)based on the postoperative rehabilita-tion program.The control group received routine rehabilitation function exercise,and the study group received rehabilita-tion function exercise under the"fine individual"rehabilitation education guidance mode.Six months after operation,the functional recovery and complications of knee joint between the two groups were compared.Results After 6 months of follow-up,the IKDC scores and Lysholm scores of patients in the study group were significantly higher than those in the control group,with statistical significance(t=10.19,7.94,P＜0.05).In terms of VAS and knee joint stability(Anterior Drawer Test and Lachman Test),there was no statistically significant difference between the two groups(t=-0.33,χ2=0.79,1.35,P＞0.05).None of the patients in both groups experienced lower limb fascia compartment edema due to vascu-lar nerve injury or extravasation of perfusate during surgery,and there was no postoperative complications such as infec-tion,hematoma,or thrombosis.Conclusion After ACL reconstruction,elderly patients benefit significantly from receiv-ing individual rehabilitation,which can greatly improve rehabilitation outcomes and prognosis.
关键词
"精细个体化"康复指导/前交叉韧带损伤/中老年患者/运动医学/关节镜Key words
individual rehabilitation/anterior cruciate ligament injury/elderly patients/sports medicine/ar-throscopy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据