术前预康复对前交叉韧带重建手术患者的影响

Effects of Preoperative Prehabilitation on Patients Undergoing Anterior Cruciate Ligament Reconstruction

目的:探讨术前预康复对前交叉韧带重建手术患者的影响。方法:纳入前交叉韧带重建手术患者52名,随机分为观察组(N=26)和对照组(N=26),观察组入院后进行术前预康复,对照组行常规术前准备,分别于入院、术前、术后采用情绪评分量表、视觉模拟评分法(VAS)、数字化肌肉评估系统MyotonPRO对两组患者的情绪变化、疼痛情况、肌肉状态进行评估。结果:与入院相比,经术前干预后两组患者焦虑评分均有所下降(P<0.05),且观察组下降更明显;与对照组相比,观察组患者术后疼痛评分(VAS)小于对照组(P<0.05),就医满意度较高(P<0.05);两组患者围手术期股四头肌肌张力、硬度和腿围的变化趋势相同,无显著差异(P>0.05)。结论:对前交叉韧带重建手术患者进行术前预康复更有利于改善患者情绪、促进术后康复、提高患者满意度、建立良好的医患关系。

Objective To investigate the effects of preoperative prehabilitation on patients undergoing anterior cruciate ligament reconstruction.Methods 52 patients with ACL injury were included in the study.The participants were randomly divided into observation group(N=26)and control group(N=26).Patients in the observation group were given preoperative prehabilitation.Patients in the control group were given routine preoperative preparation.The study used Mood scale,visual analog scale(VAS)and digital muscle evaluation system MyotonPRO to access the mood change,pain and muscle status in the patients after admission,before and after ACL surgery.Results Study showed anxiety scores were decreased in both groups after preoperative preparation(P<0.05),and the decrease was more obvious in the observation group;The postoperative pain scale(VAS)was lower in the observation group than in the control group(P<0.05),higher satisfaction with treatment(P<0.05);The changes of muscle tension,stiffness and leg circumference of quadriceps femoris muscle at perioperative period were the same between the two groups,no significant differences were observed(P>0.05).Conclusion Preoperative prehabilitation for patients with anterior cruciate ligament reconstruction will be a good way to relieve postoperative pain,improve emotional state in patients and promote recovery after ACL surgery,increase patient satisfaction and construct a harmonious doctor-patient relationship.