前交叉韧带重建术后在医院康复治疗时间对康复效果的影响

The effects of rehabilitation treatment time in hospital of patients after anterior cruciate ligament reconstruction on rehabilitation outcome

目的:探讨膝关节前交叉韧带(ACL)重建术后患者在医院的康复时间对康复效果的影响,寻求安全、有效、便于患者自行实施的康复模式。方法:对60例关节镜下ACL重建的患者随机分为:治疗A组20例,术后6周坚持来医院进行康复训练;治疗B组20例,定期来医院接受康复治疗(术后第1—3天及术后第2周、第4周、第6周的某一天,共6d);对照组20例,回家自行训练。术后第12周后进行KT-1000试验及Lysholm评分。结果:KT-1000试验三组间差异无显著性意义(P>0.05)。Lysholm评分:治疗A组与治疗B组明显高于对照组(P<0.01),治疗A组与B组间差异无显著性(P>0.05)。结论:前交叉韧带重建术后坚持在医院连续康复治疗6周或定期来医院进行康复治疗都可以安全有效地恢复膝关节的功能,达到理想的治疗效果,比没在医院接受康复治疗的患者能更早恢复膝关节功能。

Objective： To explore the effects of rehabilitation treatment time in hospital of patients after anterior eruciate ligament （ACL） reconstruction on rehabilitation outcome and search for a rehabilitation mode that is safe, effective and easy to implement by patients. Method： Sixty patients underwent arthroscopic reconstruction for ACL injury were divided randomly into three groups （n=20 in each group）： treatment A group （received rehabilitation treatment for 6 weeks in hospital）,treatment B group （received rehabilitation treatment on the first 3d, and someday of the 2nd week, the 4th week and the 6th week post operation, total 6d in hospital ）,the control group （received rehabilitation treatment at home by themselves）. Then clinical assessment was conducted with KT-1000 test and Lysholm knee funetional scoring system after the 12th week postoperation. Result： KT-1000 test： There was no obvious difference of scores in three groups（P〉0.05）. Lysholm knee functional scoring system： Scores in treatment A group and treatment B group were significantly higher than that in control group（P〈0.01） and there was no obvious difference of scores between treatment A group and treatment B group（P〉 0.05）. Conclusion： Both patients who administered post operation rehabilitation for 6 weeks continuously in hospital or regularly in hospital could recover the function of knee joints, could get ideal treatment effects and returned to society more earlier than those patients who did not accept rehabilitation treatment in hospital.