不同频率肌力训练对膝关节镜下半月板成形术后患者功能康复的影响

Effect of Different Frequency Muscle Strength Training on Functional Rehabilitation of Patients after Knee Arthroscopy

目的探讨膝关节镜下半月板成形术后不同频率肌力训练对患者功能康复及生活质量的影响。方法选择2016年1月~2019年1月我院收治的行膝关节镜下半月板成形术患者84例为研究对象,采用随机数字表分为对照组和观察组,每组42例。对照组肌力训练次数控制在100次以内,观察组肌力训练次数在300次以上,比较两组治疗30 d后的康复程度、治疗前后生活质量(QOL)评分、治疗前与治疗10、20、30 d后膝关节功能评分(Lysholm评分)。结果治疗后观察组拄拐、肿胀以及跋行情况低于对照组,差异有统计学意义(P<0.05);治疗后观察组生理职能、社会功能以及角色功能评分高于对照组,差异有统计学意义(P<0.05);治疗后观察组10、20、30 d Lysholm评分高于对照组,差异有统计学意义(P<0.05)。结论在膝关节镜下半月板成形术治疗中提高训练频率有助于提升患者功能康复及生活质量,值得应用。

Objective To investigate the effect of different frequency muscle strength training after knee arthroscopy on meniscioplasty on functional rehabilitation and quality of life.Methods A total of 84 patients who underwent knee arthroscopy under meniscusplasty in our hospital from January 2016 to January 2019 were selected.They were divided into control group and observation group by random number table,with 42 cases in each group.The number of muscle training in the control group was controlled within 100 times,and the number of muscle training in the observation group was over 300 times.The degree of rehabilitation after 30 d of treatment,the pre-and post-treatment quality of life(QOL)scores,the pre-treatment and the treatment of 10,20,and 30 d of the knee function score(Lysholm score)were compared.Results The abduction,swelling and trekking in the observation group were lower than those in the control group after treatment,the differences were statistically significant(P<0.05).The physiological,social,and role function scores in the observation group were higher than those in the control group after treatment,the differences were statistically significant(P<0.05);Lysholm scores in the observation group at 10,20,and 30 d after treatment were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Increasing the training frequency during knee arthroscopy meniscioplasty treatment is helpful for patients'functional rehabilitation and quality of life,which is worthy of application.