高压氧联合综合康复治疗在运动性膝关节损伤患者中的应用效果

Effect of hyperbaric oxygen combined with comprehensive rehabilitation therapy on sports knee injury

目的探讨高压氧联合综合康复治疗在运动性膝关节损伤患者中的应用效果。方法抽取郑州市第九人民医院2016年10月至2021年10月收治的运动性膝关节损伤患者98例,按随机数字表法分为对照组与观察组,每组49例。对照组采取综合康复治疗,观察组在此基础上联合高压氧进行治疗,两组均持续治疗14 d。比较两组临床疗效、膝关节功能、关节活动度、疼痛症状及生活自理能力。结果观察组临床总有效率(95.92%,47/49)高于对照组(83.67%,41/49),差异有统计学意义(P<0.05);治疗后,观察组Lysholm膝关节评分量表评分[(82.87±15.65)分]、关节活动度[(125.25°±12.64°)]均高于对照组[(76.79±13.36)分、(105.53°±10.25°)],差异有统计学意义(P<0.05)。治疗后,观察组视觉模拟评分法评分[(2.26±0.46)分]低于对照组[(4.15±1.04)分],日常生活能力量表评分[(82.85±9.03)分]高于对照组[(74.79±8.81)分],差异有统计学意义(P<0.05)。结论高压氧联合综合康复治疗运动性膝关节损伤患者可获得较好疗效,利于减轻疼痛程度,提升膝关节功能与关节活动度,改善生活自理能力。

Objective To investigate the effect of hyperbaric oxygen combined with comprehensive rehabilitation therapy on sports knee injury.Methods Ninety-eight patients with sports knee injury treated in Zhengzhou Ninth People’s Hospital from October 2016 to October 2021 were selected and divided into control group and observation group by random number table method,with 49 cases in each group.The control group was treated by comprehensive rehabilitation treatment,and the observation group was treated with hyperbaric oxygen based on the treatment of the control group.Both groups were treated for 14 days.The clinical efficacy,knee function,joint range of motion,pain symptoms and self-care ability were compared between the two groups.Results The total effective rate of the observation group(95.92%,47/49)was higher than that of the control group(83.67%,41/49),P<0.05;after treatment,the Lysholm knee score scale score(82.87±15.65)and joint range of motion(125.25°±12.64°)in the observation group were higher than 76.79±13.36 and 105.53°±10.25°in the control group correspondingly(P<0.05);the visual analogue scale score in the observation group(2.26±0.46)was lower than that in the control group(4.15±1.04),and the activities of daily living score in the observation group(82.85±9.03)was higher than that in the control group(74.79±8.81),and the difference was statistically significant(P<0.05).Conclusions Hyperbaric oxygen combined with comprehensive rehabilitation therapy can obtain good curative effect in patients with sports knee injury,which is conducive to reducing the degree of pain,improving knee function and range of motion,and improving self-care ability.