康复训练对半月板损伤关节镜术后患者行动能力及康复效果的影响

Effect of rehabilitation training on mobility and rehabilitation outcome of patients after arthroscopic surgery for meniscal injury

目的探究强化股四头肌早期康复训练对行半月板损伤关节镜术后患者的行动能力及康复效果分析。方法以合肥市滨湖医院关节骨科2019年1月至2021年12月抽取的108例行半月板损伤关节镜手术患者作为研究对象,按照随机数字表法分为对照组和观察组,各54例。对照组采取常规功能康复训练,观察组应用强化股四头肌早期康复训练。比较两组术后疼痛、行动能力及膝关节评分情况。结果治疗后,两组运动、认知、总分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分不同时间、组间及交互作用比较,差异有统计学意义(P<0.05)。其中,两组术后5、10 d,出院1个月VAS评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组稳定型、行走辅助、行走距离、伸直障碍、屈曲障碍评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论针对实施半月板损伤关节镜术后患者给予强化股四头肌早期康复训练,可有效降低疼痛情况,改善行动能力,提高膝关节功能,利于患者快速预后。

Objective To investigate the analysis of the effect of intensive quadriceps early rehabilitation training on the mobility and rehabilitation of patients after arthroscopic surgery for meniscal injury.Methods One hundred and eight patients with arthroscopic surgery for meniscus injury taken from January 2019 to December 2021 from the Department of Joint Orthopedics of Binhu Hospital in Hefei were used as the study subjects,and were divided into control and observation groups according to the random number table method,with 54 cases in each group.The control group was adopted conventional functional rehabilitation training,while the observation group was applied intensive quadriceps early rehabilitation training.Postoperative pain,mobility and knee scores were compared between the two groups.Results After treatment,the motor,cognitive,and total scores of both groups were higher than before treatment,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The differences were statistically significant when comparing the vasual analog score(VAS)of two groups at different times,between after discharge from hospital groups and by interaction(P<0.05).Among them,the VAS was lower than that before surgery at 5 d and 10 d after surgery and 1 month in both groups,while those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of stable type,walking assistance,walking distance,extension impairment,and flexion impairment were lower in both groups than before treatment,while those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Intensive early rehabilitation of the quadriceps muscle in patients after arthroscopic surgery for meniscal injuries can effectively reduce pain,improve mobility,enhance knee function,and facilitate rapid prognosis.