早期负重康复训练在跟腱断裂患者中的应用效果及对患肢功能的影响

Application Effect of Early Weight Rehabilitation Training in Patients with Rupture of Achilles Tendon and Influence on Affected Limb Function

目的:探究早期负重康复训练在跟腱断裂患者中的应用效果及对患肢功能的影响。方法:将2018年1月—2022年5月南安市南侨医院收治的80例跟腱断裂患者根据随机数字表法分为对照组40例和观察组40例。对照组进行常规康复训练,观察组则进行手术后早期负重康复训练。比较两组的总优良率、术后并发症发生率、美国足踝外科协会踝与后足评分(AOFAS-AH评分)、跟腱完全断裂评分(ATRS)及患肢功能(Holden步行功能分级及患肢提踵高度、提踵时间)。结果:观察组的总优良率显著高于对照组,差异有统计学意义(P<0.05)。两组的术后并发症发生率比较,差异无统计学意义(P>0.05)。治疗前,两组的AOFAS-AH评分、ATRS及患肢功能项目比较,差异均无统计学意义(P>0.05);术后3个月及1年,观察组的AOFAS-AH评分、患肢提踵高度及提踵时间均显著优于对照组,ATRS情况及Holden步行能力分级构成均显著优于对照组,差异均有统计学意义(P<0.05)。结论:早期负重康复训练在跟腱断裂患者中的应用效果较好,且可显著改善患者的患肢功能,因此在跟腱断裂患者中的应用价值较高。

Objective:To investigate the application effect of early weight rehabilitation training in patients with rupture of achilles tendon and influence on affected limb function.Method:A total of 80 patients with rupture of achilles tendon admitted to Nanqiao Hospital of Nan’an City from January 2018 to May 2022 were divided into control group 40 cases and observation group 40 cases by random number table method.The control group was treated with routine rehabilitation training,the observation group was treated with early weight rehabilitation training.The total excellent and good rates,the incidence of postoperative complication,American orthopedic foot and ankle society ankle-hindfoot score(AOFAS-AH score),achilles tendon total rupture score(ATRS)and affected limb function(Holden walking function grades,height of heel lifting and time of heel lifting for the affected limb)of two groups were compared.Result:The total excellent and good rate of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).The incidence of postoperative complication of two groups were compared,the difference was not statistically significant(P>0.05).Before treatment,the AOFAS-AH score,ATRS and affected limb function items of two groups were compared,the differences were not statistically significant(P>0.05);at third month and first year after the operation,the AOFAS-AH score,height of heel lifting and time of heel lifting for the affected limb of observation group were significantly better than those of control group,the composition of ATRS and Holden walking ability grades were significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of early weight rehabilitation training in patients with rupture of achilles tendon is better,and it can significantly improve the affected limb function of patients,so its application value in the patients with rupture of achilles tendon is higher.