關(guān)節(jié)鏡下膝前交叉韌帶重建術(shù)后康復(fù)訓(xùn)練對(duì)膝關(guān)節(jié)穩(wěn)定的療效觀察

劉拴　樊薰勤　左毅　錢雪豐　徐寧路　張明勇

【摘要】 目的：探討關(guān)節(jié)鏡下膝前交叉韌帶重建術(shù)后康復(fù)訓(xùn)練對(duì)膝關(guān)節(jié)穩(wěn)定的療效。方法：選取本院2015年1月-2017年10月收治的行關(guān)節(jié)鏡下膝前交叉韌帶重建術(shù)的患者126例作為研究對(duì)象，按照隨機(jī)數(shù)字表法將其分為觀察組和對(duì)照組，各63例。對(duì)照組給予常規(guī)術(shù)后干預(yù)措施，觀察組在此基礎(chǔ)上給予階段性系統(tǒng)康復(fù)訓(xùn)練干預(yù)措施，比較兩組膝關(guān)節(jié)功能恢復(fù)情況以及干預(yù)后1、3、6個(gè)月的膝關(guān)節(jié)Lysholm、生活質(zhì)量、滿意度和依從性評(píng)分。結(jié)果：觀察組膝關(guān)節(jié)功能恢復(fù)優(yōu)良率為92.06%明顯高于對(duì)照組的79.37%，差異有統(tǒng)計(jì)學(xué)意義（字2=4.148，P=0.042）。觀察組干預(yù)后1、3、6個(gè)月的膝關(guān)節(jié)Lysholm評(píng)分均明顯高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組的生理功能、生理職能、情感職能、社會(huì)功能、活力、精神健康、軀體疼痛及總體健康評(píng)分均明顯高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組滿意度和依從性評(píng)分均明顯高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：關(guān)節(jié)鏡下膝前交叉韌帶重建術(shù)后康復(fù)訓(xùn)練對(duì)膝關(guān)節(jié)穩(wěn)定的療效顯著，顯著提高患者生活質(zhì)量，促進(jìn)膝關(guān)節(jié)恢復(fù)，患者依從性和滿意度好，值得進(jìn)一步推廣。

【關(guān)鍵詞】 關(guān)節(jié)鏡; 膝前交叉韌帶重建術(shù); 康復(fù)訓(xùn)練; 膝關(guān)節(jié)功能

【Abstract】 Objective：To explore the effect of rehabilitation training on knee joint stability after anterior cruciate ligament reconstruction under arthroscopy.Method：A total of 126 patients who undergone arthroscopic anterior cruciate ligament reconstruction in our hospital from January 2015 to October 2017 were selected as the research objects.According to the random number table method，they were divided into observation group and control group，63 cases in each group.The control group was given routine postoperative interventions，the observation group was given periodic systematic rehabilitation training interventions on this basis.The functional recovery of knee joint and Lysholm of knee joint after intervention 1，3 and 6 months，quality of life，satisfaction and compliance scores between the two groups were compared.Result：The excellent and good rate of knee joint function recovery in the observation group was 92.06%，which was significantly higher than 79.37% in the control group，the difference was statistically significant（字2=4.148，P=0.042）.The Lysholm scores of the knee joint after intervention 1，3 and 6 months in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.The scores of physiological function，physiological role，emotional role，social function，vitality，mental health，physical pain and general health in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.The satisfaction and compliance scores of the observation group were significantly higher than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：Rehabilitation training after anterior cruciate ligament reconstruction under arthroscopy has a significant effect on knee joint stability，significantly improving the quality of life of patients，promoting knee joint recovery，good compliance and satisfaction of patients，which is worthy of further promotion.