中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
11期
1803-1805
,共3页
梁小丽%陈坤嫦%李凤云%林宇宁%刘丽萍
樑小麗%陳坤嫦%李鳳雲%林宇寧%劉麗萍
량소려%진곤항%리봉운%림우저%류려평
膝关节%前交叉韧带%康复训练
膝關節%前交扠韌帶%康複訓練
슬관절%전교차인대%강복훈련
Knee jolnt%Anterior cruciate ligament%Rehabilitation training
目的 评估系统康复训练改善膝关节交叉韧带损伤患者术后关节功能的近期临床效果.方法 所有膝关节交叉韧带损伤患者术后接受系统康复训练6~18个月,平均12.8个月.采用Lysholm评分系统和Lachman法评分标准评价疗效.结果 术后无伸膝受限,屈膝活动度110°~150°,平均130°.膝关节功能评分以Lysholm标准评定:术前为(69.3±4.8)分、术后为(88.3±11.6)分,手术前后差异有统计学意义(P<0.01);膝关节稳定性以Lachman试验和轴移试验测试:双侧对比差异≤4 mm为82例,双侧对比差异≤5 mm为19例,轴移试验(-)为103例.结论 早期系统康复训练可减轻膝关节术后的疼痛、肿胀、改善膝关节功能.
目的 評估繫統康複訓練改善膝關節交扠韌帶損傷患者術後關節功能的近期臨床效果.方法 所有膝關節交扠韌帶損傷患者術後接受繫統康複訓練6~18箇月,平均12.8箇月.採用Lysholm評分繫統和Lachman法評分標準評價療效.結果 術後無伸膝受限,屈膝活動度110°~150°,平均130°.膝關節功能評分以Lysholm標準評定:術前為(69.3±4.8)分、術後為(88.3±11.6)分,手術前後差異有統計學意義(P<0.01);膝關節穩定性以Lachman試驗和軸移試驗測試:雙側對比差異≤4 mm為82例,雙側對比差異≤5 mm為19例,軸移試驗(-)為103例.結論 早期繫統康複訓練可減輕膝關節術後的疼痛、腫脹、改善膝關節功能.
목적 평고계통강복훈련개선슬관절교차인대손상환자술후관절공능적근기림상효과.방법 소유슬관절교차인대손상환자술후접수계통강복훈련6~18개월,평균12.8개월.채용Lysholm평분계통화Lachman법평분표준평개료효.결과 술후무신슬수한,굴슬활동도110°~150°,평균130°.슬관절공능평분이Lysholm표준평정:술전위(69.3±4.8)분、술후위(88.3±11.6)분,수술전후차이유통계학의의(P<0.01);슬관절은정성이Lachman시험화축이시험측시:쌍측대비차이≤4 mm위82례,쌍측대비차이≤5 mm위19례,축이시험(-)위103례.결론 조기계통강복훈련가감경슬관절술후적동통、종창、개선슬관절공능.
Objective To evaluate the clinical result of system rehabilitation training on joint rehabilitation after operation in cruciate ligament injury of the knee joint patients.Methods All patients were followed up for 6~18 months(average 12.8 months).The clinical results were evaluated according to Lysholm and Lachman clinical rating scales.Results At the end of follow-up,there was no knee extension limitation and the knee flexion was between 110°and 150°,with an average of 130°.The Lysholm score of the 110 cases was (69.3±4.8) before operation, and (88.3±11.6) at the end of follow-up.The difference between the Lysholm scores was significant (P < 0.01), the difference of Lachman score below 4mm in 82 cases and 19 cases were below 5mm.Conclusion Early system rehabilitation training can relieve the postoperative pain and swelling of pain,and improve the function of knee joint in cruciate ligament injury of the knee joint patients.