CAJ | 학술논문

目的：应用脉冲电磁场（ pulsed magnet field， PMF）对全膝关节置换术后老年骨质疏松患者膝关节进行康复治疗并对其功能进行评估研究。方法选取2011年1月到2013年12月来我院治疗的行全膝关节置换术的骨质疏松症患者23例。依据临床手术指征及临床诊断标准进行病例筛查。利用膝关节康复评定表定期对其进行康复评估并对其制定相应的康复治疗。其中有17名患者给予脉冲电磁场干预，纳入脉冲电磁场组（ PMF）。5名患者纳入到非脉冲电磁场组（ NPMF）。应用法国MED1X90全身双能X线骨密度仪对腰椎（L1-L4）骨密度进行检测。对比术后第2周，第1个月，第3个月膝关节功能恢复情况及腰椎骨密度。结果经过6个月的随访调查，膝关节功能均有恢复。非脉冲电磁场组（ NPMF）中膝关节屈曲功能在术后第2周，第1个月，第3个月较差。脉冲电磁场组（ PMF）患者接受膝关节运动治疗后膝关节功能活动恢复相对较好，并且其膝关节功能恢复时间明显缩短。脉冲电磁场组与非脉冲电磁场组相比膝关节功能重建康复时间明显缩短，膝关节功能活动范围加大（ P＜0．05）。没有任何一个病人反应在进行全膝关节置换术后出现感染及膝关节功能障碍的情况。结论全膝关节置换术后伴随骨质疏松症的患者应用脉冲电磁场对膝关节功能恢复作用明显。
목적：응용맥충전자장（ pulsed magnet field， PMF）대전슬관절치환술후노년골질소송환자슬관절진행강복치료병대기공능진행평고연구。방법선취2011년1월도2013년12월래아원치료적행전슬관절치환술적골질소송증환자23례。의거림상수술지정급림상진단표준진행병례사사。이용슬관절강복평정표정기대기진행강복평고병대기제정상응적강복치료。기중유17명환자급여맥충전자장간예，납입맥충전자장조（ PMF）。5명환자납입도비맥충전자장조（ NPMF）。응용법국MED1X90전신쌍능X선골밀도의대요추（L1-L4）골밀도진행검측。대비술후제2주，제1개월，제3개월슬관절공능회복정황급요추골밀도。결과경과6개월적수방조사，슬관절공능균유회복。비맥충전자장조（ NPMF）중슬관절굴곡공능재술후제2주，제1개월，제3개월교차。맥충전자장조（ PMF）환자접수슬관절운동치료후슬관절공능활동회복상대교호，병차기슬관절공능회복시간명현축단。맥충전자장조여비맥충전자장조상비슬관절공능중건강복시간명현축단，슬관절공능활동범위가대（ P＜0．05）。몰유임하일개병인반응재진행전슬관절치환술후출현감염급슬관절공능장애적정황。결론전슬관절치환술후반수골질소송증적환자응용맥충전자장대슬관절공능회복작용명현。
Objective To apply pulse magnet fields ( PMF ) in the knee function rehabilitation treatment after total knee arthroplasty ( TKA ) in patients with senile osteoporosis, and to evaluate its effect.Methods Twenty-three patients with osteoporosis, who underwent TKA in our hospital from January 2011 to December 2013, were selected.All the cases had been screened according to the clinical surgical indication and diagnostic criteria.The rehabilitation treatment was designed and evaluated timely.Seventeen patients in the group of PMF were treated with pulse magnet field interference, while 5 patients in the group of NPMF were not given pulse magnet field interference.The bone mineral density (BMD) of the lumbar vertebrae (L1-L4) was detected using X-ray absorptiometry ( DEXA, MED1X90, France) .The knee joint function recovery and BMD were compared on 2 weeks, 1 month, and 3 months postoperatively.Results After six months of follow-up, the knee joint function in all the patients was restored to some extent.The knee flexion in NPMF group was poorer at the 2nd week, the 1st month, and the 3rd month after surgery, while the function in PMF group was relatively better after knee joint movement treatment, and the knee joint function recovery time shortened obviously.Compared with that in NPMF group, the recovery time of the knee joint function reconstruction in PMF group shortened significantly, and the range of motion of the knee increased significantly (P<0.05).No infection or the knee joint dysfunction occurred after TKA.Conclusion The knee joint function recovery is significantly better after the use of PMF in patients with osteoporosis after TKA.