CAJ | 학술논문

目的：探讨微信平台在前交叉韧带重建术后家庭康复中的应用。方法接受单侧自体腘绳肌腱重建膝关节前交叉韧带术的患者126例，分为观察组(n=69)和对照组(n=57)。对照组给予常规康复干预，观察组同时加入微信平台。两组患者术后3个月、6个月时比较关节活动度、关节稳定性、髌上10 cm处双侧大腿周径差值、Lysholm评分、国际膝关节评分委员会(IKDC)评分。结果术后，两组膝关节活动度伸直无显著性差异(P>0.05)，屈曲有显著性差异(P<0.05)；髌上10 cm处双侧大腿周径差值术后3个月无显著性差异(P>0.05)，而6个月时有显著性差异(P<0.05)；关节稳定性检查无显著性差异(P>0.05)；Lysholm评分和IKDC评分有显著性差异(P<0.05)。结论微信平台的建立可以明显提高患者治疗的依从性，加速康复进程，减少并发症。
목적：탐토미신평태재전교차인대중건술후가정강복중적응용。방법접수단측자체객승기건중건슬관절전교차인대술적환자126례，분위관찰조(n=69)화대조조(n=57)。대조조급여상규강복간예，관찰조동시가입미신평태。량조환자술후3개월、6개월시비교관절활동도、관절은정성、빈상10 cm처쌍측대퇴주경차치、Lysholm평분、국제슬관절평분위원회(IKDC)평분。결과술후，량조슬관절활동도신직무현저성차이(P>0.05)，굴곡유현저성차이(P<0.05)；빈상10 cm처쌍측대퇴주경차치술후3개월무현저성차이(P>0.05)，이6개월시유현저성차이(P<0.05)；관절은정성검사무현저성차이(P>0.05)；Lysholm평분화IKDC평분유현저성차이(P<0.05)。결론미신평태적건립가이명현제고환자치료적의종성，가속강복진정，감소병발증。
Objective To apply the WeChat in family rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods 126 patients accepted ACL reconstruction using quadrupled semitendinosus and gracilis tendons were divided into observation group (n=69) and control group (n=57). The control group received conventional rehabilitation program, and the observation group joined the WeChat group. They were assessed with knee range of motion (ROM), knee stability test, thigh perimeter, Lysholm score and the International Knee Docu-mentation Committee (IKDC) score 3 and 6 months after operation. Results There was a significant difference between groups in ROM of knee flexion (P<0.05) 3 and 6 months after operation, but not in ROM of knee extension (P>0.05). There was no significant difference in thigh perimeter 3 months after operation, but it was significant 6 months after operation. There was significant difference in Lysholm score and IKDC score (P<0.05), but not in the joint stability (P>0.05). Conclusion Direction of rehabilitation with the WeChat Group can signifi-cantly improve the compliance, accelerate the rehabilitation process and reduce complications in patients after ACL reconstruction.