河南医学研究
河南醫學研究
하남의학연구
Henan Medical Research
2015年
9期
24-26
,共3页
医学训练式%膝关节损伤%功能障碍
醫學訓練式%膝關節損傷%功能障礙
의학훈련식%슬관절손상%공능장애
medical training%knee injuries%dysfunction
目的：研究医学训练式对膝关节损伤患者功能障碍的疗效。方法2013年5月至2014年4月，郑州大学附属洛阳市中心医院共有106例患者经诊断为膝关节损伤。按数字法随机分成观察组（53例）和对照组（53例）。两组患者均进行系统综合康复治疗，观察组在此基础上增加医学训练式治疗法。对比两组疗效以及治疗前后患者的步行能力和疼痛程度。结果治疗前两组膝关节主动活动范围（active range of motion，AROM）评分、膝关节屈、伸肌峰力矩（PT 评分）差异均无统计学意义。治疗后，观察组膝关节的 AROM、股四头肌和股二头肌评分，6 min 步行测试时间和 VAS 评分均显著优于对照组，差异均有统计学意义（P ＜0．05）。结论使用医学训练式治疗法联合系统康复综合治疗，不仅可提高治疗效果，还可有效地改善膝关节损伤障碍患者的运动功能，安全性较好，值得临床推荐。
目的：研究醫學訓練式對膝關節損傷患者功能障礙的療效。方法2013年5月至2014年4月，鄭州大學附屬洛暘市中心醫院共有106例患者經診斷為膝關節損傷。按數字法隨機分成觀察組（53例）和對照組（53例）。兩組患者均進行繫統綜閤康複治療，觀察組在此基礎上增加醫學訓練式治療法。對比兩組療效以及治療前後患者的步行能力和疼痛程度。結果治療前兩組膝關節主動活動範圍（active range of motion，AROM）評分、膝關節屈、伸肌峰力矩（PT 評分）差異均無統計學意義。治療後，觀察組膝關節的 AROM、股四頭肌和股二頭肌評分，6 min 步行測試時間和 VAS 評分均顯著優于對照組，差異均有統計學意義（P ＜0．05）。結論使用醫學訓練式治療法聯閤繫統康複綜閤治療，不僅可提高治療效果，還可有效地改善膝關節損傷障礙患者的運動功能，安全性較好，值得臨床推薦。
목적：연구의학훈련식대슬관절손상환자공능장애적료효。방법2013년5월지2014년4월，정주대학부속락양시중심의원공유106례환자경진단위슬관절손상。안수자법수궤분성관찰조（53례）화대조조（53례）。량조환자균진행계통종합강복치료，관찰조재차기출상증가의학훈련식치요법。대비량조료효이급치료전후환자적보행능력화동통정도。결과치료전량조슬관절주동활동범위（active range of motion，AROM）평분、슬관절굴、신기봉력구（PT 평분）차이균무통계학의의。치료후，관찰조슬관절적 AROM、고사두기화고이두기평분，6 min 보행측시시간화 VAS 평분균현저우우대조조，차이균유통계학의의（P ＜0．05）。결론사용의학훈련식치요법연합계통강복종합치료，불부가제고치료효과，환가유효지개선슬관절손상장애환자적운동공능，안전성교호，치득림상추천。
Objective To study the effects of medical training on dysfunction in patients with knee joint injury.Methods From May of 201 3 to April of 201 4 in Affiliated Luoyang Central Hospital of Zhengzhou University,a total of 1 06 patients diag-nosed as knee joint injury were selected and were randomly divided into observation group (53 cases)and control group (53 ca-ses)according to digital method.The control group was treated with comprehensive rehabilitation therapy,the observation group was treated with medical training therapy on the basis of comprehensive rehabilitation therapy.The walking abilities and the de-grees of pain were compared before and after treatment.Results Before treatment,active range of motion of the knee (active range of motion,AROM)score,knee flexor,extensor peak torque (PT score)had no significant difference.After treatment, AROMof the knee,unit four biceps and stock two muscles,6 -min walk test time,VAS scores in the observation group were significantly better than control group,and the differences were statistically significant (P <0.05).Conclusion The use of medical training therapy combined with rehabilitation comprehensive treatment not only can improve the therapeutic effects,but also can effectively improve the motor function of patients with knee joint injury with high safety,worth of recommendation.
