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关节镜下膝前交叉韧带重建术后中期中西医结合临床康复研究
引用本文:梁翼,张世明,胡勇,张挥武,李敏.关节镜下膝前交叉韧带重建术后中期中西医结合临床康复研究[J].中国中医骨伤科杂志,2010(12):30-32.
作者姓名:梁翼  张世明  胡勇  张挥武  李敏
作者单位:四川省骨科医院(成都体育医院),成都610041
摘    要:目的:验证中西医结合方法对关节镜下韧带重建术后中期康复治疗的有效性和优势。方法:选择关节镜下膝前交叉韧带重建术住院患者76例,随机分为2组:治疗组(中医疗法+常规康复训练组)和对照组(常规康复训练组)。比较2组患者术后3月、6月的疼痛、肿胀、关节活动度和膝关节Lysholm评分、HSS评分、JOA评分及膝IKDC-2000功能评分、膝关节功能、运动能力。结果:(1)对主观疼痛(VAS评分)、Lyshom评分、JOA评分、HSS评分、IKDC-2000综合评分:治疗组与对照组于术后3月、6月比较差异有统计学意义。(2)对关节活动度、减轻关节肿胀(关节积液量):治疗组与对照组于术后3月比较差异有统计学意义;(3)对膝关节屈、伸肌峰力矩的影响、膝关节稳定性比较:治疗组与对照组于术前及术后6月比较差异均有统计学意义。结论:中西医结合康复程序对关节镜下膝ACL重建术后中期功能恢复优于常规康复程序作用。

关 键 词:关节镜  前交叉韧带重建术  中西医结合  康复

The Intermediate Stage Study of Traditional Chinese Medicine Combing Rehabilitation Training in Postoperative ACL Construction under Arthroscopy
LIANG Yi,ZHANG Shiming,HU Yong,ZHANG Huiwu,LI Min.The Intermediate Stage Study of Traditional Chinese Medicine Combing Rehabilitation Training in Postoperative ACL Construction under Arthroscopy[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2010(12):30-32.
Authors:LIANG Yi  ZHANG Shiming  HU Yong  ZHANG Huiwu  LI Min
Institution:1Sichuan Orthopedic Hospital,Chengdu 610041,China
Abstract:Objective:To study the effect of traditional Chinese medicine on the intermediate stage rehabilitation in postoperative anterior cruciate ligament(ACL) construction under arthroscopy.Methods:A total of 76 patients,who underwent arthroscopic ACL reconstruction,were randomly divided into two groups.In treatment group,38 patients received routine rehabilitation training and traditional Chinese medicine treatment,while in control group,38 patients received only routine rehabilitation training treatment after operation.The outcomes of operative pain,swelling,joint function,the score of Lysholm,HSS,JOY,and IKDC-200 were observed before the operation,3,and 6 months after the operation.Results:(1)There were significant differences in the scores of the VOA,Lysholm,HSS,JOY,and IKDC-2000 between the two groups in the 3rd and 6th month(P0.05).(2) After 3 months treatment,there were better results in the range of motion(ROM) and knee swelling in treatment group than in control group(P0.05).(3) After 6 months treatment,the knee stability in treatment group was prior to control group(P0.05).Conclusion: The study suggests that the traditional Chinese medicine combing rehabilitation training is superior to the routine rehabilitation training.
Keywords:Arthroscopy  Anterior cruciate ligament construction  Traditional Chinese medicine  Rehabilitation training
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