关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效观察

刘拴　樊薰勤　左毅　钱雪丰　徐宁路　张明勇

【摘要】 目的：探討关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效。方法：选取本院2015年1月-2017年10月收治的行关节镜下膝前交叉韧带重建术的患者126例作为研究对象，按照随机数字表法将其分为观察组和对照组，各63例。对照组给予常规术后干预措施，观察组在此基础上给予阶段性系统康复训练干预措施，比较两组膝关节功能恢复情况以及干预后1、3、6个月的膝关节Lysholm、生活质量、满意度和依从性评分。结果：观察组膝关节功能恢复优良率为92.06%明显高于对照组的79.37%，差异有统计学意义（字2=4.148，P=0.042）。观察组干预后1、3、6个月的膝关节Lysholm评分均明显高于对照组，差异均有统计学意义（P<0.05）。观察组的生理功能、生理职能、情感职能、社会功能、活力、精神健康、躯体疼痛及总体健康评分均明显高于对照组，差异均有统计学意义（P<0.05）。观察组满意度和依从性评分均明显高于对照组，差异均有统计学意义（P<0.05）。结论：关节镜下膝前交叉韧带重建术后康复训练对膝关节稳定的疗效显著，显著提高患者生活质量，促进膝关节恢复，患者依从性和满意度好，值得进一步推广。

【关键词】 关节镜; 膝前交叉韧带重建术; 康复训练; 膝关节功能

【Abstract】 Objective：To explore the effect of rehabilitation training on knee joint stability after anterior cruciate ligament reconstruction under arthroscopy.Method：A total of 126 patients who undergone arthroscopic anterior cruciate ligament reconstruction in our hospital from January 2015 to October 2017 were selected as the research objects.According to the random number table method，they were divided into observation group and control group，63 cases in each group.The control group was given routine postoperative interventions，the observation group was given periodic systematic rehabilitation training interventions on this basis.The functional recovery of knee joint and Lysholm of knee joint after intervention 1，3 and 6 months，quality of life，satisfaction and compliance scores between the two groups were compared.Result：The excellent and good rate of knee joint function recovery in the observation group was 92.06%，which was significantly higher than 79.37% in the control group，the difference was statistically significant（字2=4.148，P=0.042）.The Lysholm scores of the knee joint after intervention 1，3 and 6 months in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.The scores of physiological function，physiological role，emotional role，social function，vitality，mental health，physical pain and general health in the observation group were significantly higher than those in the control group，the differences were statistically significant（P<0.05）.The satisfaction and compliance scores of the observation group were significantly higher than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：Rehabilitation training after anterior cruciate ligament reconstruction under arthroscopy has a significant effect on knee joint stability，significantly improving the quality of life of patients，promoting knee joint recovery，good compliance and satisfaction of patients，which is worthy of further promotion.