目的 探讨关节镜下膝关节前交叉韧带(ACL)重建术后不同时间窗下床负重训练对关节功能恢复的影响.方法 将90例ACL术后患者随机分为A组(30例)、B组(31例)和C组(29例),在骨科常规治疗护理基础上,分别于术后第3天、第5天、第7天开始下床负重练习,在术前、出院时、出院后1个月评价三组膝关节功能(HSS)、屈伸活动度(ROM)、功能分级.结果 三组出院时和出院后1个月HSS、ROM和功能分级具有统计学差异(P＜0.05,P＜0.01);两两比较,出院时B组HSS、ROM、功能分级显著优于A组与C组(均P＜0.05),出院后1个月B组HSS、ROM显著优于A组与C组,且功能分级显著优于C组(均P＜0.05).结论 关节镜下ACL重建术后第5天开始下床负重训练有利于提高膝关节功能及屈伸活动度,促进膝关节功能恢复.%Objective To explore the effect of weight-bearing training out o{ bed at different time windows on rehabilitation of joint function after arthroscopic reconstruction of anterior cruciate ligament (ACL).Methods Totally 90 ACL patients after surgery were randomized into group A (n=30),group B (n=31) and group C (n=29),who started weight-bearing training out of bed at 3 days,5 days and 7 days after operation based on the routine treatment and nursing in orthopedics department.The knee joint functions (HSS),flexion and extension (ROM) and functional classification of the three groups were evaluated be{ore operation,at discharge and 1 month after discharge.Results There were significant differences in HSS,ROM and functional classification among the 3 groups at discharge and 1 month after discharge (P＜0.05,P＜0.01).The HSS,ROM and functional classification o{ group B were significantly better than those of group A and group C (P＜0.05 for all),the HSS and ROM in group B were significantly better than those of group A and group C at 1 month after discharge,and the functional classification was significantly better than that of group C (P＜0.05 for all).Conclusion Weight-bearing training out of bed starting at 5 days after arthroscopic reconstruction of ACL,is conducive to improving knee joint function and flexion activity,and promoting recovery of knee joint.
展开▼
