基于肌肉能量技术的康复训练护理对半月板损伤术后功能康复的影响

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摘要目的探讨半月板损伤术后患者经基于肌肉能量技术的康复训练护理的干预效果。方法回顾性分析2018年3月—2019年10月四川大学华西医院完成手术治疗、术后康复及随访的半月板损伤的82例患者临床资料，依据不同康复训练护理干预措施分为对照组（常规康复训练护理，38例）和观察组（常规康复训练护理＋基于肌肉能量技术的康复训练护理，44例），均干预4周。干预前及干预3、7 d时，采用视觉模拟评分法（VAS）评估两组疼痛程度；采用Lysholm膝关节评分量表评估两组膝关节功能恢复情况；采用量角器测量评估两组的膝关节活动度，采用等速肌力测试和训练系统评定两组的股四头肌萎缩程度。结果不同时间、分组患者的VAS评分不同，且时间、分组存在交互作用（P ＜ 0.05）。进一步两两比较，组内比较：两组干预3、7 d时的VAS评分均低于干预前；组间比较：观察组干预3、7 d时的VAS评分均低于对照组（P ＜ 0.05）；干预前，两组膝关节功能（LKSS）评分比较，差异无统计学意义（P ＞ 0.05）；干预后，两组LKSS评分高于干预前，且观察组高于对照组（P ＜ 0.05）；干预前，两组膝关节活动度和股四头肌萎缩程度比较，差异无统计学意义（P ＞ 0.05）；干预后，两组的膝关节活动度高于干预前，股四头肌萎缩程度低于干预前，且观察组的膝关节活动度高于对照组，股四头肌萎缩程度低于对照组（P ＜ 0.05）。结论基于肌肉能量技术的康复训练护理在半月板损伤患者术后的应用效果显著，可有效减轻患者疼痛程度，促进膝关节功能康复，更利于患者术后功能恢复。

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	叶致宇李思敏▲

关键词 ：半月板损伤, 康复训练护理, 肌肉能量技术, 疼痛, 功能康复

Abstract：Objective To investigate the intervention effect of rehabilitation training nursing based on muscle energy technique in patients with meniscus injury. Methods Retrospectively analysis, collected the clinical data of 82 meniscus injury patients who completed surgical treatment, postoperative rehabilitation and follow-up from March 2018 to October 2019 in West China Hospital, Sichuan University, and they were divided into control groups (conventional rehabilitation training nursing, 38 cases) and observation group (conventional rehabilitation training nursing + rehabilitation training nursing based on muscle energy technology, 44 cases) according to different rehabilitation training nursing interventions, they were treated with 4 weeks of intervention. Before intervention, at 3 d and at 7 d of intervention, visual analogue scale (VAS) was used to assess the pain level in both groups; Lysholm knee scale was used to assess the recovery of knee function in both groups; protractor was used to measure the knee joint mobility of the two groups, the isokinetic strength test and training system were used to assess the degree of quadriceps atrophy in both groups. Results The VAS scores of patients at different times and groups were different, and there was an interaction between time and group (P ＜ 0.05). Further comparison between the two groups, comparison within the group: the VAS scores of the two groups at 3 d and 7 d were lower than before the intervention; comparison between the groups: the VAS scores of the observation group at 3d and 7d were lower than the control group (P ＜ 0.05); Before intervention, there was no significant difference in knee joint function (LKSS) score between the two groups (P ＞ 0.05); after intervention, the LKSS scores of the two groups were higher than before intervention, and the observation group was higher than the control group (P ＜ 0.05); before intervention, there was no statistically significant difference in knee joint mobility and quadriceps atrophy between the two groups (P ＞ 0.05); after intervention, the knee joint mobility of the two groups was higher than before intervention, and the degree of atrophy of the quadriceps muscle was lower than before the intervention, and the knee joint mobility of the observation group was higher than that of the control group, and the degree of atrophy of the quadriceps muscle was lower than that of the control group (P ＜ 0.05). Conclusion The application of rehabilitation training nursing based on muscle energy technology in patients with meniscus injury has a significant effect, which can effectively reduce the pain of patients, promote the rehabilitation of knee joint function, and is more conducive to the recovery of postoperative function of patients.

Key words： Meniscus injury Rehabilitation training nursing Muscle energy technology Pain Functional rehabilitation

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引用本文:

叶致宇李思敏▲. 基于肌肉能量技术的康复训练护理对半月板损伤术后功能康复的影响[J]. 中国医药导报, 2020, 17(29): 171-174.
YE Zhiyu LI Simin▲. Effect of rehabilitation training nursing based on muscle energy technology on functional rehabilitation after meniscus injury. 中国医药导报, 2020, 17(29): 171-174.

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