微创医学

目的研究膝关节镜术后主动运动、持续被动运动(CPM)及CPM联合骨科无痛治疗方案三种不同功能锻炼方式对膝关节镜术后功能恢复的影响。方法将膝关节镜手术病人103例随机分成以下三组:第一组患者给予传统的治疗方案,告知患者自己进行主动功能锻炼;第二组患者给予CPM治疗;第三组患者给予CPM治疗的同时全程给予骨科无痛治疗。记录三组术后相同时间点膝关节主动屈曲角度与达到膝关节相同屈曲角度所需天数的差异,三组患者术后各时点静息状态及运动状态下VAS评分的比较,以及治疗后肿胀缓解时间、住院时间的比较。结果第三组膝关节达到相同主动屈曲角度所需天数少于一、二两组,在相同的时间点第三组主动屈曲的度数明显大于一、二两组,第三组的VAS评分、膝关节疼痛缓解时间及肿胀时间也明显小于一、二两组,差异具有统计学意义(P<0.05)。结论膝关节镜术后患者早期CPM治疗联合骨科无痛治疗更有利于膝关节功能的恢复。

Objective To compare the effect of active exercise，continued passive motion( CPM) ，and CPM combined orthopaedic painless treatment after knee arthroscopy on functional recovery． Method 103 patients underwent knee arthroscopy surgery were divided into the following three groups at random: the first group of patients were given the traditional scheme，and informed on their own initiative function exercise; the second group of patients were given CPM treatment，the third group of patients were given both CPM treatment and orthopaedic painless treatment． The knee active mobility at the same time point，the day required to achieve the same knee mobility，the VAS score of the resting state and sports state，time of swelling ease after treatment，and the time in the hospital were recorded and compared among three groups．Ｒesults Compared to those of the first group and the second group，day required to achieve the same knee mobility was less，The knee active mobility degree at the same time point was bigger，and VAS score，time of swelling ease， and swelling time after treatment were less，all with statistical significance ( P ＜ 0． 05) ． Conclusion The early CPM treatment combined with orthopaedic painless treatment after knee arthroscopy is more advantageous to the knee function recovery．