引膝痛疗法联合被动运动在膝关节周围骨折术中的作用OA
Role of Knee Pain Therapy Combined with Passive Movement in Surgery of Fracture Around Knee
目的 探究引膝痛疗法联合被动运动在膝关节周围骨折术中的作用.方法 选择河北省沧州中西医结合医院创伤骨科膝关节周围骨折内固定术后 100 例患者进行研究,对照组接受持续被动运动训练,试验组在对照组基础上予以引膝痛疗法.治疗结束后评估两组临床治疗效果、视觉模拟量表(visual analog scale,VAS)评分、纽约特种外科医院(hos-pital for special surgery,HSS)评分、改良的Barthel指数(modified Barthel index,MBI)评分、关节液中的白细胞介素-17(in-terleukin-17,IL-17)水平、骨代谢相关指标及生活质量.结果 治疗后与对照组比较,试验组临床治疗总效率较高(P＜0.05).治疗后,两组患者VAS评分下降,HSS和MBI评分升高(P＜0.05);与对照组比较,试验组VAS评分较低,HSS、MBI评分较高(P＜0.05).治疗后两组患者关节液中IL-17 的水平均下降,关节液中骨代谢指标升高(P＜0.05).与对照组比较,试验组关节液中IL-17 的水平较低,骨代谢指标水平较高(P＜0.05).治疗后两组患者的生活质量评分均有所提高,试验组评分较对照组高(P＜0.05).试验组并发症发生率较对照组低(P＜0.05).结论 引膝痛疗法联合持续性被动运动锻炼对接受膝关节周围骨折内固定术的患者具有明显的治疗效果,可显著提升膝关节功能、生活质量,其效果实现可能与抑制炎症反应和促进骨代谢的改善存在密切相关性.
Objective To explore the role of knee pain therapy combined with passive movement in the surgery of fracture a-round knee.Methods A study was conducted on 100 patients who underwent internal fixation surgery for fracture around knee in the trauma department of Cangzhou Hospital of Traditional Chinese and Western Medicine·Hebei.The control group received continuous passive exercise training,while the experimental group received knee pain therapy on the basis of the control group.Af-ter treatment,the clinical efficacy,visual analog scale(VAS)scores,hospital for special surgery(HSS)scores,modified Barthel index(MBI)scores,interleukin-17(IL-17)levels in joint fluid,bone metabolism related indicators,and quality of life of both groups were evaluated.Results Compared with the control group after treatment,the experimental group had a higher overall clini-cal treatment efficiency(P＜0.05).After treatment,the VAS scores of both groups decreased,while the HSS and MBI scores in-creased(P＜0.05).Compared with the control group,the experimental group had lower VAS scores and higher HSS and MBI scores(P＜0.05).After treatment,the levels of IL-17 in the joint fluid of both groups decreased,and the bone metabolism indi-cators in the joint fluid increased(P＜0.05).Compared with the control group,the experimental group had lower levels of IL-17 in joint fluid and higher levels of bone metabolism indicators(P＜0.05).After treatment,the quality of life scores of both groups improved,with the experimental group scoring higher than the control group(P＜0.05).The incidence of complications in the ex-perimental group was lower than that in the control group(P＜0.05).Conclusion The knee pain therapy combined with continu-ous passive exercise has obvious therapeutic effect on patients undergoing fracture around knee,which can significantly improve the knee function and the quality of life of patients.The realization of its effect may be closely related to the inhibition of inflam-matory response and the improvement of bone metabolism.
李付彬;高士杰;王宸;何禄艳;武永东;武晔
河北省沧州中西医结合医院,河北 沧州 061000河北省沧州中西医结合医院,河北 沧州 061000河北省沧州中西医结合医院,河北 沧州 061000河北省沧州中西医结合医院,河北 沧州 061000河北省沧州中西医结合医院,河北 沧州 061000河北省沧州中西医结合医院,河北 沧州 061000
医药卫生
引膝痛疗法持续性被动运动锻炼膝关节周围骨折内固定术膝关节功能
knee pain therapycontinuous passive exerciseperipheral knee fracture fixationknee function
《辽宁中医杂志》 2026 (3)
86-89,4
河北省卫生健康委员会医学科学研究课题计划项目(20261201)
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