摘要
目的探讨阶梯式康复训练对胫骨平台骨折术后患者疼痛应激指标水平及膝关节功能的影响。方法选取郑州市骨科医院2020年10月—2022年7月收治的87例胫骨平台骨折术后患者为研究对象,按照随机数字表法将其分为对照组与观察组。对照组(n=43)采用常规康复训练,观察组(n=44)采用阶梯式康复训练。对比两组患者的膝关节功能、术后疼痛症状及疼痛应激指标。结果术后3 d和术后1周,观察组的疼痛视觉模拟评分分别为(3.64±0.84)分、(2.20±0.41)分,均低于对照组的(4.51±0.74)分、(2.67±0.47)分,组间差异有统计学意义(P<0.05)。干预1周后,观察组前列腺素E_(2)、P物质、神经肽Y水平分别为(59.80±4.09)pg/mL、(1.78±0.53)μg/mL、(74.86±5.68)pg/mL,均低于对照组的(77.14±5.99)pg/mL、(2.90±0.52)μg/mL、(94.85±6.76)pg/mL,组间差异有统计学意义(P<0.05)。干预6个月后,观察组的疼痛、屈曲能力、肿胀、行走能力评分分别为(23.91±2.57)分、(14.50±2.79)分、(7.52±1.69)分、(24.55±2.93)分,均高于对照组的(20.47±2.81)分、(12.16±2.55)分、(6.12±1.45)分、(21.88±3.14)分,组间差异有统计学意义(P<0.05)。结论阶梯式康复训练能够有效降低胫骨平台骨折术后患者疼痛应激指标,缓解术后疼痛症状,提高膝关节功能,具有临床推广价值。
Objective To study the effects of step rehabilitation training on the level of pain stress indexes and knee joint function in patients after tibial plateau fracture.Methods 87 patients with tibial plateau fracture treated in Zhengzhou Orthopaedic Hospital from October 2020 to July 2022 were selected as the study objects and were divided into a control group and an observation group according to random number table method.The control group(n=43)received routine rehabilitation training and the observation group(n=44)received stepped rehabilitation training.The knee function,postoperative pain symptoms and pain stress indexes were compared between the two groups.Results 3 days and 1 week after surgery,the visual simulation scores of pain in the observation group were(3.64±0.84)points and(2.20±0.41)points,respectively,which were lower than(4.51±0.74)points and(2.67±0.47)points in the control group,and the differences between groups were statistically significant(P<0.05).After 1 week of intervention,the levels of prostaglandin E_(2),substance P and neuropeptide Y in the observation group were(59.80±4.09)pg/mL,(1.78±0.53)μg/mL and(74.86±5.68)pg/mL,respectively,which were lower than(77.14±5.99)pg/mL,(2.90±0.52)μg/mL,(94.85±6.76)pg/mL in the control group,and the differences between groups were statistically significant(P<0.05).6 months after the intervention,the scores of pain,flexion,swelling and walking ability in the observation group were(23.91±2.57)points,(14.50±2.79)points,(7.52±1.69)points and(24.55±2.93)points respectively,which were higher than(20.47±2.81)points,(12.16±2.55)points,(6.12±1.45)points,(21.88±3.14)points in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Step rehabilitation training can effectively reduce the pain stress index of patients after tibial plateau fracture,relieve postoperative pain symptoms,and improve knee joint function.
作者
蔺美霞
白玉
LIN Meixia;BAI Yu(Xingyang Gaocun Central Health Center,Xingyang Henan,450100,China;Department of Neck,Shoulder,Back and Leg Pain,Zhengzhou Orthopaedic Hospital,Zhengzhou Henan,450000,China)
出处
《反射疗法与康复医学》
2023年第18期72-75,共4页
Reflexology And Rehabilitation Medicine
关键词
阶梯式康复训练
胫骨平台骨折
膝关节功能
疼痛
Step rehabilitation training
Tibial plateau fracture
Knee joint function
Pain
