| 冯晓玲,乔 林,袁 静,庄丽丽,王 婧,程艳艳,蔡月娥,张秋红.主动运动训练和被动运动训练对人工全膝关节置换患者的随机对照研究[J].,2022,(12):2294-2297 |
| 主动运动训练和被动运动训练对人工全膝关节置换患者的随机对照研究 |
| Randomized Controlled Study of Active Exercise Training and Passive Exercise Training in Patients with Total Knee Arthroplasty |
| 投稿时间：2021-12-22 修订日期：2022-01-18 |
| DOI：10.13241/j.cnki.pmb.2022.12.019 |
| 中文关键词: 主动运动训练 被动运动训练 人工全膝关节置换 生活质量 膝关节功能 |
| 英文关键词: Active sports training Passive exercise training Total knee arthroplasty Quality of life Knee function |
| 基金项目:北京市科技计划项目（Z191200007618013） |
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| 中文摘要: |
| 摘要 目的：对比主动运动训练和被动运动训练在人工全膝关节置换（TKA）患者中的应用效果。方法：选择2017年4月~2021年8月期间我院骨科收治的TKA患者65例，根据随机数字表法将患者分为主动组（主动运动训练）和被动组（被动运动训练），各为33例和32例。对比两组生活自理能力、平衡能力、疼痛情况、膝关节功能情况、膝关节活动度和生活质量。结果：两组术后1周、术后2周Barthel指数（BI）、Berg平衡量表（BBS）、美国膝关节外科学会评分标准（KSS）评分均较术前升高，视觉疼痛模拟法（VAS）评分均较术前下降（P<0.05）。主动组BI、BBS、KSS评分高于被动组，VAS评分低于被动组（P<0.05）。两组术前、术后3 d、术后7 d被动关节活动度（PROM）、主动关节活动度（AROM）均下降后升高（P<0.05），主动组术后3 d AROM、PROM高于被动组（P<0.05）。两组术后3个月生理职能、生理机能、一般健康、躯体疼痛、社会功能、精力、精神健康、情感职能各维度评分均升高，且主动组高于被动组（P<0.05）。结论：与被动运动训练相比，主动运动训练应用于TKA患者，可减轻患者疼痛，改善膝关节活动度及功能，改善患者生活自理能力，提高其生活质量的效果均更显著。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the effects of active exercise training and passive exercise training in patients with total knee arthroplasty (TKA). Methods: 65 patients with TKA who were treated in the Department of orthopedics of our hospital from April 2017 to August 2021 were selected. According to the random number table method, the patients were divided into active group (active exercise training) and passive group (passive exercise training), with 33 cases and 32 cases respectively. The self-care ability, balance ability, pain condition, knee function condition, knee range of motion and quality of life of the two groups were compared. Results: Barthel index (BI), Berg Balance Scale (BBS) and American Society of Knee Surgery (KSS) scores in two groups at 1 week and 2 weeks after operation increased compared with those before operation, and visual pain simulation (VAS) scores decreased compared with that before operation (P<0.05). BI, BBS and KSS scores in active group were higher than those in passive group, and VAS score was lower than that in passive group (P<0.05). The passive range of motion (PROM) and active range of motion (AROM) in two groups decreased and then increased before operation, 3 d after operation and 7 d after operation (P<0.05), and AROM and PROM in the active group were higher than those in the passive group (P<0.05). 3 months after operation, the scores of physiological function, physiological function, general health, physical pain, social function, energy, mental health and emotional function in two groups were increased, and the active group was higher than the passive group (P<0.05). Conclusion: Compared with passive exercise training, active exercise training is more effective in patients with TKA to reduce pain, improve knee joint mobility and function, improve patients' self-care ability and improve their quality of life. |
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