| 王 薇,李昔胜,李 婷,袁洪儒,金铭亮.经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中的应用效果分析[J].,2023,(15):2857-2862 |
| 经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中的应用效果分析 |
| Application of Transcutaneous Electrical Stimulation of Acupoints Combined with Lower Limb Rehabilitation Robot in Rehabilitation after Anterior Cruciate Ligament Injury Reconstruction of Knee Joint |
| 投稿时间：2023-01-07 修订日期：2023-01-30 |
| DOI：10.13241/j.cnki.pmb.2023.15.011 |
| 中文关键词: 经皮穴位电刺激 下肢康复机器人 膝关节 前交叉韧带损伤重建 |
| 英文关键词: Transcutaneous electrical stimulation of acupoints Lower limb rehabilitation robot Knee joint Anterior cruciate ligament injury reconstruction |
| 基金项目:全军后勤科研重点项目（BWJ18J001） |
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| 中文摘要: |
| 摘要 目的：探讨经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中的应用效果。方法：选取我院2019年1月到2022年12月收治的120例采取膝关节前交叉韧带损伤重建术的患者作为研究对象，分为观察组与对照组，每组60例。对照组采取常规术后康复治疗，观察组采取经皮穴位电刺激联合下肢康复机器人康复治疗，对比两组患者康复治疗效果，位置觉和运动觉，疼痛情况与肿胀情况，膝关节功能以及生活质量。结果：观察组治疗总有效率高于对照组（P＜0.05）；治疗前两组患者患肢肿胀值、视觉模拟量表（VAS）评分对比无差异（P＞0.05），治疗后均降低，且观察组较对照组低（P＜0.05）；两组患者的治疗前膝关节75度、45度、15度位置觉，伸膝、屈膝运动觉对比无差异（P>0.05），治疗后两组患者膝关节75度、45度、15度位置觉，伸膝、屈膝运动觉均下降，且观察组较对照组低（P＜0.05）；治疗前两组患者膝关节主观（IKDC）评分、膝关节功能（Lysholm）评分对比无差异（P＞0.05），治疗后均降低，且观察组较对照组低（P＜0.05）；两组患者治疗前生活质量相关评分对比无差异（P＜0.05），治疗后均升高，且观察组较对照组高（P＜0.05）。结论：经皮穴位电刺激联合下肢康复机器人在膝关节前交叉韧带损伤重建术后康复中应用效果显著，能够改善患者膝关节位置觉和运动觉，减轻远期疼痛情况与肿胀情况，提升膝关节功能，患者生活质量较好。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the application effect of transcutaneous acupoint electrical stimulation combined with lower limb rehabilitation robot in the rehabilitation of knee joint anterior cruciate ligament injury after reconstruction. Methods: 120 patients who were treated in our hospital from January 2019 to December 2022 for anterior cruciate ligament injury and reconstruction of the knee joint were selected as the research objects. All patients were divided into observation group and matched group, with 60 cases in each group. The patients in the matched group were treated with conventional postoperative rehabilitation, while the patients in the observation group were treated with transcutaneous electrical stimulation of acupoints combined with lower limb rehabilitation robot rehabilitation. The rehabilitation effects, position sense and motion sense, pain and swelling, knee joint function and quality of life of the two groups were compared. Results: The total effective rate of the observation group was higher than that of the matched group (P<0.05); Before treatment, there was no difference between the two groups in the swelling value of affected limbs and VAS score (P>0.05). After treatment, the swelling value the two groups were reduced, and the observation group was lower than the matched group (P<0.05); Before treatment, there was no difference between the two groups in the knee joint 75 degree, 45 degree and 15 degree position perception, knee extension and knee flexion motion perception (P>0.05). After treatment, the knee joint 75 degree, 45 degree and 15 degree position perception, knee extension and knee flexion motion perception of the patients in the two groups decreased, and the patients in the observation group were lower than those in the matched group (P<0.05); Before treatment, there was no difference between the two groups in terms of knee subjective (IKDC) score and knee function (Lysholm) score (P>0.05). After treatment, the score of the two groups were reduced, and the observation group was lower than the matched group (P<0.05); There was no difference in the scores of quality of life between the two groups before treatment (P<0.05). Conclusion: The application of transcutaneous acupoint electrical stimulation combined with lower limb rehabilitation robot in the rehabilitation of patients with anterior cruciate ligament injury and reconstruction of the knee joint has a significant effect, which can improve the position sense and motion sense of the knee joint, reduce long-term pain and swelling, improve the function of the knee joint, and improve the quality of life of the patients. |
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