谢磊

摘 要 目的：探讨膝关节置换术后综合运动训练对患者关节活动度和功能的影响。方法：选取膝关节置换术患者100例，依据训练方法分为被动运动训练组和综合运动训练组各50例，统计分析两组患者的ROM、HSS、VAS、SF-36评分，临床疗效和术后并发症发生情况。结果：综合运动训练组的ROM、HSS、SF-36评分升高幅度、VAS评分降低幅度均高于被动运动训练组；总有效率高于被动运动训练组；术后并发症发生率低于被动运动训练组（P<0.05）。结论：膝关节置换术后综合运动训练能够有效改善患者关节活动度和功能。

关键词 膝关节置换术 综合运动训练 关节活动度 关节功能

中图分类号：R493； R687.42 文献标志码：B 文章编号：1006-1533（2021）03-0053-02

Effect of comprehensive exercise training on the range of joint motion and function in patients undergoing knee arthroplasty

XIE Lei

（Department of Sports Medicine， the Third Peoples Hospital of Henan Province， Zhengzhou 450000， China）

ABSTRACT Objective： To investigate the effect of comprehensive exercise training on the range of joint motion and function of patients after knee arthroplasty. Methods： One hundred patients with knee arthroplasty were selected and divided into a passive exercise training group and a comprehensive exercise training group with 50 cases each according to their training methods. The ROM， HSS， VAS， SF-36 scores， clinical efficacy and postoperative complications in the two groups were statistically analyzed. Results： The degrees of the increase of ROM， HSS， SF-36 scores and the decrease of VAS and the total effective rate were significantly higher while the incidence of complications was lower in the comprehensive exercise training group than the passive exercise training group after operation and training （P<0.05）. Conclusion： Comprehensive exercise training after knee arthroplasty can effectively improve the range of join motion and function of the patients.

KEY WORDS knee arthroplasty； comprehensive sports training； range of joint motion； joint function

目前，在關节疼痛、不稳等患者的治疗中，膝关节置换术已经得到了广泛应用[1]。如果保守治疗无法显著改善患者病情，那么膝关节置换术也能够有效弥补保守治疗的不足。患者病情、医师操作水平等均对患者预后造成直接的影响，同时，术后科学规范的运动训练能够有效恢复患者的关节功能[2]。

1 资料与方法

1.1 一般资料

选取2018年1月—2020年1月在河南省直第三人民医院行膝关节置换术的患者100例，依据训练方法分为被动运动训练组和综合运动训练组各50例。其中综合运动训练组男17例，女33例；年龄52～80岁，平均年龄（65.3±10.4）岁；骨关节炎30例，类风湿性关节炎10例，创伤性关节炎10例；单膝关节置换40例，双膝关节置换10例。被动运动训练组男19例，女31例；年龄53～80岁，平均年龄（66.3±10.7）岁；骨关节炎29例，类风湿性关节炎11例，创伤性关节炎10例；单膝关节置换39例，双膝关节置换11例。两组患者一般资料比较差异无统计学意义（P>0.05），具可比性。