胡曙荣 　何新宁 　梁炳南 　吕尚斌 　邱志伟

【摘要】 目的：探讨基于持续性被动运动锻炼的康复干预对膝关节损伤术后患者关节功能恢复的影响。方法：选取本院2018年12月-2020年12月收治的膝关节损伤术后患者128例为研究对象，采用随机数字表法将其分为对照组（n=64）和观察组（n=64），对照组接受常规康复锻炼干预，观察组接受基于持续性被动运动锻炼的康复干预。比较两组术后第7周膝关节功能、生物力学指标以及干预前后血清炎症因子水平，并比较两组患者术后并发症发生情况。结果：术后第7周，观察组膝关节功能（关节活动度、关节疼痛、上下楼、行走能力）各项评分均明显高于对照組，生物力学指标（膝关节股骨角、胫骨角、间隙角）均明显低于对照组（P<0.05）;干预后，观察组的血清白细胞介素-6（IL-6）、白细胞介素-1β（IL-1β）、血清肿瘤坏死因子-α（TNF-α）水平均明显低于对照组（P<0.05）;观察组的并发症（术后皮肤感染、下肢深静脉血栓形成、关节僵硬、畸形愈合）发生率明显低于对照组（P<0.05）。结论：基于持续性被动运动锻炼的康复干预能明显改善膝关节损伤术后患者关节功能，并改善患者炎症水平，且安全性较高，值得在临床推广。

【关键词】 持续性被动运动锻炼 康复干预 膝关节损伤术后 关节功能

Effect of Rehabilitation Intervention Based on Continuous Passive Exercise on Joint Function Recovery of Patients with Knee Joint Injury After Operation/HU Shurong， HE Xinning， LIANG Bingnan， LYU Shangbin， QIU Zhiwei. //Medical Innovation of China， 2021， 18（34）： -167

[Abstract] Objective： To investigate the effect of rehabilitation intervention based on continuous passive exercise on joint function recovery of patients with knee joint injury after operation. Method： A total of 128 cases of postoperative patients with knee joint injury in our hospital from December 2018 to December 2020 were selected as research objects and randomly divided into control group （n=64） and observation group （n=64）. The control group received routine rehabilitation exercise intervention， and the observation group received rehabilitation intervention based on continuous passive exercise. The knee function and biomechanical indexes of the two groups were compared at the 7th week after operation. The levels of serum inflammatory factors before and after intervention were compared between the two groups， and the incidence of postoperative complications was compared between the two groups. Result： At the 7th week after operation， the scores knee joint function indexes （range of motion， joint pain， up and down stairs， walking ability） of the observation group were significantly higher than those of the control group， and the biomechanical indexes （knee femoral angle， tibial angle， gap angle） were significantly lower than those of the control group （P<0.05）; after the intervention， the serum levels of IL-6， IL-1β and serum tumor necrosis factor-α （TNF-α） in the observation group were significantly lower than those in the control group （P<0.05）; the incidence of complications （postoperative skin infection， lower extremity deep venous thrombosis， joint stiffness and malunion） in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion： Rehabilitation intervention based on continuous passive exercise can significantly improve the joint function of patients with knee joint injury after surgery， and improve the level of inflammation， and has high safety， which is worthy of clinical promotion.

[Key words] Continuous passive exercise Rehabilitation intervention After operation of knee joint injury

Joint function

First-author’s address： Jiangmen Second People’s Hospital （Pengjiang Branch of Jiangmen Central Hospital）， Jiangmen 529000， China

doi：10.3969/j.issn.1674-4985.2021.34.040

膝关节损伤是临床上创伤骨科常见的一种疾病，包括软组织损伤和骨与软骨的损伤，好发于运动量较大的青少年以及年龄较大的老年人群[1]。膝关节损伤多在运动过程中造成，膝关节产生旋转屈曲暴力造成半月板撕裂及韧带的损伤，诱因多为外界碰撞、长期劳损、过度劳累等[2]。……