股四頭肌鍛煉方法的臨床研究
發(fā)布時(shí)間:2018-03-22 10:51
本文選題:股四頭肌 切入點(diǎn):關(guān)節(jié)鏡 出處:《山西醫(yī)科大學(xué)》2015年碩士論文 論文類型:學(xué)位論文
【摘要】:目的:本研究通過指導(dǎo)經(jīng)關(guān)節(jié)鏡手術(shù)治療的膝半月板損傷患者進(jìn)行股四頭肌功能鍛煉,探索股四頭肌鍛煉的簡單有效方法。方法:分析自2014年8月至2015年2月因膝半月板損傷就診于山西大醫(yī)院骨科并行關(guān)節(jié)鏡手術(shù)治療的30例(30膝)患者的臨床資料。手術(shù)均由同一組醫(yī)生完成。患者屈膝90°位,取膝前內(nèi)及前外側(cè)入口進(jìn)行鏡檢,根據(jù)鏡下所見半月板損傷類型及程度決定手術(shù)方式(半月板部分切除、次全切除及完全切除術(shù)等)。術(shù)后根據(jù)不同的股四頭肌鍛煉方法,將上述患者隨機(jī)分為A、B、C三組,分別采用直腿抬高練習(xí)、靜蹲練習(xí)及抗阻力伸膝練習(xí)等三種不同的鍛煉方法,每組10例(10膝)患者,三組患者分別按各自擬定的鍛煉方法在指導(dǎo)下鍛煉3個(gè)月。A組10例(男4例,女6例),年齡范圍:17-48歲,平均年齡29.30±9.59歲;B組10例(男7例,女3例),年齡范圍:19-45歲,平均年齡29.70±8.83歲;C組10例(男6例,女4例),年齡范圍:22-43歲,平均年齡29.70±7.33歲,三組患者間性別比及年齡經(jīng)同質(zhì)性檢驗(yàn)均無明顯統(tǒng)計(jì)學(xué)差異。分別在術(shù)前1天、術(shù)后8周、術(shù)后12周測量三組患膝髕骨上緣以上10cm處大腿周徑萎縮指數(shù)[大腿周徑萎縮指數(shù)=(健側(cè)大腿周徑-患側(cè)大腿周徑)/健側(cè)大腿周徑]以及Lysholm膝關(guān)節(jié)功能量表進(jìn)行客觀及主觀評(píng)估。應(yīng)用SPSS13.0統(tǒng)計(jì)軟件對(duì)上述臨床觀察資料進(jìn)行統(tǒng)計(jì)學(xué)分析,組內(nèi)比較采用配對(duì)樣本t檢驗(yàn),組間比較應(yīng)用方差分析,以P0.05為差異有顯著性。結(jié)果:A、B、C三組患者術(shù)前1天髕骨上緣10cm處大腿周徑萎縮指數(shù)分別為0.026±0.015、0.021±0.016、0.037±0.021,差異無統(tǒng)計(jì)學(xué)意義(P0.05);A、B、C三組術(shù)后8周髕骨上緣10cm處大腿周徑萎縮指數(shù)分別為0.021±0.013、0.016±0.017、0.023±0.016,差異無統(tǒng)計(jì)學(xué)意義(P0.05);A、B、C三組術(shù)后12周髕骨上緣10cm處大腿周徑萎縮指數(shù)分別為0.015±0.008、0.011±0.013、0.014±0.011,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。三組組內(nèi)比較雖在術(shù)后8周、12周大腿周徑萎縮指數(shù)無明顯統(tǒng)計(jì)學(xué)差異,但C組組內(nèi)比較在不同的觀察時(shí)期上述指標(biāo)具有統(tǒng)計(jì)學(xué)差異,術(shù)前1天與術(shù)后12周比較發(fā)現(xiàn)大腿周徑萎縮指數(shù)具有統(tǒng)計(jì)學(xué)意義,而術(shù)前1天和術(shù)后8周及術(shù)后8周和術(shù)后12周比較上述指標(biāo)均無明顯統(tǒng)計(jì)學(xué)差異。A組和B組在各自組內(nèi)比較均無明顯統(tǒng)計(jì)學(xué)差異。A、B、C三組Lysholm評(píng)分比較組間、組內(nèi)均無明顯統(tǒng)計(jì)學(xué)差異。結(jié)論:本研究所選用的三種股四頭肌鍛煉方法,雖3種鍛煉方法對(duì)股四頭肌萎縮及肌力的恢復(fù)相比較無明顯統(tǒng)計(jì)學(xué)差異,但抗阻伸膝鍛煉組組內(nèi)比較發(fā)現(xiàn),抗阻伸膝練習(xí)可以促進(jìn)股四頭肌萎縮及肌力的恢復(fù),進(jìn)而改善患者的術(shù)后功能。
[Abstract]:Objective: To study the guidance by patients with arthroscopic surgery of the knee meniscus injury of femoral head four muscle function exercise, explore the femoral head four muscle training method is simple and effective. Methods: analysis from August 2014 to February 2015 due to knee meniscus injury treatment in 30 cases of parallel arthroscopic surgery in the Department of orthopedics of Shanxi hospital (30 knees) clinical data patients. Surgeries were performed by the same group of doctors. Patients at 90 degrees, the knee and the anterior lateral entrance examination, see the meniscus injury type and degree decides the operation mode according to the microscopic (partial meniscectomy, subtotal resection and complete resection). After operation according to different stocks four head muscle exercise method, the patients were randomly divided into A, B, C three groups, respectively, with straight leg raising exercises, static squat exercise and knee extensor resistance exercises in three different training methods, each group of 10 cases (10 knees) with three groups 鎮(zhèn)h,
本文編號(hào):1648330
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