摘要
目的探究基于多元化理念的康复锻炼对胫骨平台骨折患者躯体康复及膝关节内炎症因子的影响.方法选取本院2020年1月—2021年2月收治的94例胫骨平台骨折患者,按照随机数字表法分为对照组和观察组,每组47例.对照组采取常规康复锻炼,观察组实施基于多元化理念的康复锻炼,均持续锻炼3个月.比较两组膝关节功能、关节内炎症因子水平.结果干预前,两组膝关节美国纽约特种外科医院(HSS)评分、各项膝关节内炎症因子水平比较,组间差异无统计学意义(P>0.05);干预后,观察组膝关节HSS评分高于对照组,白细胞介素-1受体拮抗剂、白细胞介素-10水平均高于对照组,白细胞介素-1β、肿瘤坏死因子-α水平均低于对照组,组间差异有统计学意义(P<0.05).结论基于多元化理念的康复锻炼能够有效减轻胫骨平台骨折患者膝关节内炎症反应,促进膝关节功能恢复,值得临床进一步推广.
Objective To explore the effects of rehabilitation exercises based on diversified concepts on physical rehabilitation and inflammatory factors in knee joints in patients with tibial plateau fractures.Methods A total of 94 patients with tibial plateau fractures who were treated in the hospital from January 2020 to February 2021 were selected and divided into the control group and the observation group according to the random number table method,with 47 cases in each group.The control group received routine rehabilitation exercises,while the observation group received rehabilitation exercises based on diversified concepts,both of which continued to exercise for 3 months.The knee joint function and the levels of intraarticular inflammatory factors were compared between the two groups.Results Before the intervention,there were no significant differences between the two groups in the knee joint Hospital for Special Surgery(HSS)score and the levels of various knee joint inflammatory factors(P>0.05);after the intervention,the knee joint HSS score of the observation group was higher than that of the control group,the levels of interleukin-1 receptor antagonist and interleukin-10 were higher than those of the control group,and the levels of interleukin-1βand tumor necrosis factor-αwere lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation exercises based on diversified concepts can effectively reduce the inflammatory response in the knee joint of patients with tibial plateau fractures and promote the recovery of knee joint function,which is worthy of further clinical promotion.
作者
张伟照
丁艳
ZHANG Weizhao;DING Yan(Department of Surgery,Binzhou Zhanhua District Second People's Hospital,Binzhou Shandong,256803,China)
出处
《反射疗法与康复医学》
2021年第20期172-174,共3页
Reflexology And Rehabilitation Medicine
关键词
胫骨平台骨折
多元化理念
康复锻炼
膝关节功能
炎症因子
Tibial plateau fracture
Diversified concept
Rehabilitation exercise
Knee function
Inflammatory factor
