高能量激光联合阶梯式干预策略在半月板损伤患者中的应用

倪凌雁; 陈士炯; 偶鹰飞

doi:10.7619/jcmp.20220556

高能量激光联合阶梯式干预策略在半月板损伤患者中的应用

1.
中国人民解放军联勤保障部队第904医院康复医学科, 江苏无锡, 214000
2.
江苏省太仓市第一人民医院康复医学科, 江苏太仓, 215400

基金项目:

江苏省太仓市科技计划项目 TC2020JCYL06

详细信息

通讯作者:
偶鹰飞, E-mail: 439917333@qq.com

中图分类号: R684;R454
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出版历程
- 收稿日期: 2022-02-22
- 网络出版日期: 2022-09-20

Application of high energy laser combined with stepped intervention strategy in patients with meniscus injury

1.
Department of Rehabilitation Medicine, the 904th Hospital of Joint Logistic Support Force of People′s Liberation Army, Wuxi, Jiangsu, 214000
2.
Department of Rehabilitation Medicine, Taicang First People′s Hospital of Jiangsu Province, Taicang, Jiangsu, 215400

摘要

摘要:
目的
观察高能量激光联合阶梯式干预策略在半月板损伤患者中的应用效果。
方法
选取87例半月板损伤患者作为研究对象，根据随机数字表法分为对照组44例和观察组43例。2组患者入院后均择期行关节镜手术治疗，对照组术后实施阶梯式干预策略护理，观察组在对照组基础上联合高能量激光干预，均连续干预8周。观察2组患者术后1、3 d患肢疼痛情况[视觉模拟评分法(VAS)评分]、术后首次下床时间、住院时间、住院费用，并比较2组患者术前1 d、术后8周膝关节功能(Lysholm膝关节评分)和术后并发症发生情况。
结果
术后3 d, 2组VAS评分均低于术后1 d, 且观察组低于对照组，差异有统计学意义(P < 0.05); 观察组首次下床时间、住院时间、住院费用分别为5.00(5.00, 6.00) d、6.00(5.00, 7.00) d、(1.22±0.12)万元人民币, 短于或少于对照组的6.00(5.00, 8.00) d、7.00(6.25, 8.00) d、(1.28±0.14)万元人民币, 差异有统计学意义(P < 0.05); 术后8周，对照组、观察组Lysholm膝关节评分分别为(74.87±4.12)、(82.25±4.54)分，均高于术前1 d, 且观察组高于对照组，差异有统计学意义(P < 0.05); 2组术后并发症发生率比较，差异无统计学意义(P>0.05)。
结论
高能量激光联合阶梯式干预策略应用于半月板损伤患者的康复治疗中，可降低患者关节镜手术后患肢疼痛程度，缩短早期下床时间和住院时间，减少住院费用，促进膝关节功能恢复。
- 半月板损伤 /
- 高能量激光 /
- 阶梯式干预策略 /
- 疼痛 /
- 膝关节功能
Abstract:
Objective
To observe the effect of high-energy laser combined with stepped intervention strategy in patients with meniscus injury.
Methods
A total of 87 patients with meniscus injury were selected as research subjects. According to the random number table method, they were divided into control group (n=44) and observation group (n=43). After admission, patients in both groups were electively treated with arthroscopic surgery. The control group received step-by-step nursing intervention, and the observation group received high-energy laser intervention on the basis of the control group. All patients were intervened continuously for 8 weeks. The limb pain [assessed by Visual Analogue Scale (VAS)] 1 day and 3 days after operation, the first time out of bed after operation, the hospitalization time and hospitalization expenses were observed, and knee function (Lysholm knee score) 1 day before operation and 8 weeks after operation and the occurrence of postoperative complications were compared between the two groups.
Results
The VAS scores of both groups at 3 days after operation were lower than those at 1 day after operation, and were lower in the observation group when compared with the control group (P < 0.05); the first time out of bed, hospitalization time and hospitalization expenses in the observation group were 5.00 (5.00, 6.00) d, 6.00(5.00, 7.00) d and (12.20±1.20) thousand CNY, respectively, which were shorter than 6.00 (5.00, 8.00) d, 7.00 (6.25, 8.00) d and (12.80±1.40) thousand CNY. At 8 weeks after operation, the Lysholm knee of the control group and the observation group scored (74.87±4.12) and (82.25±4.54), respectively, which were higher than those of the first preoperative day, and the Lysholm knee score in the observation group was higher than that of the control group (P < 0.05). There was no statistically significant difference in the incidence of postoperative complications between the two groups (P>0.05).
Conclusion
High energy laser combined with stepped intervention strategy for rehabilitation of patients with meniscus injury can reduce the degree of postoperative limb pain, shorten the early time out of bed and hospitalization time, reduce hospitalization expenses and promote the recovery of knee function of patients.
- meniscus injury /
- high energy laser /
- stepped intervention strategy /
- pain /
- knee function

HTML全文

表 1 2组下床时间、住院时间、住院费用及疼痛评分比较(x±s)[M(P₂₅, P₇₅)]

组别	n	VAS评分/分		首次下床时间/d	住院时间/d	住院费用/万元人民币
组别	n	术后1 d	术后3 d	首次下床时间/d	住院时间/d	住院费用/万元人民币
对照组	44	4.00(4.00, 5.00)	3.00(2.00, 4.00)^*	6.00(5.00, 8.00)	7.00(6.25, 8.00)	1.28±0.14
观察组	43	4.00(4.00, 5.00)	2.00(1.00, 3.00)^*#	5.00(5.00, 6.00)^#	6.00(5.00, 7.00)^#	1.22±0.12^#
VAS: 视觉模拟评分法。与术后1 d比较, *P < 0.05; 与对照组比较, #P < 0.05。

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表 2 2组Lysholm膝关节评分比较(x±s) 分

组别	n	术前1 d	术后8周
对照组	44	61.25±4.34	74.87±4.12^*
观察组	43	62.18±4.41	82.25±4.54^*#
与术前1 d比较, *P < 0.05; 与对照组比较, #P < 0.05。

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表 3 2组术后并发症发生情况比较[n(%)]

组别	n	感染	下肢静脉血栓	关节积液	合计
对照组	44	1(2.27)	2(4.55)	2(4.55)	5(11.36)
观察组	43	1(2.33)	0	1(2.33)	2(4.65)

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施引文献(2)

期刊类型引用(2)

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2.	王琴，黎华茂，黄萍，张芳. 平衡测试及训练系统联合全身振动系统对半月板关节镜修复术后康复疗效、预后影响. 临床军医杂志. 2023(07): 734-736 . 百度学术