[1]张昊 梁东星 刘涛 田元 史晓林 杨永明△.加速康复计划对经皮微创修复术治疗跟腱断裂患者踝关节功能及并发症的影响[J].中国中医骨伤科杂志,2022,30(03):30-34.
　ZHANG Hao LIANG Dongxing LIU Tao TIAN YuanSHI Xiaolin YANG Yongming.Clinical Study of Efficacy of Percutaneous Minimally Invasive Repair with Accelerated Rehabilitation Program on Acute Closed Achilles Tendon Rupture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):30-34.
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加速康复计划对经皮微创修复术治疗跟腱断裂患者踝关节功能及并发症的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
30-34
栏目:
临床研究
出版日期:
2022-03-15

文章信息/Info

Title:
Clinical Study of Efficacy of Percutaneous Minimally Invasive Repair with Accelerated Rehabilitation Program on Acute Closed Achilles Tendon Rupture
文章编号:
1005-0205(2022)03-0030-05
作者:
张昊1 梁东星2 刘涛1 田元1 史晓林1 杨永明1△
1河北保定市第二医院骨一科(河北 保定,071000)2中国人民解放军陆军第82集团军医院创伤骨科
Author(s):
ZHANG Hao1 LIANG Dongxing2 LIU Tao1 TIAN Yuan1SHI Xiaolin1 YANG Yongming1△
1Department of Orthopaedics 1, Baoding Second Hospital, Baoding 071000, Hebei China; 2Department of Orthopedics and Traumatology, 82nd Army Hospital of PLA, Baoding 071000, Hebei China.
关键词:
急性闭合性跟腱断裂;  加速康复计划;  经皮微创修复术;  踝关节功能
Keywords:
acute closed achilles tendon rupture;  accelerated rehabilitation plan;  percutaneous minimally invasive repair;  ankle joint function
分类号:
R686.1
文献标志码:
A
摘要:
目的:研究加速康复计划对行经皮微创修复术治疗急性闭合性跟腱断裂患者踝关节功能及并发症的影响。方法:选取2017年6月至2021年1月于本院治疗的急性闭合性跟腱断裂患者60例,采用随机数字表法分为观察组(加速康复计划)与对照组(传统康复计划),各30例。比较两组术前与术后3个月的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现在疼痛状况(PPI)、美国足踝外科协会踝后足评分(AOFAS-AH)、跟腱修复评分(Leppilahti)评分及踝关节并发症与康复疗效。结果:术前,两组各评分差异均无统计学意义(P>0.05)。术后3个月,两组患者的PRI、VAS、PPI评分较术前均有明显改善,差异有统计学意义(P<0.05); 相较于对照组,观察组PRI、VAS、PPI得分均明显更低,差异有统计学意义(P<0.05)。两组患者的AOFAS-AH、Leppilahti评分较术前均有明显改善,差异有统计学意义(P<0.05); 相较于对照组,观察组AOFAS-AH、Leppilahti得分均明显更高,差异有统计学意义(P<0.05)。相较于对照组,观察组术后并发症发生率均明显更低,差异有统计学意义(P<0.05)。观察组优良率为90.00%,对照组优良率为66.67%,观察组显著高于对照组,差异有统计学意义(P<0.05)。结论:应用加速康复计划与行经皮微创修复术治疗急性闭合性跟腱断裂,能改善患者踝关节活动范围,降低踝关节并发症发生率,增强术后恢复效果。
Abstract:
Objective:To study the efficacy of percutaneous minimally invasive repair with accelerated rehabilitation plan on acute closed achilles tendon rupture.Methods:A total of 60 patients with acute closed achilles tendon rupture from June 2017 to January 2021 were selected and randomly divided into observation group(accelerated rehabilitation plan)and control group(traditional rehabilitation plan), with 30 cases in each group.The pain grading index(PRI), visual analogue scale(VAS), current pain status(PPI), the American Association of Foot, Ankle Surgery Ankle Hindfoot Score(AOFAS-AH)and achilles tendon Rehabilitation score(Leppilahti)were compared between the two groups before and three months after surgery.And the ankle complications and rehabilitation efficacy were compared.Results:Before operation, there was no statistical significantly difference in scores between the two groups(P>0.05).Three months after surgery, the PRI, VAS, and PPI scores of the two groups were significantly improved than those before operation(P<0.05).Compared with the control group, the PRI, VAS and PPI scores in observation group had significantly lower(P<0.05).The AOFAS-AH and Leppilahti scores of the two group were significantly improved than that before operation(P<0.05).Compared with the control group, the AOFAS-AH and Leppilahti scores of the observation group were significantly higher(P<0.05).Compared with the control group, the observation group had significantly lower postoperative complications(P<0.05).The excellent and good rate of the observation group was 90.00%, and that of the control group was 66.67%.The observation group was significantly higher than the control group(P<0.05).Conclusion:The application of percutaneous minimally invasive repair with accelerated rehabilitation plan for patients with acute closed achilles tendon rupture can improve the range of motion of the ankle joint, reduce the incidence of ankle joint complications, enhance the postoperative recovery efficacy and improve the patient’s ability of daily living and quality.

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备注/Memo

备注/Memo:
基金项目:保定市社发类项目(2041ZF211)
△通信作者 E-mail:yangyongming7504@163.com
更新日期/Last Update: 1900-01-01