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[1]張慶文,陳達(dá),譚鵬.前交叉韌帶重建術(shù)后患者運(yùn)動(dòng)心理狀態(tài)的影響因素分析[J].中醫(yī)正骨,2012,24(08):21-25.
　ZHANG Qing-wen*,CHEN Da,TAN Peng..Analysis of influencing factors on psychological state in patients with cruciate ligament reconstruction[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(08):21-25.
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前交叉韌帶重建術(shù)后患者運(yùn)動(dòng)心理狀態(tài)的影響因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年08期
頁(yè)碼:
21-25
欄目:
臨床研究
出版日期:
2012-08-20

文章信息/Info

Title:
Analysis of influencing factors on psychological state in patients with cruciate ligament reconstruction
作者:
張慶文1; 陳達(dá)2; 譚鵬2
1.廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院,廣東 廣州 510405;
2.廣州中醫(yī)藥大學(xué),廣東 廣州 510405
Author(s):
ZHANG Qing-wen*; CHEN Da; TAN Peng.
*No.1 Affiliated Hospital of Guangzhou TCM University,Guangzhou 510405,Guangdong,China
關(guān)鍵詞:
前交叉韌帶重建 運(yùn)動(dòng)狀態(tài) 心理狀態(tài) 影響因素
Keywords:
Anterior cruciate ligament reconstruction;  Motion state;  Psychological states;  Influencing factor
摘要:
目的:探討關(guān)節(jié)鏡下前交叉韌帶重建術(shù)后患者運(yùn)動(dòng)心理狀態(tài)的影響因素。方法:對(duì)我院骨科于自2007年1月～2010年12月期間,采用關(guān)節(jié)鏡下重建前交叉韌帶患者的64例病例資料進(jìn)行回顧性分析,并進(jìn)行門(mén)診及電話隨訪。獲得數(shù)據(jù)后分別分析性別、年齡、定位(左側(cè)或右側(cè))、受傷原因、受傷次數(shù)、手術(shù)時(shí)機(jī)、傷膝活動(dòng)度、韌帶穩(wěn)定性檢查、肌肉力量與Tegner得分(傷前、隨訪)、前交叉韌帶重建心理測(cè)試問(wèn)卷的情緒緊張、運(yùn)動(dòng)時(shí)的自信心、害怕再次受傷得分之間的關(guān)系。結(jié)果:52例獲得隨訪,心理狀態(tài)評(píng)分從高到低依次為害怕再次受傷、情緒緊張、運(yùn)動(dòng)時(shí)的自信心,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。受傷次數(shù)≥3次的患者其害怕再次受傷、情緒得分、自信心的得分均高于受傷次數(shù)為1次和2次的患者,同時(shí)其運(yùn)動(dòng)水平Tegner隨訪評(píng)分均低于后者,差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。傷膝關(guān)節(jié)穩(wěn)定性下降或傷膝關(guān)節(jié)大腿肌肉力量較健側(cè)減弱患者的Tegner隨訪得分較低,同時(shí)傷膝關(guān)節(jié)大腿肌肉力量較健側(cè)減弱者的情緒得分較高,與正常者比較,差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:前交叉韌帶重建術(shù)后患者的心理狀態(tài)主要為害怕再次受傷和情緒緊張,受傷次數(shù)越多患者害怕再次受傷、情緒緊張、缺乏自信心的心理狀態(tài)越明顯,其運(yùn)動(dòng)水平也降低。傷膝關(guān)節(jié)穩(wěn)定性下降或傷膝關(guān)節(jié)大腿肌肉力量較健側(cè)減弱的患者,其運(yùn)動(dòng)水平降低,同時(shí)大腿肌肉力量減弱者的運(yùn)動(dòng)情緒較緊張。
Abstract:
Objective:To investigate the influencing factors on psychological state in patients with arthroscopic cruciate ligament reconstruction.Methods:64 patients were treated with arthroscopic cruciate ligament reconstruction from January 2007 to December 2010,these cases were analysed retrospectively,telephone or clinic follow-up were conducted.The sex,age,left or right,injury causes,times,operation time,range of motion of injuried knee,stability of ligament, myodynamia,Tegner score,nevous of psychological questionnaires,self-confidence in sports,relation between scores and scared to re-injury were documented and analysed.Results:52 cases got followed-up,the sequence of score was scared to re-injury,neverse,self-confidence in sports,the differences were significiant(P<0.05).The score of scared to re-injury,neverse,self-confidence of patients injuried more than 3 times were higher than that of patients injuried 1 or 2 times,the Tegner scores were lower than the latter,the differences were significiant(P<0.05).Tegner scores were low in patients with unstability or strength reduce,the scores of nervous of patients with thigh muscle strength reduce were high,the difference with normal were significiant(P<0.05).Conclusion:Nervouse and scared to re-injury occupies important position in psychological state of patients with cruciate ligament reconstruction,the state of scared to re-injury,nervous,lacking self-confidence is obvious, athletic ability reduced. The athletic ability of patients with stability of knee and thigh muscle strength reduce is low and patients with thigh muscle strength reduce are more nervous.

參考文獻(xiàn)/References:

[1] 陳益果,丁晶,徐永清,等.膝關(guān)節(jié)前交叉韌帶損傷治療進(jìn)展[J].西南軍醫(yī),2010,12(1):84.
[2] Tegner Y,Lysholm J.Rating systems in the evaluation of knee ligament injuries[J].Clin Orthorp Relat Res,1985 Sep,(198):43-49.
[3] Webster KE,Feller JA,Lambros C.Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery[J].Phys Ther Sport,2008,9(1):9-15.
[4] Lee DY,Karim SA,Chang HC.Return to sports after anterior cruciate ligament reconstruction-a review of patients with minimum 5-year follow-up[J].Ann Acad Med Singapore,2008,37(4):273-278.

更新日期/Last Update: 2012-08-20