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[1]李克軍,劉水根,蔣擁軍,等.反重力跑臺訓(xùn)練在股骨干骨折加壓鋼板螺釘內(nèi)固定術(shù)后康復(fù)治療中的應(yīng)用[J].中醫(yī)正骨,2023,35(08):20-25,42.
　LI Kejun,LIU Shuigen,JIANG Yongjun,et al.Application of anti-gravity treadmill training to functional rehabilitation after compression plate and screw internal fixation for treatment of femoral shaft fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(08):20-25,42.
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反重力跑臺訓(xùn)練在股骨干骨折加壓鋼板螺釘內(nèi)固定術(shù)后康復(fù)治療中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年08期
頁碼:
20-25,42
欄目:
臨床研究
出版日期:
2023-08-20

文章信息/Info

Title:
Application of anti-gravity treadmill training to functional rehabilitation after compression plate and screw internal fixation for treatment of femoral shaft fracture
作者:
李克軍; 劉水根; 蔣擁軍; 何夢凡; 秦健君
深圳平樂骨傷科醫(yī)院/深圳市坪山區(qū)中醫(yī)院,廣東 深圳 518010
Author(s):
LI Kejun; LIU Shuigen; JIANG Yongjun; HE Mengfan; QIN Jianjun
Shenzhen Pingle Orthopedic Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese medicine),Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
股骨骨折;  骨折固定術(shù); 內(nèi);  康復(fù);  反重力跑臺;  臨床試驗(yàn)
Keywords:
femoral fractures;  fracture fixation; internal;  rehabilitation;  anti-gravity treadmill;  clinal trial
摘要:
目的:探討反重力跑臺訓(xùn)練在股骨干骨折加壓鋼板螺釘內(nèi)固定術(shù)后康復(fù)治療中的應(yīng)用價(jià)值。方法:將58例行加壓鋼板螺釘內(nèi)固定術(shù)后4周的股骨干骨折患者隨機(jī)分為常規(guī)康復(fù)組和聯(lián)合康復(fù)組,每組29例。常規(guī)康復(fù)組采用手法、運(yùn)動療法和物理療法進(jìn)行康復(fù)治療,聯(lián)合康復(fù)組在常規(guī)康復(fù)組干預(yù)措施基礎(chǔ)上采用反重力跑臺訓(xùn)練; 均每周治療5次,每次20 min,共治療4周。記錄并比較治療前和治療結(jié)束后2組患者N端骨鈣素、Ⅰ型前膠原N端前肽(N-terminal propeptide of type Ⅰ procollagen,PINP)、β-Ⅰ型膠原羧基端肽(β-C-terminal telopeptide of typeⅠ collagen,β-CTX)血清含量及美國特種外科醫(yī)院(Hospital for Special Surgery,HSS)膝關(guān)節(jié)評分和骨痂生長評分。結(jié)果:①N端骨鈣素血清含量。治療結(jié)束后,2組患者N端骨鈣素血清含量均高于治療前[(10.07±2.12)ng·mL-1,(13.10±1.23)ng·mL-1,t=-6.660,P=0.000;(9.69±2.11)ng·mL-1,(11.93±1.89)ng·mL-1,t=-4.267,P=0.000],聯(lián)合康復(fù)組患者N端骨鈣素血清含量高于常規(guī)康復(fù)組(t=-2.798,P=0.007)。②PINP血清含量。治療結(jié)束后,2組患者PINP血清含量均高于治療前[(43.79±7.79)ng·mL-1,(72.52±5.03)ng·mL-1,t=-16.673,P=0.000;(46.3±10.76)ng·mL-1,(65.76±9.37)ng·mL-1,t=-7.339,P=0.000],聯(lián)合康復(fù)組患者PINP血清含量高于常規(guī)康復(fù)組(t=-3.421,P=0.001)。③β-CTX血清含量。治療結(jié)束后,2組患者β-CTX血清含量均低于治療前[(772.93±18.29)pg·mL-1,(727.76±16.19)pg·mL-1,t=9.930,P=0.000;(765.38±25.76)pg·mL-1,(744.07±25.29)pg·mL-1,t=3.179,P=0.002],聯(lián)合康復(fù)組患者β-CTX血清含量低于常規(guī)康復(fù)組(t=2.925,P=0.005)。④HSS膝關(guān)節(jié)評分。治療結(jié)束后,2組患者HSS膝關(guān)節(jié)評分均高于治療前[(63.04±6.75)分,(85.20±7.72)分,t=-8.781,P=0.000;(66.86±8.12)分,(80.14±6.24)分,t=-10.015,P=0.000],聯(lián)合康復(fù)組患者HSS膝關(guān)節(jié)評分高于常規(guī)康復(fù)組(t=-2.748,P=0.008)。⑤骨痂生長評分。治療結(jié)束后,2組患者骨痂生長評分均高于治療前[(0.72±0.45)分,(2.03±0.68)分,t=-0.821,P=0.000;(0.76±0.58)分,(1.55±0.51)分,t=-5.567,P=0.000],聯(lián)合康復(fù)組患者骨痂生長評分高于常規(guī)康復(fù)組(t=-3.065,P=0.003)。結(jié)論:在股骨干骨折加壓鋼板螺釘內(nèi)固定術(shù)后康復(fù)治療中應(yīng)用反重力跑臺訓(xùn)練,可促進(jìn)骨折愈合,有利于改善膝關(guān)節(jié)功能。
Abstract:
Objective:To explore the clinical applied values of anti-gravity treadmill(AlterG)training in postoperative rehabilitation of patients who underwent compression plate and screw internal fixation for treatment of femoral shaft fracture.Methods:Fifty-eight patients with femoral shaft fracture who underwent compression plate and screw internal fixation 4 weeks ago were randomly divided into conventional rehabilitation group and combination rehabilitation group,29 cases in each group.All patients in the 2 groups were treated with the same conventional rehabilitation therapies including manipulation,kinesitherapy and physiotherapy,moreover,the patients in combination rehabilitation group were further treated with AlterG training.All patients were treated five times a week,20 minutes at a time for consecutive 4 weeks.The serum levels of N-terminal osteocalcin(OC),N-terminal propeptide of typeⅠprocollagen(PINP)and β-C-terminal telopeptide of typeⅠcollagen(β-CTX),and Hospital for Special Surgery(HSS)knee score and bony callus growth score were recorded and compared between the 2 groups before the treatment and after the end of the treatment respectively.Results:①The serum level of N-terminal OC increased in the 2 groups after the end of the treatment compared to pre-treatment(10.07±2.12 vs 13.10±1.23 ng/mL,t=-6.660,P=0.000; 9.69±2.11 vs 11.93±1.89 ng/mL,t=-4.267,P=0.000),and it was higher in combination rehabilitation group compared to conventional rehabilitation group(t=-2.798,P=0.007).②The serum level of PINP increased in the 2 groups after the end of the treatment compared to pre-treatment(43.79±7.79 vs 72.52±5.03 ng/mL,t=-16.673,P=0.000; 46.3±10.76 vs 65.76±9.37 ng/mL,t=-7.339,P=0.000),and it was higher in combination rehabilitation group compared to conventional rehabilitation group(t=-3.421,P=0.001).③The serum level of β-CTX decreased in the 2 groups after the end of the treatment compared to pre-treatment(772.93±18.29 vs 727.76±16.19 pg/mL,t=9.930,P=0.000; 765.38±25.76 vs 744.07±25.29 pg/mL,t=3.179,P=0.002),and it was lower in combination rehabilitation group compared to conventional rehabilitation group(t=2.925,P=0.005).④The HSS knee score increased in the 2 groups after the end of the treatment compared to pre-treatment(63.04±6.75 vs 85.20±7.72 points,t=-8.781,P=0.000; 66.86±8.12 vs 80.14±6.24 points,t=-10.015,P=0.000),and it was higher in combination rehabilitation group compared to conventional rehabilitation group(t=-2.748,P=0.008).⑤The bony callus growth score increased in the 2 groups after the end of the treatment compared to pre-treatment(0.72±0.45 vs 2.03±0.68 points,t=-0.821,P=0.000; 0.76±0.58 vs 1.55±0.51 points,t=-5.567,P=0.000),and it was higher in combination rehabilitation group compared to conventional rehabilitation group(t=-3.065,P=0.003).Conclusion:Application of AlterG training to rehabilitation can promote fracture healing and improve knee function after compression plate and screw internal fixation for treatment of femoral shaft fracture.

參考文獻(xiàn)/References:

[1] 朱明喜.閉合復(fù)位與切開復(fù)位交鎖髓內(nèi)釘內(nèi)固定術(shù)治療股骨干骨折的比較研究[J].現(xiàn)代中西醫(yī)結(jié)合雜志, 2016,25(22):2451-2453.
[2] 康立恒,袁寶明,彭傳剛,等.微創(chuàng)鋼板內(nèi)固定治療股骨干多段骨折髓內(nèi)釘內(nèi)固定術(shù)后骨折延遲愈合1例[J].中國骨與關(guān)節(jié)損傷雜志,2018,33(12):1338-1339.
[3] MITCHNIK I Y,TALMY T,RADOMISLENSKY I,et al.Femur fractures and hemorrhagic shock:implications for point of injury treatment[J].Injury,2022,53(10):3416-3422.
[4] 趙唐永,任原,王志強(qiáng).股骨干骨折內(nèi)固定術(shù)后骨折愈合情況及其影響因素分析[J].中國骨與關(guān)節(jié)損傷雜志,2015,30(8):869-870.
[5] 高建華,鄧江濤,李秋明,等.交鎖髓內(nèi)釘與鎖定加壓鋼板內(nèi)固定對股骨干骨折患者膝關(guān)節(jié)功能及創(chuàng)傷相關(guān)指標(biāo)的影響[J].現(xiàn)代生物醫(yī)學(xué)進(jìn)展,2020,20(16):3100-3104.
[6] 曹克勇,方彩蓮,葉積飛.不同強(qiáng)度的早期負(fù)重對股骨干骨折愈合的影響[J].中國康復(fù),2014,29(6):458-459.
[7] ARAZI M,OGÜN T C,OKTAR M N,et al.Early weight-bearing after statically locked reamed intramedullary nailing of comminuted femoral fractures:is it a safe procedure?[J].J Trauma,2001,50(4):711-716.
[8] BRUMBACK R J,TOAL T R,MURPHY-ZANE M S,et al.Immediate weight-bearing after treatment of a comminuted fracture of the femoral shaft with a statically locked intra-medullary nail[J].J Bone Joint Surg Am,1999,81(11):1538-1544.
[9] 陳孝平,汪建平,趙繼宗.外科學(xué)[M].9版.北京:人民衛(wèi)生出版社,2018:445.
[10] 徐偉龍,郝劍,鄭升鵬,等.平樂郭氏榮肌揉筋法治療膝關(guān)節(jié)置換術(shù)后下肢腫脹臨床研究[J].河南中醫(yī),2022,42(5):773-776.
[11] KIM P,LEE H,CHOI W,et al.Effect of 4 weeks of anti-gravity treadmill training on isokinetic muscle strength and muscle activity in adults patients with a femoral fracture:a randomized controlled trial[J].Int J Environ Res Public Health,2020,17(22):8572.
[12] 王玉龍.康復(fù)功能評定學(xué)[M].北京:人民衛(wèi)生出版社,2018:148-150.
[13] PEIR A,ANDRES F,FERNANDEZ-ESTEVE F.Acute Monteggia lesions in children[J].J Bone Joint Surg Am,1977,59(1):92-97.
[14] 金鎮(zhèn)雄,舒冰,王乾,等.中醫(yī)辨證分型治療骨質(zhì)疏松性骨折的研究進(jìn)展[J].中國骨質(zhì)疏松雜志,2020,26(12):1843-1846.
[15] ZHAO H Z,FAN T S,WANG S L,et al.Closed reduction for the treatment of grade Ⅳ supination-external rotation fracture of the ankle joint:a retrospective analysis[J].Orthop Surg,2021,13(7):2163-2169.
[16] 薛雷雷,武軍龍,魏戎.腰椎骨折內(nèi)固定術(shù)后影響骨折愈合的危險(xiǎn)因素分析[J].中國醫(yī)學(xué)工程,2022,30(3):79-82.
[17] 盧紅信,陳笑天,葉龍飛,等.脛骨骨折髓內(nèi)釘內(nèi)固定患者術(shù)后早期與晚期負(fù)重的對比研究[J].中華解剖與臨床雜志,2022, 27(8):563-567.
[18] BHANUSHALI A,KOVOOR J G,STRETTON B,et al.Outcomes of early versus delayed weight-bearing with intrame-dullary nailing of tibial shaft fractures:a systematic review and meta-analysis[J].Eur J Trauma Emerg Surg,2022,48(5):3521-3527.
[19] 中華醫(yī)學(xué)會骨質(zhì)疏松和骨礦鹽疾病分會.骨轉(zhuǎn)換生化標(biāo)志物臨床應(yīng)用指南[J].中華內(nèi)分泌代謝雜志,2021,37(10):863-874.
[20] 陳偉,李鵬,萬永建,等.創(chuàng)傷性骨折延遲愈合患者血清骨轉(zhuǎn)化標(biāo)志物的表達(dá)水平及意義[J].東南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版),2021,40(2):225-229.
[21] 王首貴,段濤秀,劉麗芳,等.血栓通對股骨頸骨質(zhì)疏松性骨折患者置換術(shù)后血液高凝狀態(tài)、骨代謝和康復(fù)進(jìn)程的影響[J].中國骨質(zhì)疏松雜志,2019,25(9):1312-1316.
[22] 徐文,鄒明,岳建彪.血清低Alb和低NMID-OC/β-CTX比值與老年女性骨質(zhì)疏松性骨折的相關(guān)性[J].中國骨質(zhì)疏松雜志,2022,28(6):825-829.
[23] 王福平,史世勤,任飛,等.不同髓內(nèi)釘鎖定方式對股骨干骨折患者術(shù)后恢復(fù)的影響[J].安徽醫(yī)學(xué),2017,38(10):1307-1310.
[24] 張敬飛.閉合復(fù)位交鎖髓內(nèi)釘內(nèi)固定術(shù)治療股骨干骨折患者的療效及安全性分析[J].中國藥物與臨床,2021,21(8):1369-1371.
[25] 王斌,郭東哲,張遠(yuǎn),等.低頻體外沖擊波聯(lián)合紅骨髓局部注射治療骨折延遲愈合的臨床療效分析[J].中華急診醫(yī)學(xué)雜志,2020,29(6):873-875.
[26] CHAO E Y,INOUE N.Biophysical stimulation of bone fracture repair,regeneration and remodelling[J].Eur Cell Mater,2003,6:72-84.
[27] LIANG J,LANG S,ZHENG Y,et al.The effect of anti-gravity treadmill training for knee osteoarthritis rehabilitation on joint pain,gait,and EMG:case report[J].Medicine,2019,98(18):e15386.

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[17]董根榮,堯彥青,沈衛(wèi)東,等.微創(chuàng)鎖定鋼板內(nèi)固定治療股骨干粉碎性骨折[J].中醫(yī)正骨,2017,29(08):60.
[18]杜貴強(qiáng),張曉東,劉又文,等.髓內(nèi)釘附加側(cè)板聯(lián)合自體髂骨植骨治療股骨干骨折術(shù)后鋼板斷裂骨折不愈合[J].中醫(yī)正骨,2017,29(09):54.
[19]張鎮(zhèn),沈金虎,惠正廣,等.股骨遠(yuǎn)端微創(chuàng)內(nèi)固定系統(tǒng)內(nèi)固定配合抗骨質(zhì)疏松藥物口服治療股骨近端防旋髓內(nèi)釘內(nèi)固定術(shù)后同側(cè)股骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2017,29(10):73.
[20]章鐵琦,陳金洪,王勇,等.重建鎖定鋼板聯(lián)合微創(chuàng)內(nèi)固定系統(tǒng)治療復(fù)雜股骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2017,29(12):62.

備注/Memo

備注/Memo:
通訊作者:蔣擁軍 E-mail:[email protected]
更新日期/Last Update: 1900-01-01