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| 脉冲电磁场对老年骨质疏松症患者全膝关节置换术关 节功能重建影响研究 |
| Effect of pulsed magnet field on the joint function reconstruction after TKA in patients with senile osteoporosis |
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| DOI： |
| 中文关键词: 全膝关节置换术 术后康复 骨密度 脉冲电磁场 |
| 英文关键词:Total knee arthroplasty ( TKA) Postoperative rehabilitation Bone mineral density ( BMD) Pulsed magnet f! eld (PMF) |
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| 中文摘要: |
| 目的应用脉冲电磁场(pulsed magnet field，PMF)对全膝关节置换术后老年骨质疏松患者膝关节进行康复治疗并对其 功能进行评估研究。方法选取2011年1月到2013年12月来我院治疗的行全膝关节置换术的骨质疏松症患者23例。依 据临床手术指征及临床诊断标准进行病例筛查。利用膝关节康复评定表定期对其进行康复评估并对其制定相应的康复治 疗。其中有17名患者给予脉冲电磁场干预，纳人脉冲电磁场组(PMF)。5名患者纳人到非脉冲电磁场组(NPMF)。应用法国 MED1X90全身双能X线骨密度仪对腰椎(L1-L4)骨密度进行检测。对比术后第2周，第1个月，第3个月膝关节功能恢复情 况及腰椎骨密度。结果经过6个月的随访调查，膝关节功能均有恢复。非脉冲电磁场组(NPMF)中膝关节屈曲功能在术后 第2周，第1个月，第3个月较差。脉冲电磁场组(PMF)患者接受膝关节运动治疗后膝关节功能活动恢复相对较好，并且其膝 关节功能恢复时间明显缩短。脉冲电磁场组与非脉冲电磁场组相比膝关节功能重建康复时间明显缩短，膝关节功能活动范 围加大（P <0.05)。没有任何一个病人反应在进行全膝关节置换术后出现感染及膝关节功能障碍的情况。结论全膝关节 置换术后伴随骨质疏松症的患者应用脉冲电磁场对膝关节功能恢复作用明显。 |
| 英文摘要: |
| Objective To apply pulse magnet fields ( PMF) in the knee function rehabilitation treatment after total knee arthroplasty (TKA) in patients with senile osteoporosis， and to evaluate its effect. Methods Twenty-three patients with osteoporosis，who underwent TKA in our hospital from January 2011 to December 2013，were selected. All the cases had been screened according to the clinical surgical indication and diagnostic criteria. The rehabilitation treatment was designed and evaluated timely. Seventeen patients in the group of PMF were treated with pulse magnet field interference，while 5 patients in the group of NPMF were not given pulse magnet field interference. The bone mineral density (BMD) of the lumbar vertebrae (L1-L4) was detected using X^ay absorptiometry (DEXA，MED1X90，France). The knee joint function recovery and BMD were compared on 2 weeks，1 month，and 3 months postoperatively. Results After six months of follow-up，the knee joint function in all the patients was restored to some extent. The knee flexion in NPMF group was poorer at the 2nd week，the 1st month，and the 3rd month after surgery，while the function in PMF group was relatively better after knee joint movement treatment，and the knee joint function recovery time shortened obviously. Compared with that in NPMF group，the recovery time of the knee joint function reconstruction in PMF group shortened significantly，and the range of motion of the knee increased significantly (P < 0. 05). No infection or the knee joint dysfunction occurred after TKA. Conclusion The knee joint function recovery is significantly better after the use of PMF in patients with osteoporosis after TKA. |
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