|
| MOTOmed对FTP患者术后骨代谢与疼痛缓解的影响 |
| Effect of MOTOmed intelligent training on postoperative bone metabolism and pain relief in FTP patients |
| |
| DOI：10.3969/j.issn.1006-7108.2026.10.008 |
| 中文关键词: 胫骨平台骨折 MOTOmed 骨代谢 疼痛缓解 |
| 英文关键词:tibial plateau fracture MOTOmed bone metabolism pain relief |
| 基金项目:忻州市科技计划项目（20210203-1） |
|
| 摘要点击次数: 67 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探究MOTOmed智能运动训练对胫骨平台骨折（fracture tibial plateau，FTP）患者术后骨代谢及疼痛应激指标的影响。方法 选取2022年6月-2024年6月忻州市人民医院接收的132例FTP患者，根据术后康复训练方式分为对照组（常规康复训练）和治疗组（常规康复训练+MOTOmed智能运动训练），按PSM法1∶1匹配后，每组各52例。比较两组骨代谢、疼痛应激指标。采用重复测量方差分析两组患者在不同时间点的骨代谢指标[BGP、OPG、ALP、β-CTX、25-(OH)D]与疼痛应激指标（SP、PGE2、NPY）时间效应、组间效应及其交互作用是否具有统计学意义。采用平行趋势检验训练方式对骨代谢及疼痛应激指标的影响。对两组并发率进行Log-binomial回归分析。结果 匹配后两组的倾向评分在整体分布上趋于一致。随着训练时间延长，BGP、ALP、25-(OH)D升高，治疗组高于对照组；OPG和β-CTX下降，治疗组较对照组低（P＜0.05）。两组SP、PGE2、NPY先升高后下降，治疗组低于对照组（P＜0.05）。两组骨代谢和疼痛应激指标时间效应、组间效应、交互效应均有统计学意义（P＜0.05），且上述指标在接受训练前满足平行趋势假设。治疗组的并发症发生率低于对照组（P＜0.05）。结论 相较于传统康复治疗，MOTOmed训练模式能够促进关节功能恢复，促进骨代谢，改善疼痛应激反应，减少术后并发症。 |
| 英文摘要: |
| Objective To investigate the effect of MOTOmed intelligent exercise training on postoperative bone metabolism and pain stress indexes in patients with tibial plateau fracture (FTP). Methods 132 FTP patients admitted to our hospital from June 2022 to June 2024 were selected and divided into a control group (conventional rehabilitation training) and a treatment group (conventional rehabilitation training plus MOTOmed intelligent exercise training) according to the postoperative rehabilitation training method. After 1:1 matching by the PSM method, each group included 52 cases. Bone metabolism and pain stress indicators were compared between the two groups. Repeated measures analysis of variance was used to assess whether there were statistically significant effects of time, group, and their interaction on bone metabolism indicators [BGP, OPG, ALP, β-CTX, 25-(OH)D] and pain stress indicators (SP, PGE2, NPY) at different time points in the two groups. A parallel trend test was used to examine the effect of the training method on bone metabolism and pain stress indicators.Log-binomial regression analysis was performed on the concurrency rate of the two groups. Results After matching, the propensity scores of the two groups tend to be consistent in the overall distribution. With prolonged training time, BGP, ALP, and 25-(OH)D levels increase, with the treatment group higher than the control group; OPG and β-CTX decrease, and the treatment group is lower than the control group (P<0.05). SP, PGE2, and NPY in both groups first increase and then decrease, with the treatment group lower than the control group (P<0.05). The time effect, between-group effect, and interaction effect of bone metabolism and pain stress indicators in both groups are all statistically significant (P<0.05), and the above indicators meet the parallel trend assumption before receiving training. The incidence of complications in the treatment group was lower than that in the control group (P<0.05). Conclusion As opposed to traditional rehabilitation therapy, MOTOmed training mode can improve the postoperative efficacy, promote the recovery of joint function, promote bone metabolism, enhance the pain and stress response management, while decreasing the incidence of postoperative complications in patients with FTP. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|