| 于美庆,张婷,王欢,等.经皮神经电刺激联合常规康复方法治疗膝关节周围骨折术后病人的临床疗效观察.骨科,2026,17(1): 68-72. |
| 经皮神经电刺激联合常规康复方法治疗膝关节周围骨折术后病人的临床疗效观察 |
| Clinical efficacy of transcutaneous electrical nerve stimulation combined with conventional rehabilitation methods in the treatment of postoperative patients with periknee fractures |
| 投稿时间：2025-08-07 |
| DOI：10.3969/j.issn.1674-8573.2026.01.013 |
| 中文关键词: 经皮神经电刺激 常规康复 膝关节周围骨折 肌力 步态 康复治疗 |
| 英文关键词: Transcutaneous electrical nerve stimulation Conventional rehabilitation Periknee fractures Muscle strength Gait Rehabilitation treatment |
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| 中文摘要: |
| 目的 探讨经皮神经电刺激（TENS）联合常规康复方法对膝关节周围骨折术后病人肌力及步态的影响。方法 回顾性研究2021年3月至2024年3月我院收治的80例膝关节周围骨折术后病人临床资料，按照术后康复方法不同分为对照组（常规康复方法，40例）和观察组（TENS联合常规康复方法，40例）。观察两组病人术后膝关节功能、疼痛、肌力及步态情况。结果 干预后，观察组临床总有效率高于对照组（92.50% vs. 70.00%，P=0.020）。干预3周和6周时，观察组疼痛视觉模拟量表（VAS）评分低于对照组，伸屈肌肌力高于对照组，步行周期快于对照组，患侧单步长以及患膝摆动范围均大于对照组（P均＜0.05）；两组患侧支撑相占比组间比较，差异无统计学意义（P＞0.05）。干预6周时，观察组美国特种外科医院膝关节评分系统（HSS-KS）评分高于对照组[（80.22±11.78）分 vs. （72.55±10.21）分，P＜0.05]。结论 TENS联合常规康复方法治疗膝关节周围骨折术后病人临床疗效确切，可有效减轻疼痛、提升肌力，改善步态，有助于膝关节功能的恢复。 |
| 英文摘要: |
| Objective To explore the effect of transcutaneous electrical nerve stimulation (TENS) combined with conventional rehabilitation methods on muscle strength and gait in patients after periknee fracture surgery. Methods A retrospective study was conducted on the clinical data of 80 postoperative patients with periknee fractures admitted to our hospital from March 2021 to March 2024. According to different postoperative rehabilitation methods, the patients were divided into the control group (conventional rehabilitation method, 40 cases) and the observation group (TENS combined with conventional rehabilitation method, 40 cases). The knee joint function, pain, muscle strength, and gait in the two groups were observed after the operation. Results After intervention, the total clinical effective rate of the observation group was higher than that of the control group (92.50% vs. 70.00%, P=0.020). At 3rd and 6th week of intervention, the observation group had lower visual analogue scale (VAS) scores, stronger extensor and flexor muscle strength, faster walking cycles, and the stride length of the affected limb and the swing range of the knee joint were greater than those of the control group (all P＜0.05). There was no statistically significant difference in the proportion of the supporting phase time on the affected side between the two groups (P＞0.05). At 6th week of intervention, the Hospital for Special Surgery Knee Score (HSS-KS) in the observation group was higher than that in the control group (80.22±11.78 vs. 72.55±10.21, P＜0.05). Conclusion The clinical efficacy of TENS combined with conventional rehabilitation methods in treating patients with periknee fractures after surgery is confirmed. It can effectively alleviate pain, enhance muscle strength, improve gait, and contribute to the recovery of knee joint function. |
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