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早期康复训练对膝关节前交叉韧带重建术后疗效的Meta 分析
张晓宇,张君涛,王平,夏彤,张超,韩金昌,王俊龙,杨程,刘爱峰
天津中医药大学第一附属医院骨伤科天津 300381;国家中医针灸临床医学研究中心天津 300381;天津中医药大学天津 301617
摘要:
目的:基于已发表的随机对照试验,采用Meta 分析关节镜下前交叉韧带(ACL) 术后早期康复训练的疗效。方法:计算机检索PubMed、Embase 和CENTAL 数据库等,收集ACL 术后早期康复的随机对照试验(RCT),检索时间不限,语种仅英语。两名研究人员按照纳入与排除标准独立对文献进行筛选,提取有关数据资料,并采用Cochrane Collaboration 工具表对文献质量进行评价。采用Revman5.3 软件进行Meta 分析,比较研究组(ACL 术后早期康复训练)与对照组(ACL术后常规康复训练)的Lysholm 膝关节评分、Tegner 膝关节评分、KT-1000 或K-2000 关节活动度测量仪测量值,评价康复疗效。结果:共纳入12 篇RCT,共544 例研究对象。两组Lysholm 膝关节评分差异有统计学意义,Tegner 膝关节评分、KT-1000/KT-2000 测量值、单腿跳跃试验方面差异均无统计学意义。结论:前交叉韧带术后早期康复对膝关节恢复可能存在优势,临床上应制定个体化的康复方案,使患者膝关节得到最大程度的恢复。
关键词:  前交叉韧带重建  康复训练  Meta 分析  循证医学
DOI:10.3969/j.issn.1007-6948.2022.06.014
投稿时间:2022-03-02
基金项目:国家中医药管理局区域中医(骨伤科)诊疗中心、国家自然科学基金面上项目(81873316、82074470); 天津市教委科研计划项目(2018KJ040)
Effects of Early Aggressive Rehabilitation on Outcomes After Anterior Cruciate Ligament Reconstruction:A Meta-analysis
ZHANG Xiao-yu,ZHANG Jun-tao,WANG Ping
Abstract:
Objective Based on published randomized controlled trials (RCTs),a Meta-analysis was performed on the effects of early aggressive rehabilitation on outcomes after anterior cruciate ligament reconstruction. Methods PubMed,Cochrane library,Embase and other databases were searched.Data were not limited. Language was only English.According to the criteria,the literature was screenedand datawere extracted by two reviewers independently. Therisk of bias tool of Cochrane Collaboration was used toassess the quality of literature.RevMan 5.3 software was used to perform theMeta-analysis,including the contrast of Lysholm scores,Tegner scores,KT-1000 or KT-2000 arthrometer measurement and single-leg hop test. Results Twelve RCTs were included, with a total of 544 patients. Meta-analysis results showed that there was no significant difference in Tegner scores (P =0.48, I2=0%), KT-1000 or KT-2000 arthrometer measurement ( P =0.62, I2=0% ), single-leg hop test (P =0.17, I2=0% ). Conclusion There was no significant difference in the clinical results of early rehabilitation training on the recovery of anterior cruciate ligament for knee function recovery.
Key words:  Anterior cruciate ligament reconstruction  rehabilitation  Meta-analysis  evidence-based medicine

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