[1]张庆文,陈达,谭鹏.前交叉韧带重建术后患者运动心理状态的影响因素分析[J].中医正骨,2012,24(08):21-25.
　ZHANG Qing-wen*,CHEN Da,TAN Peng..Analysis of influencing factors on psychological state in patients with cruciate ligament reconstruction[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(08):21-25.
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前交叉韧带重建术后患者运动心理状态的影响因素分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年08期
页码:
21-25
栏目:
临床研究
出版日期:
2012-08-20

文章信息/Info

Title:
Analysis of influencing factors on psychological state in patients with cruciate ligament reconstruction
作者:
张庆文1; 陈达2; 谭鹏2
1.广州中医药大学第一附属医院,广东 广州 510405;
2.广州中医药大学,广东 广州 510405
Author(s):
ZHANG Qing-wen*; CHEN Da; TAN Peng.
*No.1 Affiliated Hospital of Guangzhou TCM University,Guangzhou 510405,Guangdong,China
关键词:
前交叉韧带重建 运动状态 心理状态 影响因素
Keywords:
Anterior cruciate ligament reconstruction;  Motion state;  Psychological states;  Influencing factor
摘要:
目的:探讨关节镜下前交叉韧带重建术后患者运动心理状态的影响因素。方法:对我院骨科于自2007年1月～2010年12月期间,采用关节镜下重建前交叉韧带患者的64例病例资料进行回顾性分析,并进行门诊及电话随访。获得数据后分别分析性别、年龄、定位(左侧或右侧)、受伤原因、受伤次数、手术时机、伤膝活动度、韧带稳定性检查、肌肉力量与Tegner得分(伤前、随访)、前交叉韧带重建心理测试问卷的情绪紧张、运动时的自信心、害怕再次受伤得分之间的关系。结果:52例获得随访,心理状态评分从高到低依次为害怕再次受伤、情绪紧张、运动时的自信心,差异有统计学意义(P<0.05)。受伤次数≥3次的患者其害怕再次受伤、情绪得分、自信心的得分均高于受伤次数为1次和2次的患者,同时其运动水平Tegner随访评分均低于后者,差异均有统计学意义(P<0.05)。伤膝关节稳定性下降或伤膝关节大腿肌肉力量较健侧减弱患者的Tegner随访得分较低,同时伤膝关节大腿肌肉力量较健侧减弱者的情绪得分较高,与正常者比较,差异均有统计学意义(P<0.05)。结论:前交叉韧带重建术后患者的心理状态主要为害怕再次受伤和情绪紧张,受伤次数越多患者害怕再次受伤、情绪紧张、缺乏自信心的心理状态越明显,其运动水平也降低。伤膝关节稳定性下降或伤膝关节大腿肌肉力量较健侧减弱的患者,其运动水平降低,同时大腿肌肉力量减弱者的运动情绪较紧张。
Abstract:
Objective:To investigate the influencing factors on psychological state in patients with arthroscopic cruciate ligament reconstruction.Methods:64 patients were treated with arthroscopic cruciate ligament reconstruction from January 2007 to December 2010,these cases were analysed retrospectively,telephone or clinic follow-up were conducted.The sex,age,left or right,injury causes,times,operation time,range of motion of injuried knee,stability of ligament, myodynamia,Tegner score,nevous of psychological questionnaires,self-confidence in sports,relation between scores and scared to re-injury were documented and analysed.Results:52 cases got followed-up,the sequence of score was scared to re-injury,neverse,self-confidence in sports,the differences were significiant(P<0.05).The score of scared to re-injury,neverse,self-confidence of patients injuried more than 3 times were higher than that of patients injuried 1 or 2 times,the Tegner scores were lower than the latter,the differences were significiant(P<0.05).Tegner scores were low in patients with unstability or strength reduce,the scores of nervous of patients with thigh muscle strength reduce were high,the difference with normal were significiant(P<0.05).Conclusion:Nervouse and scared to re-injury occupies important position in psychological state of patients with cruciate ligament reconstruction,the state of scared to re-injury,nervous,lacking self-confidence is obvious, athletic ability reduced. The athletic ability of patients with stability of knee and thigh muscle strength reduce is low and patients with thigh muscle strength reduce are more nervous.

参考文献/References:

[1] 陈益果,丁晶,徐永清,等.膝关节前交叉韧带损伤治疗进展[J].西南军医,2010,12(1):84.
[2] Tegner Y,Lysholm J.Rating systems in the evaluation of knee ligament injuries[J].Clin Orthorp Relat Res,1985 Sep,(198):43-49.
[3] Webster KE,Feller JA,Lambros C.Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery[J].Phys Ther Sport,2008,9(1):9-15.
[4] Lee DY,Karim SA,Chang HC.Return to sports after anterior cruciate ligament reconstruction-a review of patients with minimum 5-year follow-up[J].Ann Acad Med Singapore,2008,37(4):273-278.

更新日期/Last Update: 2012-08-20