切换至 "中华医学电子期刊资源库"
高级检索
中华老年骨科与康复电子杂志

中华老年骨科与康复电子杂志 ›› 2023, Vol. 09 ›› Issue (02) : 120 -128. doi: 10.3877/cma.j.issn.2096-0263.2023.02.009

综述

膝骨关节炎的康复治疗研究进展
王柯懿, 刘倩, 宋德志, 赵劲民†()   
  1. 530021　南宁，广西医科大学再生医学与医用生物资源开发应用省部共建协同创新中心；530021　南宁，广西医科大学第一附属医院广西再生医学重点实验室
    530021　南宁，广西医科大学第一附属医院广西再生医学重点实验室
    530021　南宁，广西医科大学第一附属医院广西再生医学重点实验室；530021　南宁，广西医科大学第一附属医院创伤骨科手外科
  • 收稿日期:2022-06-23 出版日期:2023-04-05
  • 通信作者: 赵劲民
  • 基金资助:
    广西科技基地和人才专项项目(桂科AD19254003); 国家自然科学基金(81960405)

Rehabilitation of knee osteoarthritis

Keyi Wang, Qian Liu, Dezhi Song, Jinmin Zhao†()   

  1. Collaborative Innovation Centre of Regenerative Medicine and Medical BioResource Development and Application, Guangxi Medical University, Nanning 530021, China; Guangxi Key Laboratory of Regenerative Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
    Guangxi Key Laboratory of Regenerative Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
    Guangxi Key Laboratory of Regenerative Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China; Orthopaedic Trauma Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2022-06-23 Published:2023-04-05
  • Corresponding author: Jinmin Zhao
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

王柯懿, 刘倩, 宋德志, 赵劲民. 膝骨关节炎的康复治疗研究进展[J]. 中华老年骨科与康复电子杂志, 2023, 09(02): 120-128.

Keyi Wang, Qian Liu, Dezhi Song, Jinmin Zhao. Rehabilitation of knee osteoarthritis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(02): 120-128.

骨性关节炎（OA）是一种多发于中老年人的慢性退行性关节疾病，膝骨关节炎（KOA）是其最常见的类型。随着世界人口老龄化程度逐渐加深，膝骨关节炎的预期发病率及其对社会产生的健康、经济负担也逐年增加。目前膝骨关节炎在临床上无法完全治愈，随着现代医学的发展走向新模式，康复理念的引入为膝骨关节炎的治疗和护理提供了更加多元的思路。本文结合国内外文献，对KOA康复治疗的现状进行分析，并比较近年来国内外康复治疗膝骨关节炎的方法及其临床效果，以期为膝骨关节炎康复方案的设计提供新的思路。

关键词: 膝骨关节炎, 康复, 物理治疗, 运动疗法

Osteoarthritis (OA) was a chronic degenerative joint disease that often occurred in elders. Knee osteoarthritis (KOA) was the most common type. Along with the population aging, the morbidity of KOA increased year by year and caused great healthy and economic burdens on society. At present, KOA could not be completely cured clinically. With the development of the modern medical model, the introduction of the rehabilitation concept provided a more comprehensive and multifaceted idea for KOA treatment. In reference to literature published worldwide, this review analyzed the current situation of KOA rehabilitation, compared the clinical effects of different therapy, and discussed the prospect of rehabilitation of KOA in order to provide new ideas for the design of the KOA rehabilitation scheme.

Key words: Knee osteoarthritis, Rehabilitation, Therapeutic exercise, Physiotherapy
1
Charlier Edith, Deroyer Céline, Ciregia Federica, et al. Chondrocyte dedifferentiation and osteoarthritis (OA) [J]. Biochem Pharmacol, 2019, 165: 49-65.
2
Michael Joern W-P, Schlüter-Brust Klaus U, Eysel Peer. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee [J]. Dtsch Arztebl Int, 2010, 107(9): 152-162.
3
Miranda-Duarte A, Borgonio-Cuadra VM, González-Huerta NC, et al. Are functional variants of the microRNA-146a gene associated with primary knee OA? Evidence in Mexican mestizo population [J]. Mol Biol Rep, 2021, 48(2): 1549-1557.
4
Jin SY, Hong SJ, Yang HI, et al. Estrogen receptor-alpha gene haplotype is associated with primary knee osteoarthritis in Korean population [J]. Arthritis Res Ther, 2004, 6(5): R415-R421.
5
González-Huerta NC, Borgonio-Cuadra VM, Morales-Hernández E, et al. Vitamin D receptor gene polymorphisms and susceptibility for primary osteoarthritis of the knee in a Latin American population [J]. Adv Rheumatol, 2018, 58(1): 6.
6
Yang W, Sun C, He SQ, et al. The efficacy and safety of Disease-Modifying osteoarthritis drugs for knee and hip osteoarthritis—a systematic review and network Meta-Analysis [J]. J Gen Intern Med, 2021, 36(7): 2085-2093.
7
Sharma L. Osteoarthritis of the knee [J]. N Engl J Med, 2021, 384(1): 51-59.
8
Andriacchi TP, Favre J, Erhart-Hledik JC, et al. A systems view of risk factors for knee osteoarthritis reveals insights into the pathogenesis of the disease [J]. Ann Biomed Eng, 2015, 43(2): 376-387.
9
Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis:estimates from the global burden of disease 2010 study [J]. Ann Rheum Dis, 2014, 73(7): 1323-1330.
10
Chen Hongbo, Wu Junhui, Wang Zijing, et al. Trends and Patterns of Knee Osteoarthritis in China: A Longitudinal Study of 17.7 Million Adults from 2008 to 2017 [J]. Int J Environ Res Public Health, 2021, 18(16).
11
Charlesworth J, Fitzpatrick J, Perera NK, et al. Osteoarthritis- a systematic review of long-term safety implications for osteoarthritis of the knee [J]. BMC Musculoskelet Disord, 2019, 20(1): 151.
12
Bindu Samik, Mazumder Somnath, Bandyopadhyay Uday. Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective [J]. Biochem Pharmacol, 2020, 180: 114147.
13
徐颖鹏,谢利民,王文岳.中药外治与西药治疗膝骨关节炎疗效及安全性Meta分析[J].中国中药杂志, 2012, 37(19).
14
Huang H, Zhang P, Xiang C, et al. Effect of bone marrow mesenchymal stem cell transplantation combined with lugua polypeptide injection on osteoarthritis in rabbit knee joint [J]. Connect Tissue Res, 2022, 63(4): 370-381.
15
Feng Xu, Beiping Li. Therapeutic Efficacy of Ozone Injection into the Knee for the Osteoarthritis Patient along with Oral Celecoxib and Glucosamine [J]. J Clin Diagn Res, 2017, 11(9): UC01-UC3.
16
Chen Ziming, Deng Zhantao, Ma Yuanchen, et al. Preparation, Procedures and Evaluation of Platelet-Rich Plasma Injection in the Treatment of Knee Osteoarthritis [J]. J Vis Exp, 2019, (143).
17
Yang Junjun, Wang Xin, Fan Yahan, et al. Tropoelastin improves adhesion and migration of intra-articular injected infrapatellar fat pad MSCs and reduces osteoarthritis progression [J]. Bioact Mater, 2022, 10: 443-59.
18
Thorlund J B, Juhl C B, Roos E M, et al. Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms [J]. BMJ, 2015, 350: h2747.
19
Wade DT, Halligan PW. The biopsychosocial model of illness:a model whose time has come [J]. Clin Rehabil, 2017, 31(8): 995-1004.
20
Raposo F, Ramos M, Lucia CA. Effects of exercise on knee osteoarthritis:A systematic review [J]. Musculoskeletal Care, 2021, 19(4): 399-435.
21
Wu Y, Zhu F, Chen W, et al. Effects of transcutaneous electrical nerve stimulation(TENS)in People with knee osteoarthritis:A systematic review and meta-analysis [J]. Clin Rehabil, 2022, 36(4): 472-485.
22
Guo JM, Xiao Y, Cai TY, et al. Chinese medicine involving triple rehabilitation therapy for knee osteoarthritis in 696 outpatients: a Multi-Center, randomized controlled trial [J]. Chin J Integr Med, 2021, 27(10): 729-736.
23
Beech DJ. Endothelial piezo1 channels as sensors of exercise [J]. J Physiol, 2018, 596(6): 979-984.
24
Bartoli Fiona, Debant Marjolaine, Chuntharpursat-Bon Eulashini, et al. Endothelial Piezo1 sustains muscle capillary density and contributes to physical activity [J]. J Clin Invest, 2022, 132(5): e141775.
25
曾敏桂,董宝强,马苏娟,等.经筋刺法结合等速肌力训练对...股四头肌功能影响的临床研究[J].针灸临床杂志, 2022, 38(9): 34-38.
26
赵文娟,汪艳.穴位按摩联合股四头肌等长收缩训练在针刀镜治疗瘀血闭阻型膝骨关节炎患者中的应用[J].中国医学创新, 2022, 19(13): 127-130.
27
Choi Yun Lak, Kim Bo Kyung, Hwang Yong Pil, et al. Effects of isometric exercise using biofeedback on maximum voluntary isometric contraction, pain, and muscle thickness in patients with knee osteoarthritis [J]. J Phys Ther Sci, 2014, 27 (1): 149-53.
28
Rio Ebonie, van Ark Mathijs, Docking Sean, Moseley G Lorimer, et al. Isometric Contractions Are More Analgesic Than Isotonic Contractions for Patellar Tendon Pain: An In-Season Randomized Clinical Trial [J]. Randomized Controlled Trial, 2017, 27(3):253-259.
29
Tung Emma V, Marriott Kendal A, Laing Andrew C, et al. The relationship between muscle capacity utilization during gait and pain in people with symptomatic knee osteoarthritis [J]. Gait Posture, 2022, 94: 58-66.
30
Ventura A, Muendle B, Friesenbichler B, et al. Deficits in rate of torque development are accompanied by activation failure in patients with knee osteoarthritis [J]. J Electromyogr Kinesiol, 2019, 44: 94-100.
31
Lambova S. Exercise programmes for osteoarthritis with different localization [J]. Curr Rheumatol Rev, 2018, 14(2): 123-130.
32
Munukka M, Waller B, Rantalainen T, et al. Efficacy of progressive aquatic resistance training for tibiofemoral cartilage in postmenopausal women with mild knee osteoarthritis:a randomised controlled trial [J]. Osteoarthritis Cartilage, 2016, 24(10): 1708-1717.
33
Vincent KR, Vasilopoulos T, Montero C, et al. Eccentric and concentric resistance exercise comparison for knee osteoarthritis [J]. Med Sci Sports Exerc, 2019, 51(10): 1977-1986.
34
Messier SP, Mihalko SL, Beavers DP, et al. Effect of High-Intensity strength training on knee pain and knee joint compressive forces among adults with knee osteoarthritis:the START randomized clinical trial [J]. JAMA, 2021, 325(7): 646-657.
35
Colyer SL, Roberts SP, Robinson JB, et al. Detecting meaningful body composition changes in athletes using dual-energy x-ray absorptiometry [J]. Physiol Meas, 2016, 37(4): 596-609.
36
Kang MS, Kim J, Lee J. Effect of different muscle contraction interventions using an isokinetic dynamometer on muscle recovery following muscle injury [J]. J Exerc Rehabil, 2018, 14(6): 1080-1084.
37
Lee SK, Lira CB, Nouailhetas VA, et al. Do isometric,isotonic and/or isokinetic strength trainings produce different strength outcomes? [J]. J Bodyw Mov Ther, 2018, 22(2): 430-437.
38
贾文萍,臧传艳,张红倩,等.等速结合本体感觉训练治疗膝骨性关节炎患者的临床疗效研究[J].河北医学, 2021, 27(05): 805-810.
39
Wellsandt E, Golightly Y. Exercise in the management of knee and hip osteoarthritis [J]. Curr Opin Rheumatol, 2018, 30(2): 151-159.
40
Zeng Chu-Yang, Zhang Zhen-Rong, Tang Zhi-Ming, et al. Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis [J]. Front Physiol, 2021, 12: 794062.
41
Brosseau L, Taki J, Desjardins B, et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis.Part three:aerobic exercise programs [J]. Clin Rehabil, 2017, 31(5): 612-624.
42
Nakagawa S, Sugiura M, Akitsuki Y, et al. Compensatory effort parallels midbrain deactivation during mental fatigue:an fMRI study [J]. PLoS One, 2013, 8(2): e56606.
43
Kabiri Sanaz, Halabchi Farzin, Angoorani Hooman, et al. Comparison of three modes of aerobic exercise combined with resistance training on the pain and function of patients with knee osteoarthritis: A randomized controlled trial [J]. Phys Ther Sport, 2018, 32: 22-8.
44
Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee,hip,and polyarticular osteoarthritis [J]. Osteoarthritis Cartilage, 2019, 27(11): 1578-1589.
45
Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American college of rheumatology/arthritis foundation guideline for the management of osteoarthritis of the hand,hip,and knee [J]. Arthritis Care Res (Hoboken), 2020, 72(2): 149-162.
46
Allen KD, Bongiorni D, Caves K, et al. STepped exercise program for patients with knee OsteoArthritis (STEP-KOA): protocol for a randomized controlled trial [J]. BMC Musculoskelet Disord, 2019, 20(1): 254.
47
Guo Xuanhui, Zhao Peng, Zhou Xiao, et al. A recommended exercise program appropriate for patients with knee osteoarthritis: A systematic review and meta-analysis [J]. Frontiers in Physiology, 2022, 13: 934511.
48
Levinger P, Dunn J, Bifera N, et al. High-speed resistance training and balance training for People with knee osteoarthritis to reduce falls risk: study protocol for a pilot randomized controlled trial [J]. Trials, 2017, 18(1): 384.
49
Mat S, Ng CT, Tan PJ, et al. Effect of modified otago exercises on postural balance,fear of falling,and fall risk in older fallers with knee osteoarthritis and impaired gait and balance:a secondary analysis [J]. PM R, 2018, 10(3): 254-262.
50
Wang Yi, Wu Zugui, Chen Zehua, et al. Proprioceptive Training for Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials [J]. Front Med (Lausanne), 2021, 8: 699921.
51
Song Q, Shen P, Mao M, et al. Proprioceptive neuromuscular facilitation improves pain and descending mechanics among elderly with knee osteoarthritis [J]. Scand J Med Sci Sports, 2020, 30(9): 1655-1663.
52
Gökşen AF, Yılmaz S, Korkusuz F. Comparison of different neuromuscular facilitation techniques and conventional physiotherapy in knee osteoarthritis [J]. Turk J Med Sci, 2021, 51(6): 3089-3097.
53
Atamaz FC, Durmaz B, Baydar M, et al. Comparison of the efficacy of transcutaneous electrical nerve stimulation,interferential currents, and shortwave diathermy in knee osteoarthritis:a double-blind,randomized,controlled,multicenter study [J]. Arch Phys Med Rehabil, 2012, 93(5): 748-756.
54
Tavares DB, Okazaki JF, Santana MA, et al. Motor cortex transcranial direct current stimulation effects on knee osteoarthritis pain in elderly subjects with dysfunctional descending pain inhibitory system: A randomized controlled trial [J]. Brain Stimul, 2021, 14(3): 477-487.
55
Liu AY, Zhang QB, Zhu HL, et al. Low-frequency electrical stimulation alleviates immobilization-evoked disuse muscle atrophy by repressing autophagy in skeletal muscle of rabbits [J]. BMC Musculoskelet Disord, 2022, 23(1): 398.
56
Pietrosimone B, Luc HA, Harkey MS, et al. Using TENS to enhance therapeutic exercise in individuals with knee osteoarthritis [J]. Medicine&Science in Sports&Exercise, 2020, 52(10): 2086-2095.
57
Zhang C, Xie Y, Luo X, et al. Effects of therapeutic ultrasound on pain,physical functions and safety outcomes in patients with knee osteoarthritis:a systematic review and meta-analysis [J]. Clin Rehabil, 2016, 30(10): 960-971.
58
Scanzello CR, Goldring SR. The role of synovitis in osteoarthritis pathogenesis [J]. Bone, 2012, 51(2): 249-257.
59
Luo QL, Ji SQ, Li ZM, et al. Effects of ultrasound therapy on the synovial fluid proteome in a rabbit surgery-induced model of knee osteoarthritis [J]. Biomed Eng Online, 2019, 18(1): 18.
60
王广,王传敏,马利中.低强度脉冲超声联合本体感觉训练治疗膝骨关节炎疗效观察[J].医学理论与实践, 2022, 35(1): 3.
61
Rezasoltani Z, Azizi S, Najafi S, et al. Physical therapy, intra-articular dextrose prolotherapy, botulinum neurotoxin, and hyaluronic acid for knee osteoarthritis: randomized clinical trial [J]. Int J Rehabil Res, 2020, 43(3): 219-227.
62
Siriratna Punpetch, Ratanasutiranont Chompoonuch, Manissorn Thongsuk, et al. Short-Term Efficacy of High-Intensity Laser Therapy in Alleviating Pain in Patients with Knee Osteoarthritis: A Single-Blind Randomised Controlled Trial [J]. Pain Res Manag, 2022, 2022: 1319165.
63
Alayat MS, Aly TH, Elsayed AE, et al. Efficacy of pulsed Nd:YAG laser in the treatment of patients with knee osteoarthritis: a randomized controlled trial [J]. Lasers Med Sci, 2017, 32(3): 503-511.
64
Angelova Anna, Ilieva Elena M. Effectiveness of High Intensity Laser Therapy for Reduction of Pain in Knee Osteoarthritis [J]. Pain Res Manag, 2016, 2016: 9163618.
65
Nazari A, Moezy A, Nejati P, et al. Efficacy of high-intensity laser therapy in comparison with conventional physiotherapy and exercise therapy on pain and function of patients with knee osteoarthritis: a randomized controlled trial with 12-week follow up [J]. Lasers Med Sci, 2019, 34(3): 505-516.
66
Auersperg V, Trieb K. Extracorporeal shock wave therapy:an update [J]. EFORT Open Rev, 2020, 5(10): 584-592.
67
Van Der Worp H, Van Den Akker-Scheek I, Van Schie H, et al. ESWT for tendinopathy: technology and clinical implications [J]. Knee Surgery Sports Traumatology Arthroscopy, 2013, 21(6): 1451-1458.
68
Chen Lu, Ye Ling, Liu Hui, et al. Extracorporeal Shock Wave Therapy for the Treatment of Osteoarthritis: A Systematic Review and Meta-Analysis [J]. Biomed Res Int, 2020, 2020: 1907821.
69
Mostafa M, Hamada HA, Kadry AM, et al. Effect of High-Power laser therapy versus shock wave therapy on pain and function in knee osteoarthritis patients:a randomized controlled trial [J]. Photobiomodul Photomed Laser Surg, 2022, 40(3): 198-204.
70
Yang F, Chen Y, Lu Z, et al. Treatment of knee osteoarthritis with acupuncture combined with Chinese herbal medicine:a systematic review and meta-analysis [J]. Ann Palliat Med, 2021, 10(11): 11430-11444.
71
Li Juan, Li Yu-Xi, Luo Liao Jun, et al. The effectiveness and safety of acupuncture for knee osteoarthritis: An overview of systematic reviews [J]. Systematic Review and Meta-Analysis, 2019, 98(28): e16301.
72
Zhang R, Lao L, Ren K, et al. Mechanisms of acupuncture-electroacupuncture on persistent pain [J]. Anesthesiology, 2014, 120(2): 482-503.
73
Lin Jaung-Geng, Kotha Peddanna, Chen Yi-Hung. Understandings of acupuncture application and mechanisms [J]. Am J Transl Res, 2022, 14(3): 1469-1481.
74
Tang Yong, Yin Hai Yan, Liu Juan, et al. P2X receptors and acupuncture analgesia [J]. Brain Res Bull, 2019, 151: 144-52.
75
张金焕,陈伊镕,兰凯,等.火针,温针及电针疗法治疗膝骨关节炎有效性的网状Meta分析[J].中国组织工程研究, 2020, 24(18): 2945-2952.
76
Guo GX, Kong YZ, Zhu QG, et al. Cerebral mechanism of Tuina analgesia in management of knee osteoarthritis using multimodal MRI: study protocol for a randomised controlled trial [J]. Trials, 2022, 23(1): 694.
77
Zhu HF, Liu YJ, Feng W, et al. Experimental study of imitate-pressing Tuina on knee osteoarthritis in rabbits [J]. Shanghai Journal of Traditional Chinese Medicine, 2012.
78
Perlman A, Fogerite SG, Glass O, et al. Efficacy and safety of massage for osteoarthritis of the knee: a randomized clinical trial [J]. J Gen Intern Med, 2019, 34(3): 379-386.
79
Zhang Z, Huang C, Jiang Q, et al. Guidelines for the diagnosis and treatment of osteoarthritis in China(2019 edition) [J]. Ann Transl Med, 2020, 8(19): 1213.
80
Bennell KL, Schwartz S, Teo PL, et al. Effectiveness of an unsupervised online yoga program on pain and function in People with knee osteoarthritis:a randomized clinical trial [J]. Ann Intern Med, 2022, 175(10): 1345-1355.
81
Cheung C, Wyman JF, Bronas U, et al. Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: a pilot randomized controlled trial [J]. Rheumatol Int, 2017, 37(3): 389-398.
82
Kuntz AB, Chopp HN, Brenneman EC, et al. Efficacy of a biomechanically-based yoga exercise program in knee osteoarthritis:A randomized controlled trial [J]. PLoS One, 2018, 13(4): e0195653.
83
Ye Jiajia, Simpson Michael William, Liu Yang, et al. The Effects of Baduanjin Qigong on Postural Stability, Proprioception, and Symptoms of Patients With Knee Osteoarthritis: A Randomized Controlled Trial [J]. Front Med, 2020, 6.
84
Vitaloni M, Botto-Van Bemden A, Sciortino Contreras RM, et al. Global management of patients with knee osteoarthritis begins with quality of Life assessment: a systematic review [J]. BMC Musculoskelet Disord, 2019, 20(1): 493.
85
Kan Laidi, Zhang Jiaqi, Yang Yonghong, et al. The Effects of Yoga on Pain, Mobility, and Quality of Life in Patients with Knee Osteoarthritis: A Systematic Review [J]. Evid Based Complement Alternat Med, 2016, 2016: 6016532.
86
Li Ruojin, Chen Hongwei, Feng Jiahao, et al. Effectiveness of Traditional Chinese Exercise for Symptoms of Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials [J]. Int J Environ Res Public Health, 2020, 17(21): 7873.
[1] 熊倩, 罗凤. 乳腺癌患者术后康复现状与对策的研究进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 372-374.
[2] 董红华, 郭艮春, 江磊, 吴雪飞, 马飞翔, 李海凤. 骨科康复一体化模式在踝关节骨折快速康复中的应用[J]. 中华关节外科杂志(电子版), 2023, 17(06): 802-807.
[3] 杨依琴, 何敏仪, 杜桂菊, 刘欣, 詹文英. 膝关节置换术后康复应用基于保护动机理论的健康教育[J]. 中华关节外科杂志(电子版), 2023, 17(05): 741-746.
[4] 豆艺璇, 黄怀, 钱绮雯, 邢然然, 林丽, 白建芳. 低强度吸气肌训练对机械通气患者肺康复的影响[J]. 中华危重症医学杂志(电子版), 2023, 16(05): 370-375.
[5] 吴建永. 单中心2 000例心脏死亡器官捐献肾移植发展与创新[J]. 中华移植杂志(电子版), 2023, 17(04): 0-.
[6] 李雪, 刘文婷, 窦丽婷, 刘叶红. 联合护理在腹腔镜食管裂孔疝修补中的应用效果分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 750-754.
[7] 郑华蓉, 刘俊, 郑艳, 陈玉莲, 廖子敏. 加速康复外科理念下的集束化护理模式在腹股沟疝修补术中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 643-646.
[8] 吕瑶, 张婵, 陈建华, 张鸣青. 压力控制容量保证通气模式在腹腔镜肝细胞癌切除术中的应用[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 528-533.
[9] 丁晨梦, 胡雪慧, 闫沛, 程乔. 髋部骨折术后患者居家康复体验质性研究的Meta整合[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 365-372.
[10] 中华医学会骨科分会关节学组. 中国髋、膝关节置换日间手术围手术期管理专家共识[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 321-332.
[11] 李美娜, 宋艳丽, 杨姗姗, 李聚彩, 罗慧利, 吕杰. 三联预康复策略在退行性脊柱侧弯患者围术期的应用效果[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 356-364.
[12] 周晓强, 孙超, 虞宵, 金宇杰, 李志强, 张向鑫, 陈广祥. 同一患者同期行全膝和单髁置换术的早期临床疗效[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 275-281.
[13] 马聪, 李雪靖, 郑晓佐, 张晓阳, 段坤峰, 刘国强, 郄素会. 关节腔内注射富血小板血浆与透明质酸钠治疗Ⅰ-Ⅲ期膝骨关节炎的对比研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 282-288.
[14] 张镇斌, 闫兆龙, 王功腾, 张文琦, 王旭凤, 李广兴, 孙华强, 李树锋. 关节镜对胫骨高位截骨术治疗膝骨关节炎的效果研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(04): 218-225.
[15] 李岩松, 李涛, 张元鸣飞, 李志鹏, 周谋望. 头戴式虚拟现实设备辅助全膝关节置换术后康复的初步研究[J]. 中华临床医师杂志(电子版), 2023, 17(06): 676-681.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号