中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (35): 6646-6650.doi: 10.3969/j.issn.2095-4344.2012.35.035

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    

关节镜下前交叉韧带重建后专业运动员与普通人群疼痛耐受度的比较

王佳宁，胡跃林，焦 晨，郭秦炜，杨渝平，江 东，张海龙   

  1. 北京大学运动医学研究所，北京市 100191
  • 收稿日期:2012-06-04 修回日期:2012-06-01 出版日期:2012-08-26 发布日期:2013-07-12
  • 通讯作者: 胡跃林，硕士，主任医师，北京大学运动医学研究所，北京市 100191 sportshyl@sina.com
  • 作者简介:Wang Jia-ning☆, Doctor, Physician, Institute of Sports Medicine of Peking University, Beijing 100191, China dricimitar@gmail.com

Comparison of pain endurance between professional athletes and common people after anterior cruciate ligament reconstruction under arthroscope

Wang Jia-ning, Hu Yue-lin, Jiao Chen, Guo Qin-wei, Yang Yu-ping, Jiang Dong, Zhang Hai-long   

  1. Institute of Sports Medicine of Peking University, Beijing 100191, China
  • Received:2012-06-04 Revised:2012-06-01 Online:2012-08-26 Published:2013-07-12
  • Contact: Hu Yue-lin, Master, Chief physician, Institute of Sports Medicine of Peking University, Beijing 100191, China sportshyl@sina.com.cn
  • About author:王佳宁☆，男，1983年生，辽宁省沈阳市人，汉族，2009年北京大学医学部毕业，博士，医师，主要从事运动损伤的研究。 dricimitar@gmail.com

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555

被引次数

7

摘要：

背景：在传统观点中，专业运动员对于疼痛的耐受能力应较普通人群更好。
目的：比较前交叉韧带损伤重建后专业运动员与普通人群对疼痛耐受度的差异。
方法：纳入2011-06/12在北京大学第三医院住院的前交叉韧带断裂患者20例，专业运动员和普通人群各10例。均由同一位医师应用相同的定位方法及固定方法进行关节镜下前交叉韧带重建。重建后待损伤侧拇趾背伸肌力达到V级后进行疼痛评估。
结果与结论：所有入组人员均在重建后损伤侧拇趾背伸肌力达到V级后7 h内疼痛到达无法忍受的程度，达峰最短时间为2 h，中位时间为4 h。在专业运动员组，疼痛达峰中位时间为3 h，在普通人群组，疼痛到达峰值中位时间为5 h，两组比较差异有显著性意义(P < 0.05)。提示前交叉韧带重建后，专业运动员较普通人群对于疼痛的耐受度低。

关键词: 疼痛耐受度, 关节镜, 前交叉韧带重建, 专业运动员, 普通人群, 疼痛目测类比评分, 组织工程

Abstract:

BACKGROUND: Traditionally, professional athletes are considered more endurable in pain than common people.
OBJECTIVE: To compare the pain endurance between professional athletes and common people after undertaking anterior cruciate ligament reconstruction.
METHODS: Twenty patients (10 professional athletes and 10 common people) with anterior cruciate ligament rupture were selected from Peking University Third Hospital from June 2011 to December 2011. All the patients were treated with anterior cruciate ligament reconstruction under arthroscope by the same physician and the same positioning and fixation methods. The visual analogue scale scores for post-operative pain were recorded after the operated extremity obtained full muscle strength.
RESULTS AND CONCLUSION: The pain of all the patients reached to the intolerable level at 7 hours after the operated extremity obtained full muscle strength, the shortest peak time was 2 hours and the median time was 4 hours. In professional athlete group, the median peak time was 3 hours and 5 hours in common people group, and there was significant difference between two groups (P < 0.05). Professional athletes held worse pain endurance than common people after anterior cruciate ligament reconstruction.

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