芒硝外敷结合运动疗法和理筋手法干预对膝关节置换术后疗效的影响

摘要

Objective To observe the effect of early application of mirabilite combined with exercise therapy and tendon manipulation on improving clinical symptoms, promoting functional recovery and improving patient satisfaction after total knee arthroplasty (TKA). Methods 58 patients with primary and unilateral TKA were randomly divided into 2 groups by random number table method, 29 cases each. The treatment group was treated with the external application of mirabilite on the second day after operation and the intervention of physical therapy and exercise therapy. The control group only taught the patients the correct method of functional exercise. The HSS function scores of the 2 groups were compared before and after operation 1week, 2 weeks and one month. The calf circumference was measured before and first day after operation, 1 week, 2 weeks and one month after operation, and the data were statistically analyzed. Results HSS score: the 2 groups were statistically significant compared with those before operation (P<0.05). The difference between the treatment group and the control group was statistically significant after 1, 2 weeks, and postoperative one month (P<0.05). The measurement of the diameter of the calf:there was no significant difference between the 2 groups before, first day after operation, 2 weeks after the operation, and one month after the operation (P>0.05). Conclusion The early application of mirabilite combined with exercise therapy and tendon manipulation has a positive effect on reducing limb edema, increasing patient compliance and improving operative efficacy after TKA, and can reduce the postoperative residual symptoms, achieve rapid early rehabilitation, improve patient satisfaction and quality of life.%目的 观察膝关节置换(TKA)术后早期给予中药芒硝外敷并结合运动疗法和理筋手法干预对改善患者的临床症状、促进功能恢复和提高患者满意度的影响.方法 58例行初次、单侧TKA 术的患者,采用随机数字表法随机分为 2 组,各29例,治疗组术后第2天即采用芒硝外敷结合理筋手法和运动疗法干预,对照组只教患者正确的功能锻炼方法,对比2组术前、术后1、2周及术后1月行膝关节HSS功能评分比较,术前、术后第1天、术后1、2周及术后1月行小腿周径测量,并进行记录,对数值进行统计分析.结果 HSS评分:2组与术前比较均有统计学意义(P<0.05),治疗组与对照组比较,术后1、2周、术后1月差异有统计学意义(P<0.05);小腿周径测量:2组术前、术后第1天、术后2周、术后1月比较差异无统计学意义(P>0.05).结论 TKA术后早期给予芒硝外敷结合运动疗法和理筋手法干预对减轻患肢水肿,增加患者依从性,提高手术疗效有积极意义,并可减少术后残留症状,达到早期快速康复,提高患者满意度和生活质量.