摘要
目的:探讨中医推拿在全膝关节置换术后康复应用的临床价值。方法:38例TKA患者随机分为治疗组(常规康复治疗加中医推拿组)和对照组(常规康复治疗组),分别于术后1、2、3周,以及3、6月进行HSS和VAS等指标检测。结果:治疗组住院天数少于对照组(P<0.01)。VAS及HSS总分(P<0.05),疼痛,肌力在3周内均有差异(P<0.01),膝关节屈曲度在1、2周内有差异(P<0.05),第三周则无差异(P>0.05).术后3、6月时治疗组与对照组各项指标无差异性(P>0.05).两组引流量无差异。2周后治疗组髌上肿胀减轻较快(术后第4天P<0.05)。结论:中医推拿康复可改善TKA术后近期康复,减少住院时间,值得进一步研究和应用于临床。
Objective： To evaluate the role of traditional Chinese massage on postoperative rehabilitation of TKA.Methods： Thirty-eight patients with TKA were randomly divided into 2 groups： the treatment group who were given conventional rehabilitation and the control group who received conventional rehabilitation plus traditional Chinese massage,with 19 cases in each group.Function recovery was evaluated by HSS score and VAS score at the 1st week,2nd week,3rd week,3rd month and 6th month respectively.Results： Hospital day for treatment group was shorter than control group（P〈0.01）.There were significant differences between the 2 groups in HSS score,VAS score,pain and muscle force in 3 weeks（P〈0.05）,and the range of knee flexion in 2 weeks（P〈0.05）.The recovery of kneecap swelling in treatment group was faster than in control group after 2 weeks（P〈0.05）.No differences were found between the 2 groups in all the indicators 3 and 6 months later.The volume of postoperative drainage showed no difference between two groups.Conclusion： Traditional Chinese massage improves the postoperative rehabilitation of TKA and shortens the hospital day,which deserves further study and clinical application.
出处
《中国中医骨伤科杂志》
CAS
2008年第8期6-8,11,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
中医推拿
全膝关节置换术
康复
Traditional Chinese massage
TKA
Rehabilitation
