静态进展性牵伸结合关节松动术在全膝关节置换术患者中的应用效果

Effect of static progressive draft combined with joint mobilization in patients undergoing total knee arthroplasty

目的探讨静态进展性牵伸(SPS)结合关节松动术对全膝关节置换术(TKA)患者视觉模拟评分法(VAS)评分、膝关节活动度、美国特种外科医院膝关节评分系统(HSS)评分的影响.方法采用随机抽样法选取75例TKA患者作为研究对象,以摸球法分为2组,对照组37例采用关节松动术,研究组38例采用SPS结合关节松动术,比较2组患者的疗效.结果治疗后4、8周时,研究组VAS评分低于对照组,膝关节活动度、HSS评分高于对照组,差异均有统计学意义(P<0.05);研究组总有效率为97.37%,高于对照组的78.38%,差异有统计学意义(P<0.05).结论TKA患者采用SPS结合关节松动术治疗,可减轻疼痛,改善膝关节活动度及关节功能,提升疗效.

Objective To investigate the effect of static progressive splinting(SPS)combined with joint mobilization on Visual Analogue Score(VAS),knee joint range of motion,Knee Scoring System of Hospital for Special Surgery(HSS)in patients undergoing total knee arthroplasty(TKA).Methods A total of 75 TKA patients in our hospital were selected by random sampling method.The ball-touching method was adopted to divide these patients into two groups:control group(n=37)given joint mobilization,and study group(n=38)given SPS combined with joint mobilization.The clinical efficacy of two groups was compared.Results At 4 and 8 weeks after treatment,the Visual Analogue Scale(VAS)score of the study group was lower,and the knee joint range of motion and HSS score were higher than that of the control group(P<0.05);the total effective rate in the study group was 97.37%,which was higher than 78.38%in the control group(P<0.05).Conclusion In TKA patients,SPS combined with joint mobilization can relieve pain,improve the knee joint range of motion and joint function,and enhance the curative effect.