推拿手法对全膝关节置换术后患者康复及D-二聚体水平的影响

The effect of manipulation on rehabilitation and D-dimer level of patients with otal knee arthroplasty

目的观察早期综合推拿手法对全膝关节置换术后患者康复情况及血液中D-二聚体水平的影响,丰富全膝关节置换术后患者的康复及预防下肢深静脉血栓形成的治疗方法。方法将60名接受全膝关节置换术的骨关节炎患者随机分为对照组和推拿组,每组30例,对照组用常规抗凝药物,推拿组采用常规抗凝药物结合推拿手法。通过治疗前后对比观察两组患者关节功能HSS评分以及血液中D-二聚体水平的变化,评估推拿手法作为一种康复手段并预防下肢深静脉血栓形成的效果。结果两组患者疗后膝关节功能HSS评分比疗前均有有显著提高(P<0.05),推拿组优于对照组(P<0.05),两组患者疗后D-二聚体的水平均有所升高(P<0.05),但推拿组上升的水平明显低于对照组(P<0.05)。结论推拿手法可促进骨关节炎患者全膝关节置换术后的关节功能恢复,并能降低患者血液中D-二聚体水平,预防下肢深静脉血栓的形成。

Objective Observation of rehabilitation condition and blood D dimer level of the total knee arthroplasty patients with early comprehensive manipulation, enrich the patients rehabilitation and prevention of lower extremity deep venous thrombosis treatment method after total knee arthroplasty. Methods 60 osteoarthritis patients with total knee arthroplasty are randomly divided into control group and manipulation group, 30 cases in each group. The control group use conventional anticoagulant drugs and manipulation group use conventional anticoagulant drugs combining with manipulation. Through the contrast observation of the two groups before and after treatment of joint function of the patients with HSS score and blood D dimer level changes, assessment of manipulation as a means of rehabilitation and prevention of deep venous thrombosis of the lower extremity effect. Results After treatment two groups of patients,knee function HSS score is more improved than before（P〈0. 05）. Manipulation group is better than control group（P〈0. 05）. Two groups patients of D dimer levels are increased（P〈0.05）, but the manipulation group rising level are significantly lower than control group（P〈0. 05）. Conclusions Manipulation can promote the patient of osteoarthritis after total knee arthroplasty in the recovery of joint function, and can reduce the blood D dimer level resulting in prevention of lower limb deep venous thrombosis.