点推牵伸法联合药物关节腔内注射促进膝关节镜术后康复

Clinical effects of hitting, pushing, and pulling therapy combined with intra-articular injection of drugs to promote rehabilitation after knee arthroscopy

目的探讨点推牵伸法按摩治疗联合透明质酸、糖皮质激素(GC)关节腔内注射促进膝关节镜患者术后康复的临床效果。方法 140例行膝关节镜手术治疗的膝关节骨性关节炎患者随机分为两组(n=70),对照组术后向关节腔内注射透明质酸钠和复方倍他米松,并进行股四头肌功能锻炼,研究组在对照组基础上进行点推牵伸法按摩治疗,均持续治疗2 w。比较两组术后的康复效果。结果研究组治疗后的疼痛程度、关节肿胀程度明显低于对照组,关节活动范围、Lysholm评分明显高于对照组(P<0.05)。结论膝关节镜术后联合应用透明质酸、糖皮质激素和点推牵伸法按摩治疗,能够有效减轻术后疼痛,减少炎性渗出,减轻关节肿胀程度,改善膝关节功能。

Objective To explore the clinical effects of hitting, pushing, and pulling therapy（massage therapy） combined with intra-articular injection of hyaluronic acid and glucocorticoid（GC） to promote the rehabilitation of patients after knee arthroscopy.Methods A total of 140 patients receiving arthroscopic surgery were randomly divided into two groups, i.e., control group and research group（n = 70, respectively）. For the control group, intra-articular injection of hyaluronic acid and compound betamethasone were administered in combination with function exercise of quadriceps femoris muscle; for the research group, massage therapy was provided besides the treatment for the control group. the treatment for both groups lasted for 2 w; and then the rehabilitation effects between the two groups were compared. Results The degrees of pain and joint swelling after treatment in the research group were significantly lower than those in the control group, and the ranges of joint motion and Lysholm scores were significantly higher than those in the control group（P〈0.05）. Conclusion After arthroscopic surgery, treatment combined with hyaluronic acid and GC as well as massage therapy can effectively reduce postoperative pain, inflammatory exudation, and joint swelling, and can improve the knee functions.