肌内效贴结合持续冷疗对前交叉韧带重建术后的消肿效果

Effect of Kinesio Taping Combined with Continuous Cold Therapy on Detumescence after Anterior Cruciate Ligament Reconstruction

【目的】探讨肌内效贴结合持续冷疗对前交叉韧带重建术后的消肿效果。【方法】选择2015年1月至2017年12月在本院关节镜下行前交叉韧带重建术的患者84例，按照随机数表法分为观察组和对照组，每纽42例。对照组在术后立即给予肌内效贴治疗，每次维持48h，每2天1次，连续1周；观察组在对照组的基础上加用持续冷疗，术后6h内开始，连续3d。比较两组患者疼痛程度（VAS评分）、肿胀程度、膝关节功能（Lysholm评分）和消肿疗效。【结果】观察组消肿率为69．05％，明显高于对照组的38．10％，其差异有统计学意义（P〈0．05）；两组治疗后VAs评分均下降，其中观察组在各时间段VAs评分均低于同期对照组，差异有统计学意义（P〈0．05）；观察组在治疗后各时间段肿胀值均小于同时期对照组，差异有统计学意义（P〈0．05）；治疗后4周，观察组Lysholm评分均高于对照组，差异有统计学意义（P〈0．05）。【结论】肌内效贴结合持续冷疗能有效缓解前交叉韧带重建术后疼痛及肿胀，并促进膝关节功能的早期康复，值得临床推广应用。

[Objective] To investigate the effect of Kinesio taping in combination of continuous cold therapy on detumescence after anterior cruciate ligament reconstruction. [Methods]A total of 84 patients who underwent arthroscopic anterior cruciate ligament reconstruction in our department from January 2015 to December -2017 were selected as the subjects. According to the random number table method, they were divided into the observation group and the control group, with 42 cases in each group. Kinesio Taping treatment was given to patients in the control group immediately after surgery..The Kinesio taping was administrated once every two days for one week and sustained for 48h. While patients in the observation group, in addition to treatment of the control group, received continuous cold therapy starting within 6h after operation for 3 consecutive days . The pain degree （VAS score）, the degree of swelling, the function of the knee joint （Lysholm score） and the effect of detumescence （swelling reduction） were compared between the two groups. [Results]The rate of detumescence in the observation group was 69.05%, which was higher than that in the control group （38.10%）. The difference was statistically significant（P〈0.05）. After treatment, the VAS scores in both groups decreased, and the VAS score in the observation group was lower than that in the control group at the same time period; the difference was statistically significant（ P 〈0.05）. The swelling value of the observation group at each time after treatment was less than that of the control group at the same time（ P 〈0.05）. At 4 weeks after treatment, the Lysholm score of the observation group was higher than that of the control group; the difference was statistically significant（ P 〈0.05）. [ConclusionlKinesio taping combined with continuous cold therapy can effectively relieve swelling and pain after anterior cruciate ligament reconstruction, and promote early rehabilitation of knee joint function.It is worthy of clinical promotion.