郑氏推拿在膝关节置换术后康复治疗中的应用效果观察

The effects of Zheng's massage on the rehabilitation of knee arthroplasty

目的:研究接受膝关节置换术治疗的患者在术后采用中医推拿方式实施康复治疗的临床效果。方法:抽取以往我院收治的接受膝关节置换术治疗的患者30例,将其随机分为对照组和治疗组,平均每组15例。对照组统一安排业界常规的术后康复治疗;治疗组除了实行常规方案,还外加中医推拿方式治疗。结果:治疗组患者在康复治疗前后疼痛程度VAS评分和D-二聚体水平的改善幅度优于对照组;膝关节置换术后康复治疗总有效率高达93.3%,远高于对照组的73.4%;术后住院治疗和膝关节功能所需恢复时间比对照组少;治疗组术后无不良反应,少于对照组的3例。结论:接受膝关节置换术治疗的患者在术后采用中医推拿方式实施康复治疗,能够减少术后不良反应,加快术后恢复速度,在最大程度上控制疼痛,使患者的预后更加理想。

Objective:To study the clinical effects of TCM rehabilitation on patients with knee arthroplasty.Methods:30 patients received knee arthroplasty were randomly divided into the control group and treatment group,15 cases in each group.The control group was treated by the routine rehabilitation,and the treatment group was treated by TCM massage more.Results:The improvements of the scores of VAS and the level of D-dimer in the treatment group were greater than those in the control group.The total effective rate in the treatment group was 93.3%after the rehabilitation,more than 73.4%in the control group.The time of postoperative hospitalization and knee function in the treatment group were better than those in the control group.No case suffered from adverse reaction after operation in the treatment group,was fewer than 3 cases in the control group.Conclusion:TCM rehabilitation on patients received knee arthroplasty can reduce the adverse reaction,promote the recovery,control the pain,and make the prognosis more ideal.