加压冷疗联合奥塔戈运动对膝关节置换术后关节肿胀及平衡能力的影响

Effects of applying pressurized cold therapy combined with Otago exercise for joint swelling and balanced capacity after knee replacement

目的探讨加压冷疗联合奥塔戈运动对膝关节置换术后关节肿胀及平衡能力的影响。方法选择2017年2月至2019年1月于我院就诊并行膝关节置换术的76例患者为研究对象,按照随机原则等分为研究组与对照组,对照组术后予以常规干预,研究组在对照组基础上予以奥塔戈运动联合加压冷疗。比较两组术后关节肿胀、平衡能力及膝关节功能评分。结果研究组血清IL-1β,IL-6,TNF-α水平低于对照组,髌上周径、腓肠肌周径小于对照组(P<0.05)。术后1,3,6个月时,研究组平衡能力评分均高于对照组(P<0.05);干预后研究组Lysholm膝关节功能评分高于对照组(P<0.05)。结论奥塔戈运动联合加压冷疗可有效减轻膝关节置换术后炎症反应,缓解关节肿胀,提高平衡能力,效果良好。

Objective To investigate the effect of pressurized cold therapy combined with Otago exercise for joint swelling and balanced capacity after knee replacement.Methods To select 76 cases of patients who underwent knee replacement in our hospital from February 2017 to January 2019 as the study subjects.They were divided into a study group and a control group according to the random principle.The control group was given routine intervention,and the study group was given Otago exercise combined with pressurized cold therapy to compare postoperative joint swelling,balanced capacity and knee function scores after knee replacement between the two groups.Results The serum levels of IL-1β,IL-6 and TNF-αin the study group were lower than those in the control group,and the diameter of the suprapatellar and the gastrocnemius muscle were smaller than those in the control group(P<0.05).At 1,3,and 6 months after surgery,the balanced capacity score of the study group was higher than that of the control group(P<0.05).After intervention,the Lysholm knee function score in the study group was higher than that in the control group(P<0.05).Conclusion The application of Otago exercise combined with pressurized cold therapy could effectively reduce the inflammatory response after knee replacement,relieve joint swelling,improve balanced capacity,and had a good effect.