芒硝外敷联合理筋手法干预对膝骨关节炎患者膝关节置换术后效果的影响

Effect of Intervention of External Application of Natrii Sulfas Combined with Therapeutic Manipulation for Tendon Injury on Patients with Knee Osteoarthritis After Knee Arthroplasty

目的:观察芒硝外敷联合理筋手法干预对膝骨关节炎(KOA)患者膝关节置换术后效果的影响。方法:选取84例KOA膝关节置换术后患者,按随机数字表法分为对照组和观察组各42例。对照组给予术后常规基础处理,观察组在对照组基础上给予芒硝外敷和理筋手法干预。比较2组治疗前后的疼痛程度、患肢小腿周径和膝关节功能。结果:术前、术后第1天,2组疼痛视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05)。术后第3天、第7天,观察组VAS评分小于对照组(P<0.05)。术前、术后第1天,2组患侧小腿周径比较,差异无统计学意义(P>0.05)。术后第3天、第7天,观察组患侧小腿周径小于对照组(P<0.05)。治疗前,2组膝关节纽约特种外科医院(HSS)评分、膝关节活动度(ROM)比较,差异无统计学意义(P>0.05)。治疗后,2组HSS评分、ROM较治疗前升高,且观察组HSS评分、ROM均高于对照组(P<0.05)。结论:芒硝外敷联合理筋手法干预对KOA膝关节置换术后患者效果较好,可以缓解疼痛程度,减轻患肢肿胀,提高膝关节功能。

Objective:To observe the effect of the intervention of the external application of Natrii Sulfas combined with therapeutic manipulation for tendon injury on patients with knee osteoarthritis(KOA)after knee arthroplasty.Methods:A total of 84 patients with KOA after knee arthroplasty were selected and divided into the control group and the observation group according to the random number table method,with 42 cases in each group.The control group was given routine basic treatment after surgery,and the observation group was additionally given the intervention of external application of Natrii Sulfas and therapeutic manipulation for tendon injury based on the treatment of the control group.Before and after treatment,the degree of pain,circumference of affected limbs and knee joint function in the two groups were compared.Results:Before surgery and the first day after surgery,there was no significant difference being found in the comparison of the score of Visual Analogue Scale(VAS)between the two groups(P>0.05).The third and seventh days after surgery,the scores of VAS in the observation group were lower than those in the control group(P<0.05).Before surgery and the first day after surgery,there was no significant difference being found in the comparison of the circumference of affected limbs between the two groups(P>0.05).The third and seventh day after surgery,the circumference of affected limbs in the observation group was shorter than that in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of the knee scores in Hospital for Special Surgery(HSS)and knee range of motion(ROM)between the two groups(P>0.05).After treatment,the HSS and ROM in the two groups were increased when compared with those before treatment,and the HSS and ROM in the observation group were higher than those in the control group(P<0.05).Conclusion:The intervention of the external application of Natrii Sulfas combined with therapeutic manipulation for tendon injury on patients with KOA after knee arthroplasty has a good effect,which can relieve the pain,reduce the limb swelling,and improve the knee function.