肌内效贴对全膝关节置换术后患肢肿痛及关节功能影响
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青海大学附属医院

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Effect of KinesioTaping on limb swelling and joint function after total knee arthroplasty
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Affiliated Hospital of Qinghai University

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    摘要:

    摘要 目的 观察肌内效贴对全膝关节置换术后患肢肿痛及关节功能影响,为患者快速康复提供帮助。 方法 选择2018年1月至2019年6月符合纳入标准的全膝关节置换患者127例,术后第3天利用随机数字法分为肌内效贴组(63例)和对照组(64例)。观察术后3d、14d、30d,两组患者下地行走时膝关节的疼痛程度、肢体肿胀程度、股四头肌肌力、膝关节主动活动度及膝关节功能评分。结果 ①两组患者均获得随访,随访时间3—6个月,平均4.82±1.04个月。肌内效贴组3例患者出现贴扎区皮肤反应,1例患者退出观察。5例患者出现下肢肌间静脉血栓。对照组7例患者发生下肢肌间静脉血栓。②术后3d两组患者在VAS评分、肢体肿胀程度、股四头肌肌力、膝关节ROM及HSS评分均无差异(P>0.05),并随着术后恢复时间的延长,逐渐改善。③术后14d肌内效贴组VAS评分显著小于对照组(P<0.01)。术后14d及30d,肌内效贴组肢体肿胀程度均显著优于对照组(P<0.05)。④术后14d及术后30d,肌内效贴组膝关节ROM、HSS评分显著优于对照组,差异有统计学意义(P<0.001)。结论 肌内效贴能够显著缓解全膝关节置换术后肢体肿胀,提高股四头肌肌力,改善关节功能。

    Abstract:

    Abstract Objective To observe the effect of KinesioTaping on limb swelling and joint function after total knee arthroplasty, so as to provide help for patients with rapid rehabilitation. Methods: From January 2018 to June 2019, 127 patients with total knee arthroplasty were randomly divided into KinesioTaping group (63 cases) and control group (64 cases). The Visual Analogue Scale(VAS), limb swelling, quadriceps muscle strength, knee joint range of motion(ROM) and knee joint function score (HSS) were observed at 3 days, 14 days and 30 days after operation. Results ① All patients were followed up for 3-6 months (mean 4.821.04 months). In the KinesioTaping group, 3 patients had skin reaction in the ligation area, and 1 patient withdrew from the observation. and 5 patients with lower extremity intermuscular venous thrombosis. In the control group, 7 patients developed intramuscular venous thrombosis.② There was no difference in VAS score, limb swelling degree, quadriceps muscle strength, ROM and HSS score between the two groups 3 days after operation (P > 0.05), and gradually improved with the extension of postoperative recovery time. ③ At 14 days after operation, the VAS score of KinesioTaping group was significantly lower than that of control group (P < 0.01). 14 days and 30 days after operation, the swelling degree in the KinesioTaping group was significantly better than that in the control group (P < 0.05). ④ 14 days and 30 days after operation, ROM and HSS scores in KinesioTaping group were significantly better than those in control group (P < 0.001). Conclusion The KinesioTaping could significantly relieve limb swelling, improve quadriceps muscle strength and joint function after total knee arthroplasty.

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  • 收稿日期:2020-08-07
  • 最后修改日期:2020-09-02
  • 录用日期:2020-09-14
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