肌内效贴结合淋巴引流手法治疗全膝关节置换后下肢肿胀.docVIP

肌内效贴结合淋巴引流手法治疗全膝关节置换后下肢肿胀 刘生发，张 锋(河西学院附属张掖人民医院康复医学科，甘肃省张掖市 734000) 引用本文：刘生发，张锋. 肌内效贴结合淋巴引流手法治疗全膝关节置换后下肢肿胀[J].中国组织工程研究，2017，21():1647-1651. DOI:10.3969/j.issn.2095-4344.2017.11.002 ORCID: 0000-0002-8090-5779(刘生发) 文章快速阅读： 文题释义： 肌内效贴：是一种将有弹性的胶布贴于体表以达到保护肌肉骨骼系统、促进运动功能的非侵入性治疗技术，具有缓解疼痛、改善关节活动度、消除水肿及提高本体感觉等作用。 淋巴引流手法：为减轻创伤及全膝关节置换术后致下肢肿胀的最佳方法之一，具有方法简便、疗效确切，经济安全等诸多优点。研究表明，淋巴引流手法能通过改善微循环达到消肿止痛的作用。 摘要 背景：目前尚无将肌内效贴和淋巴引流手法结合治疗关节置换后肿胀、疼痛的研究，且贴扎治疗多为即刻效应的研究，对于贴扎后的持续效应尚缺乏临床研究支持。 目的：观察肌内效贴结合淋巴引流手法治疗全膝关节置换后下肢肿胀疼痛的临床效果。 方法：将60例全膝关节置换后下肢肿胀患者随机分为肌内效贴组、肌内效贴结合淋巴引流手法组，每组30例。比较2组治疗前及治疗后10 d的肿胀度、疼痛目测类比评分及临床疗效。 结果与结论：①2组患者肿胀度和疼痛目测类比评分均较治疗前下降，差异有显著性意义(P 0.05)；与肌内效贴组比较，肌内效贴结合淋巴引流手法组治疗后各项指标均有显著改善(P 0.05)；②肌内效贴组总有效率为80%，显效率为37%；而肌内效贴结合淋巴引流组总有效率为100%，显效率为63%，差异有显著性意义(P 0.05)；③结果提示，肌内效贴结合淋巴引流手法对全膝关节置换术后下肢肿胀、疼痛的改善要优于单纯肌内效贴。 关键词： 骨科植入物；人工假体；肌内效贴；淋巴引流手法；全膝关节置换术；下肢肿胀；疼痛；目测类比评分；临床疗效 主题词： 关节成形术，置换，膝；疼痛测定；下肢；组织工程 Kinesio taping combined with manual lymphatic drainage for lower limb swelling after total knee arthroplasty Liu Sheng-fa, Zhang Feng (Department of Rehabilitation Medicine, Zhangye People’s Hospital Affiliated to Hexi University, Zhangye 734000, Gansu Province, China) Abstract BACKGROUND: Kinesio taping combined with manual lymphatic drainage for lower limb swelling and pain after total knee arthroplasty (TKA) has not been reported. The existing studies mainly concentrate on the instant effect of kinesio taping, and there is a lack of clinical research on its long-term effectiveness. OBJECTIVE: To observe the curative efficacy of kinesio taping combined with manual lymphatic drainage for lower limb swelling and pain after TKA. METHODS: Sixty patients with lower limb swelling following TKA were randomly divided into control and experimental groups (n=30 per group), followed by treated with kinesio taping, and kinesio taping combined with manual lymphatic drainage, respectively. The swelling degree, visual analogue scale scores and curative efficacy at baseline and 10 days after tre