| 段宝霖,马 涛,毛元蓉,李建勋,薛立奇.康复训练联合超激光对全膝关节置换术患者术后疼痛、膝关节功能和生活质量的影响[J].,2018,(19):3764-3767 |
| 康复训练联合超激光对全膝关节置换术患者术后疼痛、膝关节功能和生活质量的影响 |
| Effect of Rehabilitation Training Combined with Super Laser on Postoperative Pain, Joint Function and Quality of Life in Patients Undergoing Total Knee Arthroplasty |
| 投稿时间：2018-05-25 修订日期：2018-06-19 |
| DOI：10.13241/j.cnki.pmb.2018.19.037 |
| 中文关键词: 康复训练 超激光 全膝关节置换术 疼痛 膝关节功能 生活质量 |
| 英文关键词: Rehabilitation training Super laser Total knee arthroplasty Pain Joint function Quality of life |
| 基金项目:青海省科技厅计划项目（2013Z1635） |
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| 中文摘要: |
| 摘要 目的：探讨康复训练联合超激光对全膝关节置换术（TKA）患者术后疼痛、膝关节功能和生活质量的影响。方法：选取2016年1月-2017年9月期间在青海省人民医院疼痛科行TKA术式的患者73例为研究对象。根据随机数字表法将患者分为对照组（n=36）和研究组（n=37），对照组患者术后给予康复训练，研究组在对照组基础上联合超激光进行治疗，两组均治疗6周。比较治疗前、治疗6周后（治疗后）两组患者膝关节功能状况、疼痛程度、膝关节屈曲度和伸展度，同时随访3个月，观察两组患者生活质量情况。结果：两组患者治疗后视觉模拟疼痛量表（VAS）评分均较治疗前降低，且研究组低于对照组（P<0.05）。两组患者治疗后膝关节伸展度、屈曲度、美国特种外科医院（HSS）评分均较治疗前升高，且研究组高于对照组（P<0.05）。随访3个月，两组患者的生理功能（PF）、生理职能（RF）、躯体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）以及心理健康（MH）等评分较治疗前均升高，且研究组高于对照组（P<0.05）。结论：TKA患者给予康复训练联合超激光治疗效果较好，可显著改善患者膝关节功能，减轻患者疼痛，提高患者生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effects of rehabilitation training combined with super laser on postoperative pain, joint func- tion and quality of life in patients undergoing total knee arthroplasty(TKA). Methods: 73 patients who underwent TKA operation in Pain Department of QingHai provincial people's hospital from January 2016 to september 2017 were selected as the research subjects. The pa- tients were randomly divided into the control group (n=36) and the study group (n=37) according to the digital table method. The control group was given rehabilitation training. The study group intervened with the control group on the basis of the combination of super laser and intervened for 6 weeks. The knee function, pain degree, flexion and extension of joint activity were compared 6 weeks before treat- ment and 6 weeks after treatment (after treatment). Follow up for 3 months at the same time, the quality of life of the two groups was ob- served. Results: After treatment, the visual analogue scale (VAS) scores of the two groups were lower than those before treatment, and the study group was lower than that of the control group (P<0.05). The knee extension, flexion and American Special Surgery Hospital(HSS) scores of the two groups were higher than those before treatment, and the study group was higher than that of the control group (P<0.05). Follow up for 3 months, the two groups of patients with physiological function (PF), physiological function (RF), somatic pain (BP), overall health (GH), vitality (VT), social function (SF), emotional function (RE) and mental health (MH) were all higher than be- fore treatment, and the study group was higher than the control group (P<0.05). Conclusion: Rehabilitation training combined with super laser treatment is effective in TKA patients, which can significantly improve the function of knee joint, relieve pain and improve the qual- ity of life of patients. |
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