人工膝关节置换术后早期应用局部超声药物透入辅助镇痛和功能锻炼的疗效分析

doi:10.3969/j.issn.1671-7171.2018.12.001

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Abstract 【Objective】 To investigate the effect of local drug phonophoresis on pain relief and functional exercise at the early stage after total knee arthroplasty (TKA). 【Methods】 Forty-one patients with unilateral TKA from June 2016 to May 2017 were randomly divided into observation group (n=21) and control group (n=20).Two groups of patients were given the same basic analgesia regimen. From 2 weeks after operation, the patients in the observation group received local ultrasound penetration (lidocaine + betamethasone) for 10 times in 4 weeks. The patients in the two groups were followed up to 3 months after operation. The preoperative activity and AKS scores were recorded respectively. The average activity,visual analogue score (VAS) and AKS score at 2 weeks, 6 weeks and 3 months after operation were recorded respectively. 【Results】 ① There was no significant difference between the two groups in preoperative activity, AKS score, activity at 2 weeks after exercise and VAS score after exercise (P>0.05);② At 6 weeks after operation, the activity of the observation group was (110.0±12.3)°, the VAS score was (2.0±1.0) points, the control group was (102.3±10.4)°,the VAS score was (2.9 ±1.3) points, the difference between the two groups was statistically significant (P<0.05).③ Three months after operation, the activity of the observation group was (116.4±10.7)°, the score of AKS function was (84.0±10.6), the activity of the control group was (111.0±10.9)°, the score of AKS function was (76.0±12.4). The observation group was superior to the control group(P<0.05).【Conclusion】 Ultrasound phonophoresis therapy with lidocaine and betamethasone can effectively relieve postoperative pain after TKA and is helpful to functional rehabilitation of patients with obvious early pain after TKA.

Key words： Knee Joint/SU Rehabilitation Anesthetics Exercise Movement Techniques

Received: 13 June 2018

PACS:

R684.76

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2018.12.001 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2018/V35/I12/2289

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