Lingnan Modern Clinics in Surgery ›› 2018, Vol. 18 ›› Issue (06): 723-726.DOI: 10.3969/j.issn.1009-976X.2018.06.028
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CAI Xiaoshan,LIN Zhaoli,LI Xiangping,SU Guang
蔡晓珊,林钊莉,李湘萍,苏广
通讯作者:
Abstract: Objective To explore the effect of massotherapy on postoperative pain in total knee arthroplasty(TKA)patients. Methods This was a prospective study. 142 patients received unilateral TKA were assigned to the control group and the observation group(n=71). Postoperatively,patients in the control group received routine nursing,and patients in the observation group received massotherapy besides routine nursing. Results Patients′ pain score at postoperative 6 ,12 ,18 and 24 h in the observation group was significantly lower than that in the control group(P<0.05);patients′ anxiety rate at postoperative 6 ,12 and 24 h was significantly lower than that in the control group (P<0.05); patients′ morphine consumption at postoperative 6,12 and 24 h was significantly less than that in the control group(P<0.05);patients′ postoperative satisfaction was higher than that in the control group(P<0.05). Conclusion Massotherapy could significantly decrease TKA patients′ postoperative pain,anxiety and analgesic consumption,and increase patients′ postoperative satisfaction,which is worth popularizing clinically.
Key words: massotherapy, postoperative pain, total knee arthroplasty
摘要: 目的 探讨按摩疗法对人工全膝关节置换术(total knee arthroplasty,TKA)术后患者疼痛的影响。方法 选取我院拟行单膝 TKA 患者 142 例,分成对照组和观察组,每组 71 例。对照组患者 TKA 术后行常规术后护理,观察组患者 TKA 术后在常规术后护理基础上行按摩疗法。结果 观察组患者术后 6、12、18 和 24 h 疼痛评分和均显著低于对照组患者(P<0.05);观察组患者术后6、12 和24 h 焦虑率显著低于对照组患者(P<0.05);观察组患者术后6、12 和24 h 吗啡用量均显著低于对照组患者(P<0.05);观察组患者术后满意度评分显著高于对照组患者(P<0.05)。结论 按摩疗法可显著降低 TKA 术后患者疼痛和焦虑感,减少患者镇痛药物使用,提高患者术后满意度。
关键词: 人工全膝关节置换术, 按摩疗法, 术后疼痛
CLC Number:
R473.6
CAI Xiaoshan,LIN Zhaoli,LI Xiangping,SU Guang. Effect of massotherapyon postoperative pain in total knee arthroplasty patients[J]. Lingnan Modern Clinics in Surgery, 2018, 18(06): 723-726.
蔡晓珊,林钊莉,李湘萍,苏广. 按摩疗法对人工全膝关节置换术术后疼痛的影响[J]. 岭南现代临床外科, 2018, 18(06): 723-726.
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URL: http://www.lingnanwaike.com/EN/10.3969/j.issn.1009-976X.2018.06.028
http://www.lingnanwaike.com/EN/Y2018/V18/I06/723