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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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Effect of massotherapyon postoperative pain in total knee arthroplasty patients

CAI Xiaoshan,LIN Zhaoli,LI Xiangping,SU Guang   

  1. Department of Pain Management,Baoan District Hospital of Chinese Medicine(Group)of Shenzhen City, Shenzhen,China,518100

按摩疗法对人工全膝关节置换术术后疼痛的影响

蔡晓珊,林钊莉,李湘萍,苏广   

  1. 深圳市宝安中医院(集团)
  • 通讯作者: 蔡晓珊

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

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