CAJ | 학술논문

目的: 观察推拿在全髋关节置换术后康复治疗中的临床疗效.方法: 将60例患者随机分成治疗组和对照组.治疗组30例进行推拿结合康复治疗,对照组30例进行单纯康复治疗.两组均治疗2星期.分别观察两组患者术后7天、术后2星期、术后6星期的改良人工髋关节Harris量表及汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA).结果: Harris量表评分总分,两组组内患者不同时间点多重比较差异有统计学意义(P＜0.05);术后1天、术后7天及术后6星期两组间比较,差异均无统计学意义(P＞0.05);术后2星期两组间比较差异有统计学意义(P＜0.05).HAMA量表两组组内患者不同时间点多重比较差异有统计学意义(P＜0.05);术后1天两组间评分无显著性差异(P＞0.05);术后7天、术后2星期、术后6星期两组间评分均有显著性差异(P＜0.05).结论: 单位时间内,推拿结合康复治疗对全髋关节置换术后患者的疼痛、关节活动范围及焦虑等方面的改善作用优于单纯康复治疗.
목적: 관찰추나재전관관절치환술후강복치료중적림상료효.방법: 장60례환자수궤분성치료조화대조조.치료조30례진행추나결합강복치료,대조조30례진행단순강복치료.량조균치료2성기.분별관찰량조환자술후7천、술후2성기、술후6성기적개량인공관관절Harris량표급한밀이돈초필량표(Hamilton Anxiety Rating Scale,HAMA).결과: Harris량표평분총분,량조조내환자불동시간점다중비교차이유통계학의의(P＜0.05);술후1천、술후7천급술후6성기량조간비교,차이균무통계학의의(P＞0.05);술후2성기량조간비교차이유통계학의의(P＜0.05).HAMA량표량조조내환자불동시간점다중비교차이유통계학의의(P＜0.05);술후1천량조간평분무현저성차이(P＞0.05);술후7천、술후2성기、술후6성기량조간평분균유현저성차이(P＜0.05).결론: 단위시간내,추나결합강복치료대전관관절치환술후환자적동통、관절활동범위급초필등방면적개선작용우우단순강복치료.
Objective: To observe the clinical effect of tuina in rehabilitation following total hip replacement. Methods: 60 cases were randomly allocated into a treatment group and control group, 30 cases in each group. Cases in the treatment were treated with combined mina and rehabilitation, while cases in the control group were treated with rehabilitation alone. All treatment retained for two weeks. The results were observed 7 d, 2 weeks and 6 weeks following the total hip replacement using Harris scale and Hamilton Anxiety Rating Scale (HAMA).Results: For Harris scale, there were significant intra-group differences in different time frames (P＜0.05); there were no statistical differences between the two groups 1 d, 7 d and 6 weeks following the total hip replacement (P＞0.05); and there were statistical differences between the two groups 2 weeks following the total hip replacement. For HAMA scale, there were significant intra-group differences in different time frames (P＜0.05); there were no significant differences between the two groups 1 d following the total hip replacement; and there were substantial differences between the two groups 7 d, 2 weeks and 6 weeks following the total hip replacement. Conclusion: In a given unit time, combined mina and rehabilitation is superior to rehabilitation alone in improving the patients' post-operative pain, articular range of motion and anxiety.