气压循环治疗对髋关节置换术后下肢肿痛和血流速度的影响  

Pneumatic Circulation Treatment on Lower Extremity Swelling and Blood Flow Velocity after Hip Replacement

作　　者：李小六[1] 刘启平[2] 张晓阳[3] 殷潇凡[3] 邢晓燕 安雪梅 

机构地区：[1]上海瑞金医院集团闵行区中心医院康复医学科,上海市201100 [2]上海瑞金医院集团闵行区中心医院超声诊断科,上海市201100 [3]上海瑞金医院集团闵行区中心医院骨科,上海市201100 [4]丰台区半山园社区服务中心,北京市100077

出　　处：《中国康复理论与实践》2011年第2期168-170,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨髋关节置换术后气压循环治疗对下肢肿痛和血流速度的影响。方法上海瑞金医院集团闵行区中心医院骨科行髋关节置换术的48例患者分为治疗组(24例)和对照组(24例);治疗组于术后第2天给予气压循环治疗和持续关节被动运动,对照组术后第2天给予持续被动运动,两组患肢均于手术当天给予下肢穿戴弹力袜。于术前、康复治疗第3天和第7天进行周径测量,进行目测类比评分法(VAS)评分,采用多普勒彩超对下肢股总、深静脉血流速度进行检查。结果两组患肢术前周径、VAS评分和下肢血流速度变化基线一致(P>0.05),治疗第3天两组周径、VAS评分具有非常显著性差异(P<0.01);第7天周径、患肢下肢股总和深静脉血流速度变化具有非常显著性差异(P<0.01);两组VAS评分无显著性差异(P>0.05)。结论髋关节置换术后早期给予气压循环治疗有利于水肿的消除和预防深静脉血栓形成。Objective To investigate the effect of pneumatic circulation treatment on lower extremity swelling and blood flow velocity after hip replacement.Methods 48 patients after hip replacement were divided into two groups： treatment group（n=24） and control group（n=24）.The treatment group received pneumatic circulation treatment and continuous passive motion,while the control group only received continuous passive motion 2 d after operation,all patients wearing elastic stockings.Circumference of the affected leg was measured and Visual Analogue Scale（VAS） was assessed,and Doppler ultrasonography was to check the blood flow velocity of femoral and deep veins in lower limb before,3 d and 7 d after rehabilitation.Results There was no difference in circumference,VAS,and the lower limb blood flow velocity between the two groups before operation（P0.05）.There was significant difference in circumference and VAS 3 d after treatment（P0.01）,and a significant difference in circumference and blood flow velocity（P0.01） but no difference in VAS（P0.05） 7 d after treatment between the two groups.Conclusion Pneumatic circulation treatment may facilitate to eliminate lower extremity swelling and prevent deep vein thrombosis after total hip replacement.

关 键 词：气压治疗 髋关节置换 下肢 肿痛 血流速度 

分 类 号：R681.6[医药卫生—骨科学] R454.4[医药卫生—外科学]