气压按摩治疗仪联合主动功能锻炼在下肢骨折术后患者中的应用效果  

Effect of pneumatic massage therapy instrument combined with active functional exercise in postoperative patients with lower limb fractures

作　　者：贾婉婉 Jia Wan-wan(Department of Orthopedics,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院骨科,河南洛阳471000

出　　处：《四川生理科学杂志》2024年第1期57-60,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:研究气压按摩治疗仪联合主动功能锻炼在下肢骨折术后患者中的应用效果。方法:选取2021年3月至2022年3月我院收治的110例进行手术治疗的下肢骨折患者为研究对象,采用随机数字表法将患者分为对照组和观察组,各55例。对照组术后采取主动功能锻炼,观察组在对照组的基础上联合气压按摩治疗仪。比较两组干预2 w后患肢肿胀程度、干预前、干预2 w后患肢周径及患侧踝关节活动度、疼痛视觉模拟评分(Visual Analogue Scale,VAS)、美国骨科足踝协会评分量表(American orthopaedic foot and ankle society,AOFAS)评分、简化Fugl-Meyer运动功能评分量表(Fugl-Meyer assessment,FMA)评分、下肢静脉血流速度、深静脉血栓(Deep venous thrombosis,DVT)发生率。结果:干预2 w后观察组患肢肿胀程度、VAS评分明显低于对照组(P<0.05);观察组患肢周径明显小于对照组、患侧踝关节活动度明显大于对照组(P<0.05);观察组AOFAS、FAM评分、髂外静脉平均血流速度(Mean velocity,Vm)、股静脉Vm、腘静脉Vm明显高于对照组(P<0.05);两组DVT发生率无明显差异(P>0.05)。结论:气压按摩治疗仪联合主动功能锻炼治疗下肢骨折术后患者可有效缓解患肢肿胀程度,恢复关节活动度,改善临床症状,调节下肢静脉血流速度。Objective:To study the effect of pneumatic massage therapy instrument combined with active functional exercise in postoperative patients with lower limb fractures.Methods:A total of 110 patients with lower limb fractures who underwent surgical treatment from March 2021 to March 2022 were admitted to our hospital as study subjects,and the patients were divided into control and observation groups using the random number table method,with 55 cases in each group.The control group took active functional exercise after surgery,and the observation group in the control group was based on combined pressure massage therapy instrument.The two groups were compared in terms of the degree of swelling of the affected limb after 2 weeks of intervention,the circumference of the affected limb and the mobility of the affected ankle joint before and after 2 weeks of intervention,the visual analogue score of pain(VAS),the score of the American Orthopaedic Foot and Ankle Society Scale(AOFAS),the score of the simplified Fugl-Meyer Motor Function Scale(FAM),the venous blood flow velocity of the lower limb[the mean blood flow velocity of the external iliac vein(Vm),the femoral vein Vm,popliteal vein Vm],and the incidence of deep vein thrombosis(DVT).Results:After 2 weeks of intervention,the swelling of the affected limb in the observation group was lower than that in the control group(P<0.05);the circumference of the affected limb in the observation group was smaller than that in the control group,and the mobility of the affected ankle joint was greater than that in the control group(P<0.05);the VAS score in the observation group was lower than that in the control group,and the AOFAS and FAM scores were higher than those in the control group(P<0.05);the external iliac vein Vm,femoral Vm,femoral vein Vm,popliteal vein Vm were higher in the observation group than in the control group(P<0.05).There was no significant difference of the incidence of DVT between the observation group and the control group(P>0.05).Conclusion:Pneumatic massage t

关 键 词：气压按摩治疗仪 主动功能锻炼 下肢骨折 下肢血流速度 

分 类 号：R473.6[医药卫生—护理学]