Wang Shengying, Lu Haiying, Li Shuangling
Department of Sports Medicine and Joint Surgery, Qingdao Municipal Hospital Qingdao 266011, Shandong, China.
Endoscopy Center, Qingdao Municipal Hospital Qingdao 266011, Shandong, China.
Am J Transl Res. 2021 Sep 15;13(9):10765-10770. eCollection 2021.
This study discussed and analyzed the preventive value of intermittent pneumatic compression combined with early rehabilitation training for deep vein thrombosis (DVT) in patients undergoing total knee arthroplasty (TKA).
During January 2019 to April 2020, 85 patients who underwent TKA in our hospital were selected as subjects, and were randomly divided into an observation group (n=44) and control group (n=41) by table of random numbers. The control group patients received conventional nursing care after TKA surgery, while the observation group received combinative treatment of intermittent pneumatic compression therapy and early rehabilitation training like the conventional treatment in the control group. Subsequently, the circumference and mobility of knee joint, hemorrheologic indexes and the incidence of DVT between the two groups of patients before and after surgery were compared.
The knee circumferences of the two groups on 3 d and 7 d preoperatively were higher than 1 d before surgery (), and the indexes of the observation group on 3 d and 7 d preoperatively were lower than that of the control group (). The range of motion (ROM) of the two groups 3 d postoperatively were higher than that before surgery (), the ROM in observation group 7 d postoperatively was increased than 3 d postoperatively (), and the observation group had higher ROM on 3 d and 7 d postoperatively than that of control group (). The two groups of patients had insignificant difference in knee function before treatment (); the knee function of the two groups after treatment was better than pretreatment (), and the observation group was better than the control group (). The observation group had lower DVT incidence than the control group ().
Combinative treatment of intermittent pneumatic compression and early rehabilitation training can effectively improve the postoperative knee function of patients undergoing TKA, promote recovery, and effectively prevent DVT. In conclusion, the combinative treatment is worthy of clinical application.
探讨并分析间歇性充气加压联合早期康复训练对全膝关节置换术（TKA）患者深静脉血栓形成（DVT）的预防价值。
选取2019年1月至2020年4月在我院行TKA的85例患者作为研究对象，采用随机数字表法将其随机分为观察组（n = 44）和对照组（n = 41）。对照组患者在TKA术后接受常规护理，观察组在对照组常规治疗基础上接受间歇性充气加压治疗联合早期康复训练。随后，比较两组患者手术前后膝关节周径、活动度、血液流变学指标及DVT发生率。
两组术前3 d和7 d的膝关节周径均高于术前1 d（），观察组术前3 d和7 d的指标低于对照组（）。两组术后3 d的活动度（ROM）均高于术前（），观察组术后7 d的ROM较术后3 d增加（），且观察组术后3 d和7 d的ROM高于对照组（）。两组患者治疗前膝关节功能差异无统计学意义（）；两组治疗后的膝关节功能均优于治疗前（），且观察组优于对照组（）。观察组DVT发生率低于对照组（）。
间歇性充气加压联合早期康复训练可有效改善TKA患者术后膝关节功能，促进恢复，并有效预防DVT。综上所述，该联合治疗值得临床应用。
