由全膝关节整形术损害的淋巴运输可以通过手动淋巴排水来管理吗?
Emine Cihan1, Necmiye Un Yıldırım2, Yeşim Bakar3
1Department of Physiotherapy and Rehabilitation, Selcuk University, Vocational School of Health Sciences, Physiotherapy Program, Konya, Turkey.
Lymphatic research and biology
|December 26, 2024
概括
在全膝关节整形术 (TKA) 后手动淋巴排水 (MLD) 有效地减少疼痛和乳酸脱酶 (LDH) 水平,这是肌肉损伤的标志. 然而,MLD对TKA患者的术后瘤没有显著的影响.
科学领域:
- 整形外科和康复治疗
- 淋巴系统生理学 淋巴系统生理学
- 生物医学工程 生物医学工程
背景情况:
- 关节置换手术,特别是全膝关节整形手术 (TKA),可能导致淋巴系统受损,原因是假肢的磨损颗粒.
- 了解早期对淋巴运输的影响和开发有效的干预措施对于患者的康复至关重要.
研究的目的:
- 为了研究手动淋巴排水 (MLD) 在缓解疼痛,和乳酸脱酶 (LDH) 水平的效果,TKA后.
- 评估MLD在TKA后的早期术后期对淋巴运输的影响.
主要方法:
- 一项随机对照试验涉及24名TKA患者,其中12名在MLD组,12名在对照组.
- 两组都接受了标准的术后康复治疗;MLD组在术后的前三天额外接受了MLD.
- 疼痛 (视觉模拟尺度,算法仪),腿体积 (Frustum方法) 和血液LDH水平在术后第3天和第6周被评估.
主要成果:
- 与对照组相比,MLD组显示出疼痛值的显著改善和与活动相关的疼痛减少.
- 虽然两组的腿体积随着时间的推移而下降,但MLD在水减少方面没有显著差异.
- 随着MLD,LDH水平显著下降,而在对照组中,仅通过炼就会增加.
结论:
- 手动淋巴排水,当与运动治疗相结合时,在降低LDH水平方面比单独的运动治疗更有效,表明疼痛和肌肉损伤减少.
- 在全膝关节整形术后,MLD不能有效减少术后.
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