关节镜下前交叉韧带重建术后肢体肿胀、疼痛和增强功能恢复的综合降压治疗效果

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-01-25 DOI:10.1016/j.apnr.2025.151915

Yuxiang Ren , Ruolan Ge , Cong Yang, Yanrong Tan, Huanhuan Song, Rui Liu, Miaomiao Huang, Zhenyu Niu, Li Yang, Weixuan Liu M.D.

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引用次数: 0

摘要

目的评价复合减充血性治疗（CDT）对前交叉韧带重建术（ACLR）术后肢体肿胀、疼痛缓解及功能恢复的疗效。方法采用随机对照试验（RCT），纳入160例于2021年8月至2023年4月在深圳某三级医院行ACLR手术的患者。本研究比较了常规护理与综合减充血性治疗（CDT）的效果。在围手术期和术后30天的六个时间点评估腿围、视觉模拟评分（VAS）疼痛评分和活动范围（AROM）的差异。结果实验组69例，对照组64例。CDT治疗1个月后，实验组和对照组在术后第3天（t =−2.083,P = 0.039）和第5天（t =−2.078,P = 0.040）观察到小腿围有显著差异。术后第5天实验组髌骨中央围度变化差异有统计学意义（t =−2.092,P = 0.038）。然而，在6个时间点，大腿围均未观察到显著差异(P >；0.05)。术后第1天（t = - 1.978, P = 0.048）和第3天（t = - 2.530, P = 0.011）视觉模拟评分（VAS）疼痛评分差异有统计学意义。两组术后第30天Lysholm评分差异有统计学意义（t = - 3.438, P = 0.001），术前Lysholm评分差异无统计学意义(P >；0.05)。术后第14天（t = - 3.919, P = 0.000）和第30天（t = - 2.615, P = 0.009） AROM差异有统计学意义。结论cdt能有效减轻术后第3、5天肢体肿胀，缓解术后第1、3天疼痛，促进术后第14、30天关节功能恢复。

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Efficacy of complex decongestive therapy in managing limb swelling, pain, and enhancing functional recovery after arthroscopic reconstruction of anterior cruciate ligament

Objective

To evaluate the efficacy of Complex Decongestive Therapy (CDT) in managing limb swelling, alleviating pain, and promoting functional recovery in patients following anterior cruciate ligament reconstruction (ACLR).

Method

This was a randomized controlled trial (RCT) involving 160 patients who underwent ACLR at a tertiary hospital in Shenzhen between August 2021 and April 2023. The study compared the outcomes of conventional nursing care with complex decongestive therapy (CDT). The differences in leg circumference, Visual Analog Scale (VAS) pain scores, and Active Range of Motion (AROM) were assessed at six time points during the perioperative period and up to 30 days post-surgery.

Results

This study included 69 patients in the experimental group and 64 patients in the control group. After one month of treatment with CDT, significant differences in calf circumference were observed between the experimental and control groups on the 3rd (t = −2.083, P = 0.039) and 5th (t = −2.078, P = 0.040) postoperative days. Regarding changes in central patellar circumference, a significant difference was noted on the 5th postoperative day (t = −2.092, P = 0.038) in the experimental group. However, no significant differences in thigh circumference were observed at any of the six time points (P > 0.05). Visual analog scale (VAS) pain scores were significantly different on the 1st (t = −1.978, P = 0.048) and 3rd (t = −2.530, P = 0.011) postoperative days. Lysholm scores showed a significant difference between the groups on the 30th postoperative day (t = −3.438, P = 0.001), with no significant difference observed before surgery (P > 0.05). Significant differences in AROM were found on the 14th (t = −3.919, P = 0.000) and 30th (t = −2.615, P = 0.009) postoperative days.

Conclusion

CDT can effectively reduce limb swelling on the 3rd and 5th postoperative days, alleviate pain on the 1st and 3rd postoperative days, and enhance joint functional recovery on the 14th and 30th postoperative days.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.