按摩疗法对人工全膝关节置换术术后疼痛的影响

目的 探讨按摩疗法对人工全膝关节置换术（total knee arthroplasty，TKA）术后患者疼痛的影响。方法 选取我院拟行单膝 TKA 患者 142 例，分成对照组和观察组，每组 71 例。对照组患者 TKA 术后行常规术后护理，观察组患者 TKA 术后在常规术后护理基础上行按摩疗法。结果 观察组患者术后 6、12、18 和 24 h 疼痛评分和均显著低于对照组患者（P<0.05）；观察组患者术后6、12 和24 h 焦虑率显著低于对照组患者（P<0.05）；观察组患者术后6、12 和24 h 吗啡用量均显著低于对照组患者（P<0.05）；观察组患者术后满意度评分显著高于对照组患者（P<0.05）。结论 按摩疗法可显著降低 TKA 术后患者疼痛和焦虑感，减少患者镇痛药物使用，提高患者术后满意度。

Effect of massotherapyon postoperative pain in total knee arthroplasty patients

Objective To explore the effect of massotherapy on postoperative pain in total knee arthroplasty（TKA）patients. Methods This was a prospective study. 142 patients received unilateral TKA were assigned to the control group and the observation group（n=71）. Postoperatively，patients in the control group received routine nursing，and patients in the observation group received massotherapy besides routine nursing. Results Patients′ pain score at postoperative 6 ，12 ，18 and 24 h in the observation group was significantly lower than that in the control group（P<0.05）；patients′ anxiety rate at postoperative 6 ，12 and 24 h was significantly lower than that in the control group （P<0.05）； patients′ morphine consumption at postoperative 6，12 and 24 h was significantly less than that in the control group（P<0.05）；patients′ postoperative satisfaction was higher than that in the control group（P<0.05）. Conclusion Massotherapy could significantly decrease TKA patients′ postoperative pain，anxiety and analgesic consumption，and increase patients′ postoperative satisfaction，which is worth popularizing clinically.