Effect of continuous passive motion combined with intermittent pneumatic compression on functional recovery of patients after total knee arthroplasty(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第6期
- Page:
- 755-759
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Effect of continuous passive motion combined with intermittent pneumatic compression on functional recovery of patients after total knee arthroplasty
- Author(s):
- TU Xuezhao; HUANG Zhenhuan; XIE Jianhong; QUE Wutang; LAN Weibin
- Department of Orthopedics, Longyan First Hospital, Fujian Medical University, Longyan 364000, China
- Keywords:
- Keywords: total knee arthroplasty continuous passive motion intermittent pneumatic compression device range of motion deep vein thrombosis
- PACS:
- R49
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.06.014
- Abstract:
- Abstract: Objective To analyze the effect of continuous passive motion combined with intermittent pneumatic compression on functional recovery and prevention of deep vein thrombosis (DVT) in patients after total knee arthroplasty (TKA). Methods A total of 84 patients who underwent TKA in the Department of Orthopedics, Longyan First Hospital, Fujian Medical University from June 2019 to December 2020 were enrolled and randomly divided into observation group (n=42) and control group (n=42). Control group was treated with continuous passive motion and routine nursing, while observation group received intermittent pneumatic compression besides those treatments in control group. During the treatment, DVT status (lower extremity venous flow velocity, postoperative DVT incidence and venous thrombus diameter) was analyzed and the usage rate of anticoagulants, hemorheological indexes, range of motion (ROM), generic quality of life inventory-74 (GQOL-74) and patient satisfaction with nursing services were recorded. Results Compared with control group, observation group had lower incidence of DVT and usage rate of anticoagulants (P<0.05), greater deep venous flow velocity of the lower limbs (P<0.05) and smaller DVT diameter (P<0.05). On the 1st day postoperatively, there was no statistical difference in ROM between two groups (P>0.05). On days 7 and 14 after surgery, the ROM of patients in both groups was greater than that on day 1 after surgery (P<0.05), and the ROM of observation group was larger than that of control group (P<0.05). The intervention in both groups resulted in lower hemorheological indexes (P<0.05) and higher GQOL-74 scores (P<0.05) as compared with those before intervention and after intervention, observation group had lower hemorheological indexes and higher GQOL-74 scores than control group (P<0.05). The degrees of satisfaction with nursing intervention in observation group and control group were 95.24% and 80.95% (P<0.05). Conclusion The combination of continuous passive motion and intermittent pneumatic compression for patients after TKA can improve hemorheological indexes, reduce the use of anticoagulants, effectively prevent lower limb DVT, and improve patients quality of life and satisfaction.
Last Update: 2023-06-28