全膝关节置换术后膝关节局部皮温同术后康复效果有关指标的相关性研究

发布时间：2018-05-12 21:17

本文选题：全膝关节置换术 + 膝关节局部皮温　；参考：《青岛大学》2017年硕士论文

【摘要】：目的:探讨膝关节骨性关节炎患者全膝关节置换术后膝关节局部皮温及术后康复效果相关指标的变化规律,并对它们的相关性进行统计学分析,从而探讨全膝关节置换术后膝关节局部皮温测定对术后康复的指导意义,并进一步探究全膝关节置换术后膝关节局部皮温测定这一检查方式在临床工作中是否有应用及推广的价值。方法:本研究选取2015年9月至2016年2月因膝关节骨性关节炎就诊于青岛大学附属医院关节外科并接受初次全膝关节置换术的94位更年期后女性患者,对她们术前和术后的膝关节局部皮温以及与术后康复密切相关的理化指标进行监测,研究它们的变化规律,并运用统计学方法进行相关性分析,根据结果讨论全膝关节置换术后膝关节局部皮温测定在临床工作中的应用价值。结果:根据各项研究指标变化折线图可知,全膝关节置换术后患者膝关节局部皮温变化和其他观察指标的变化趋势有内在联系。经统计学分析,膝关节局部皮温变化同患者外周血白细胞计数及术后患肢肿胀程度变化呈高度正相关,同术后患肢肌力呈显著负相关。结论:患者术后双膝关节皮温差的变化趋势能够提示患者术后炎性指标、疼痛程度、患肢肌力、患肢膝关节活动度以及患肢肿胀程度的变化趋势。尤其在患者术后外周血白细胞计数、患肢肌力和患肢肿胀程度等方面具有较好的指导意义。因此,全膝关节置换术后膝关节局部皮温的测定有很好的临床应用及推广价值。
[Abstract]:Objective: to investigate the changes of local skin temperature of knee joint and rehabilitation effect after total knee arthroplasty in patients with osteoarthritis of the knee, and to analyze their correlation statistically. The purpose of this study was to explore the significance of local skin temperature measurement in postoperative rehabilitation after total knee arthroplasty. And further to explore whether the method of measuring the local skin temperature of knee joint after total knee arthroplasty has the value of application and popularization in clinical work. Methods: from September 2015 to February 2016, 94 postmenopausal female patients who were admitted to the Department of Arthroplasty in the affiliated Hospital of Qingdao University and received the first total knee arthroplasty were selected. The local skin temperature of the knee joint before and after operation and the physical and chemical indexes closely related to postoperative rehabilitation were monitored, their changes were studied, and the correlation analysis was carried out by statistical method. Results the clinical value of local skin temperature measurement after total knee arthroplasty was discussed. Results: according to the curve diagram of the changes of various indexes, the changes of local skin temperature of knee joint after total knee arthroplasty were closely related to the trend of other observed indexes. By statistical analysis, the change of local skin temperature of knee joint was highly positively correlated with the peripheral blood leukocyte count and the degree of swelling of the affected limb, and negatively correlated with the muscle strength of the affected limb after operation. Conclusion: the change trend of skin temperature difference between two knee joints after operation can indicate the change trend of inflammatory index, pain degree, muscle strength of affected limb, knee motion degree and swelling degree of affected limb. Especially in peripheral blood leukocyte count, muscle strength and swelling degree of affected limbs. Therefore, the measurement of local skin temperature after total knee arthroplasty has good clinical application and popularization value.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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