首页|全程音乐治疗在膝关节僵硬患者松解术中的应用

全程音乐治疗在膝关节僵硬患者松解术中的应用

The application of the whole music therapy in the release operation of patients with knee joint stiffness

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目的:探讨全程音乐治疗在膝关节僵硬患者松解术中的应用效果.方法:选取医院收治的膝关节僵硬拟行松解手术治疗的患者50例,采用随机数表法分为观察组(行全程音乐治疗联合快速康复治疗)和对照组(行单纯快速康复治疗),各25例患者.比较两组患者术后视觉模拟量表(VAS)评分,手术前后焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分,术后1周、2周、4周膝关节活动度(ROM)改善程度(主动活动).结果:术后3 d、7 d,观察组患者视觉模拟量表(VAS)评分显著低于对照组(P<0.05).两组患者治疗后的焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分均显著下降(P<0.05),且观察组显著低于对照组(P<0.05).观察组患者术中即刻、术后1周、2周、4周,膝关节活动度改善程度显著优于对照组(P<0.05).结论:全程音乐治疗联合快速康复理念能有效改善膝关节僵硬患者手术及术后康复疼痛体验,减轻患者焦虑情绪,促进患者早期康复,值得推广应用.
Objective:To explore the application of music therapy combined with rapid rehabilitation in the release operation of knee joint stiffness.Methods:Fifty patients with knee joint stiffness who were to undergo release surgery were selected and divided into observation group (n=25,receiving full music therapy combined with rapid rehabilitation therapy) and control group (n=25,receiving simple rapid rehabilitation therapy) by random number method.Postoperative visual analogue Scale (VAS) scores,self-rating Anxiety Scale (SAS) scores and self-rating Depression Scale (SDS) scores before and after surgery,and improvement degree of knee joint motion (ROM) (active activity) at 1,2 and 4 weeks after surgery were compared between the two groups.Results:On postoperative days 3 and 7,the VAS scores of the observation group were significantly lower than those of the control group (P<0.05).After treatment,the scores of self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) decreased significantly in both groups (P<0.05),but the observation group was significantly lower than the control group (P<0.05).but the improvement of knee motion in the observation group was significantly better than that in the control group at immediately during surgery,1,2 and 4 weeks after surgery (P<0.05).Conclusion:The concept of full music therapy combined with rapid rehabilitation can effectively improve the surgical pain experience of patients with knee stiffness,reduce the anxiety of patients,and promote the early recovery of patients,which is worthy of further promotion and application.

music therapyrapid recovery conceptknee stiffness

章华、王玉龙、刘佩玉、李栋梁、王东锋、崔卓航

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九江一七一医院 江西九江 332000

全程音乐治疗 快速康复理念 膝关节僵硬

九江市重点研发计划(指导性计划)项目

S2022ZDYFN310

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(4)