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【摘要】目的：观察推拿在全髋关节置换术后康复治疗中的临床疗效。方法：将 60 例患 者随机分成治疗组和对照组。治疗组 30 例进行推拿结合康复治疗，对照组 30 例进行单 纯康复治疗。两组均治疗 2 星期。分别观察两组患者术后 7 天、术后 2 星期、术后 6 星 期的改良人工髋关节Harris量表及汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale， HAMA) 。结果：Harris量表评分总分，两组组内患者不同时间点多重比较差异有统计学 意义(P<0.05) ；术后 1 天、术后 7 天及术后 6 星期两组间比较，差异均无统计学意义 (P>0.05) ；术后 2 星期两组间比较差异有统计学意义(P<0.05) 。HAMA量表两组组内患 者不同时间点多重比较差异有统计学意义(P<0.05) ；术后 1 天两组间评分无显著性差异 (P>0.05) ；术后 7 天、术后 2 星期、术后 6 星期两组间评分均有显著性差异(P<0.05) 。 结论：单位时间内，推拿结合康复治疗对全髋关节置换术后患者的疼痛、关节活动范围 及焦虑等方面的改善作用优于单纯康复治疗。 【关键词】关节形成术，置换，髋；推拿；按摩；康复 【Abstract】Objective: To observe the clinical effect of tuina in rehabilitation following total hip replacement. Methods: 60 cases were randomly allocated into a treatment group and control group, 30 cases in each group. Cases in the treatment were treated with combined tuina and rehabilitation, while cases in the control group were treated with rehabilitation alone. All treatment retained for two weeks. The results were observed 7 d, 2 weeks and 6 weeks following the total hip replacement using Harris scale and Hamilton Anxiety Rating Scale (HAMA). Results: For Harris scale, there were significant intra-group differences in different time frames (P<0.05); there were no statistical differences between the two groups 1 d, 7 d and 6 weeks following the total hip replacement (P>0.05); and there were statistical differences between the two groups 2 weeks following the total hip replacement. For HAMA scale, there were significant intra-group differences in different time frames (P<0.05); there were no significant differences between the two groups 1 d following the total hip replacement; and there were substantial differences between the two groups 7 d, 2 weeks and 6 weeks following the total hip replacement. Conclusion: In a given unit time, combined tuina and rehabilitation is superior to rehabilitation alone in improving the patients' post-operative pain, articular range of motion and anxiety.

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