本文選題：全膝關節(jié)置換術 + 膝關節(jié)局部皮溫　； 參考：《青島大學》2017年碩士論文

【摘要】：目的:探討膝關節(jié)骨性關節(jié)炎患者全膝關節(jié)置換術后膝關節(jié)局部皮溫及術后康復效果相關指標的變化規(guī)律,并對它們的相關性進行統(tǒng)計學分析,從而探討全膝關節(jié)置換術后膝關節(jié)局部皮溫測定對術后康復的指導意義,并進一步探究全膝關節(jié)置換術后膝關節(jié)局部皮溫測定這一檢查方式在臨床工作中是否有應用及推廣的價值。方法:本研究選取2015年9月至2016年2月因膝關節(jié)骨性關節(jié)炎就診于青島大學附屬醫(yī)院關節(jié)外科并接受初次全膝關節(jié)置換術的94位更年期后女性患者,對她們術前和術后的膝關節(jié)局部皮溫以及與術后康復密切相關的理化指標進行監(jiān)測,研究它們的變化規(guī)律,并運用統(tǒng)計學方法進行相關性分析,根據(jù)結果討論全膝關節(jié)置換術后膝關節(jié)局部皮溫測定在臨床工作中的應用價值。結果:根據(jù)各項研究指標變化折線圖可知,全膝關節(jié)置換術后患者膝關節(jié)局部皮溫變化和其他觀察指標的變化趨勢有內(nèi)在聯(lián)系。經(jīng)統(tǒng)計學分析,膝關節(jié)局部皮溫變化同患者外周血白細胞計數(shù)及術后患肢腫脹程度變化呈高度正相關,同術后患肢肌力呈顯著負相關。結論:患者術后雙膝關節(jié)皮溫差的變化趨勢能夠提示患者術后炎性指標、疼痛程度、患肢肌力、患肢膝關節(jié)活動度以及患肢腫脹程度的變化趨勢。尤其在患者術后外周血白細胞計數(shù)、患肢肌力和患肢腫脹程度等方面具有較好的指導意義。因此,全膝關節(jié)置換術后膝關節(jié)局部皮溫的測定有很好的臨床應用及推廣價值。
[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.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.4

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