NHÂN HAI TRƯỜNG HỢP PHÙ NỀ MỨC ĐỘ NẶNG SAU MỔ THAY KHỚP NHÂN TẠO ĐƯỢC ĐIỀU TRỊ BẰNG KỸ THUẬT MASSAGE DẪN LƯU BẠCH HUYẾT TẠI VIỆN CHẤN THƯƠNG CHỈNH HÌNH - BỆNH VIỆN QUÂN Y 175

Vỹ Quách Long; Cẩn Huỳnh Ngọc

doi:10.59354/ydth175.2020.164

Abstract

Lymphatic drainage massage (LDM) is an intensive rehabilitation technique, technicians use two hands to work rhythmically on edematous organs, aiming to increase circulation and drainage of extracellular fluid, reducing edema, analgesia and increased functional activity of the organs that need treatment.

Clinical case 1: Patient Nguyen Thi X. 78 years old, from Tien Giang province. Patients with a history of hypertension, Type II diabetes 10 years being treated with insulin and amlordipin; The patient suffered a fracture of the left femur neck from a fall and was treated at the District Hospital and transferred to the 175 ARVN on 12/03/2020. The patient received a partial hip replacement without a cement after 1 day. On March 14, 2020 The condition of left thigh and leg edema was severe, PHCN doctor examined and decided to apply LDM technique in combination with respiratory and passive exercises for patients. After 6 days of treatment, the patient’s left leg edema decreased markedly, the patient walked on his / her own foot on the walker, and the pain and paresthesia were removed on the leg.

Clinical case 2: Patient Tran Van T. 68 years old, from Binh Phuoc province, Patients with a history of bilateral knee degeneration 5 years, treated in many places do not improve; The patient was hospitalized due to pain with atrophy of quadriceps quadrilateral (P> T). The patient underwent a full-knee replacement surgery on the Right on March 15, 2020 at Department B1B of ARCH 175. Immediately after 1-day surgery, the patient underwent rehabilitation (respiratory, passive and LDM), After 6 days of treatment, the condition of right leg edema disappeared. The patient was walking on his own with 4 sides sticks, still having a slight right knee pain when fully loaded onto the surgical leg.

Conclusion: Lymphatic drainage technique initially promotes good effect in the treatment of edema in elderly patients who have artificial joint replacement at institute military 175

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