摘要
[目的]评价经皮穴位电刺激联合中药膏摩对全膝关节置换术后早期功能康复的影响。[方法]将中国中医科学院望京医院关节科81例行单侧全膝关节置换术(TKA)术后患者按随机对照原则分为试验组41例和对照组40例。术后,对照组手术患者行常规功能锻炼,试验组在对照组的基础上行经皮穴位电刺激联合中药膏摩治疗。分别记录术后第1、3、7、14天疼痛视觉模拟量表(VAS)和痛阈值评价膝部疼痛程度,记录术后第7、14天美国特种外科医院(HSS)膝关节功能评分标准评价膝关节功能。[结果]术后第1天,两组患者患膝疼痛VAS评分和痛阈无统计学差异(P>0.05),术后第3、7、14天,试验组VAS评分对照组(P<0.05),痛阈值高于对照组(P<0.05);术后第7、14天,试验组膝关节HSS评分均高于对照组(P<0.05)。[结论]经皮穴位电刺激联合中药膏摩能有效缓解全膝关节置换术后早期疼痛,促进膝关节术后早期功能康复。
[Objective]To evaluate the effect of transcutaneous electrical acupoint stimulation combined with Chinese herbal ointment on early functional recovery after total knee arthroplasty.[Methods]The 81 patients undergoing total knee arthroplasty(TKA)in our department were studied,including 41 patients in the test group and 40 patients in the control group.After the operation,the patients in the control group received routine functional exercise,and the experimental group received transcutaneous electrical acupoint stimulation combined with traditional Chinese ointment massage treatment on the basis of the control group.The severity of knee pain was evaluated by visual analogue scale(VAS)and pain threshold on day 1,3,7and 14 after surgery,and the knee function was evaluated by the HSS knee function score standard on day 7 and 14 after surgery.[Results]On the first day after surgery,there was no statistically significant difference between two groups in knee pain VAS score and pain threshold(P>0.05).On the 3,7 and 14 day after surgery,VAS score in the experimental group and control group(P<0.05),the pain threshold was higher than the control group(P<0.05);on day 7 and 14 after surgery,knee HSS scores of the experimental group were higher than those of the control group(P<0.05).[Conclusion]Transcutaneous electrical acupoint stimulation combined with Chinese ointment can effectively relieve early pain after total knee arthroplasty and promote functional rehabilitation activities of the knee joint.
作者
陈玉柳
程桯
王绍玉
危一飞
梁佩文
肖龙文
韩铮
白天宇
陈思
温冠楠
林新晓
CHEN Yuliu;CHENG Ting;WANG Shaoyu;WEI Yifei;LIANG Peiwen;XIAO Longwen;HAN Zheng;BAI Tianyu;CHEN Si;WEN Guannan;LIN Xinxiao(Chinese Academy of Sciences Wangjing Hospital of Traditional Chinese Medicine,Beijing 100102,China)
出处
《天津中医药大学学报》
CAS
2021年第6期739-743,共5页
Journal of Tianjin University of Traditional Chinese Medicine
基金
中国中医科学院基本科研业务费自主选题项目(ZZ11-078)
关键词
经皮穴位电刺激
中药膏摩
全膝关节置换术
功能康复
transcutaneous electrical acupoint stimulation
ointment massage
total knee arthroplasty
functional rehabilitation
