摘要
目的:观察参苓白术散对全膝关节置换术后患肢肿胀及肌力的影响,探究中医药对患者术后康复的疗效。方法:选取初次单侧全膝关节置换术患者72例,随机分为观察组及对照组各36例,术中均采用相同公司假体及手术方式,术后均予常规抗凝药物、弹力袜、康复治疗;其中观察组于术后服用参苓白术散,对照组不予,均持续治疗并随访1月,统计两组患肢等速肌力、肢体周径、膝关节HSS评分、膝关节活动度的改变。结果:术后1月,观察组相较于对照组在腘绳肌峰力距、股四头肌峰力矩、屈膝总功量、伸膝总功量改善更佳(P<0.05);术后7天、1月观察组相较于对照组术肢肿胀、HSS评分改善更佳(P<0.05);术后7天观察组膝关节活动度改善更佳(P<0.05),术后1月时两组无显著性差异(P>0.05)。结论:参苓白术散可有效改善患者术后肢体肿胀程度,提高患者下肢肌力情况,可促进患者膝关节功能康复,具有临床应用价值。
Objective:To observe the effect of Shenling Baizhu powder on limb swelling and muscle strength after total knee arthroplasty,and to explore the effect of traditional Chinese medicine on postoperative rehabilitation.Methods:72 patients with primary unilateral total knee arthroplasty were randomly divided into observation group and control group.Both groups used the same company’s prosthesis and surgical methods during the operation and received conventional anticoagulant drugs,elastic stockings,and rehabilitation after the operation.The observation group took Shenling Baizhu powder after the operation,but the control group did not.They were treated continuously and followed up for 1 month.The changes of isokinetic muscle strength,limb circumference,knee HSS score and knee range of motion of the two groups were counted.Results:Compared with the control group,the peak force distance of hamstring muscle,peak torque of quadriceps femoris,total knee flexion work and total knee extension work in the experimental group were improved better one month after operation(P<0.05).At seven days and one month after the operation,the observation group had better improvement in limb swelling and HSS score than the control group(P<0.05).The range of motion of the knee joint in the observation group improved better seven days after the operation(P<0.05),and there was no significant difference between the two groups one month after the operation(P>0.05).Conclusion:Shenling Baizhu powder can effectively improve the degree of postoperative limb swelling,improve the muscle strength of lower limbs,and promote the rehabilitation of knee joint function.It has clinical application value.
作者
李安安
卢超
张晓婷
LI An-an;LU Chao;ZHANG Xiao-ting(Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405;Guangdong Second Traditional Chinese Medicine Hospital(Guangdong Research Institute of Traditional Chinese Medicine Manuracturing Technology),Guangzhou,Guangdong 510095)
出处
《按摩与康复医学》
2022年第10期10-13,16,共5页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省中医药管理局科研项目,编号:20191021
广东省医学科学技术研究基金项目,编号:A2020071。
关键词
全膝关节置换术
参苓白术散
肢体肿胀
肌力
total knee arthroplasty
Shenling Baizhu powder
limb swelling
muscle strength
