跌打散瘀胶囊对人工全膝关节置换术后疼痛及功能的影响

Effects of the Dieda Sanyu capsule on pain and function following the knee arthroplasty

目的:探讨跌打散瘀胶囊内服联合手术部位局部注射混合镇痛药物对全膝关节置换术后疼痛和膝关节功能恢复的影响。方法:将60例患者随机分为观察组30例和对照组30例,对照组采用术中膝关节周围浸润镇痛方法,观察组采用膝关节周围浸润镇痛方法配合口服跌打散瘀胶囊。两组均记录患者术后12、24、48、72h主动活动时VAS评分情况。患者在术后72h后采用HSS评分对其膝关节功能进行评价。结果:两组患者术后初期(术后12h)疼痛评分的对比在统计学上无显著性差异,不具有统计学意义(P>0.05)。但是在两组术后24h、36h、48h、72h数据的对比中,其评分具有显著性差异,具有统计学意义(P<0.05)。两组患者术后72h后膝关节HSS评分有显著差异,具有统计学意义(P<0.05)。结论:膝关节置换术后的病人口服跌打散瘀胶囊后,手术侧膝关节的疼痛显著减轻,膝关节的功能也恢复得更好。

Objective: To investigate clinical efficacy of the Dieda Sanyu capsule on postoperative pain and knee function following the knee arthroplasty. Methods: 60 patients were randomly divided into the observation group of 30 cases and the control group of 30 cases; the control group took invasive surgery around the knee pains method; the observation group took around the knee pains infiltration method plus oral Dieda Sanyu capsule. Results: In the early postoperative, pain scores showed no statistically significant difference(P>0.05). But in 24 hours, 36 hours, 48 hours, 72 hours in two sets of data, its score showed a significant difference(P<0.05). In 72 hours, knee HSS scores were significantly different(P<0.05). Conclusion: For knee replacement surgery patients, the oral Dieda Sanyu capsule, can significantly reduce knee pain, with better knee function recovery.