活血通脉汤联合隔附子饼灸对全膝关节置换术患者疼痛程度、膝关节功能及DVT预防的影响

Effect of Huoxue Tongmai Decoction Combined with Fuzi Cake Moxibustion on Pain Level,Knee Joint Function,and DVT Prevention in Patients Undergoing Total Knee Arthroplasty

目的分析活血通脉汤联合隔附子饼灸对全膝关节置换术(TKA)患者的影响。方法选取2021年1月—2023年7月该院收治的128例TKA患者为研究对象,按随机数字表法将其分为对照组和观察组,各64例。对照组术后行活血通脉汤治疗,观察组在对照组基础上联合隔附子饼灸治疗。对比两组的疼痛程度、膝关节功能、凝血功能、下肢深静脉血栓形成(DVT)发生率。结果观察组DVT发生率为3.12%,低于对照组的12.50%,差异有统计学意义(P<0.05)。术后1周,观察组视觉模拟评分法评分低于对照组,术后4周,观察组美国特种外科医院膝关节功能评分高于对照组,组间差异有统计学意义(P<0.05)。术后4周,观察组活化部分凝血活酶时间、凝血酶原时间长于对照组,纤维蛋白原水平低于对照组,组间差异有统计学意义(P<0.05)。结论活血通脉汤联合隔附子饼灸能够缓解TKA患者的疼痛程度,可提高膝关节功能,改善凝血功能,降低DVT发生率。

Objective To analyze the effect of Huoxue Tongmai Decoction combined with Fuzi Cake Moxibustion on patients undergoing total knee arthroplasty(TKA).Methods 128 TKA patients admitted to the hospital from January 2021 to July 2023 were selected as the research subjects,divided them into a control group and an observation group according to random number table method,with 64 cases in each group.The control group received postoperative treatment with Huoxue Tongmai Decoction,while the observation group combined with Fuzi Cake moxibustion treatment on the basis of the control group.Compare the degree of pain,knee joint function,coagulation function,and incidence of deep venous thrombosis(DVT)in the lower limbs between two groups.Results The incidence of DVT in the observation group was 3.12%,which was lower than the 12.50%in the control group,the difference was statistically significant(P<0.05).One week after surgery,the observation group had a lower Visual Analog Score than the control group,four weeks after surgery,the observation group had the knee joint function score of the Hospital for Special Surger was higher than that of the control group,the differences between groups were statistically significant(P<0.05).Four weeks after surgery,the observation group had longer activated partial thromboplastin time and prothrombin time than the control group,and lower fibrinogen levels than the control group,the differences between groups were statistically significant(P<0.05).Conclusion The combination of Huoxue Tongmai Decoction and Fuzi Cake Moxibustion can alleviate the pain level of TKA patients,improve knee joint function,improve coagulation function,and reduce the incidence of DVT.