中药离子导入对全膝关节置换术后疼痛和肿胀的影响

Effect of traditional Chinese medicine iontophoresis therapy on pain and swelling after total knee arthroplasty

目的观察中药离子导入对患者全膝关节置换术(TKA)后疼痛和肿胀的影响。方法将120例TKA患者随机分为2组,对照组60例TKA术后应用常规治疗和护理方法,治疗组60例TKA术后予中药离子导入。观察2组术后不同时期疼痛、肿胀情况。结果治疗组术后4 d、1周、2周、4周疼痛视觉模拟评分法(VAS)评分均低于对照组同期(P<0.05),2组术后8、12周VAS评分比较差异无统计学意义(P>0.05)。治疗组术后4 d、1周、2周、4周肿胀值均小于对照组同期(P<0.05),2组术后8、12周肿胀值比较差异无统计学意义(P>0.05)。结论 TKA术后患者行中药离子导入可减轻关节疼痛和肿胀,有效改善术后膝关节的功能和活动度,对患者整体功能恢复有重要的临床意义。

Objective To observe the effect of traditional Chinese medicine iontophoresis therapy on pain and swelling after total knee arthroplasty （TKA）.Methods 120 cases with TKA were randomly divided into two groups, treatment group and control group .60 cases in control group were treated by conventional treatment and care after surgery.Treatment group received traditional Chinese medicine iontophoresis therapy after surgery .The pain and swelling in two groups were recorded in different times after surgery .Results Visual analogue scale （ VAS） score in treatment group was lower than that in control group in the first 4 days, 1 week, 2 weeks and 4 weeks after surgery （P〈0.05）.There was no significant difference between two groups on VAS score in 8 weeks and 12 weeks after sur-gery （ P 〉0.05）.The swelling value in treatment group was lower than that in control group in the first 4 days, 1 week, 2 weeks and 4 weeks after surgery （ P 〈0.05）.There was no significant difference between two groups on swelling value in 8 weeks and 12 weeks after surgery （ P 〉0.05）.Conclusion Patients after TKA which received traditional Chinese medicine iontophoresis therapy can relieve joint pain and swelling , improve postoperative knee function and activity , functional recovery of the patient as a whole has a very important clinical significance .