断骨丹外敷用于全髋关节置换术后肢体肿胀的活血通络效果观察

Effect of External Application of Duangu Pill on Limb Swelling after Total Hip Arthroplasty

目的观察断骨丹外敷用于全髋关节置换术后肢体肿胀的活血通络效果。方法选择2013年2月至2015年5月间在本院进行全髋关节置换术后肢体肿胀的患者共60例,按随机数字表随机分为两组,对照组和观察组各30例。对照组采用冰敷消肿,观察组以断骨丹外敷。分别测量两组患者下肢肿胀度及血清指标(TNF-α、IL-1、IL-6)水平,并对患者治疗效果进行评价,比较两组患者视觉模拟评分(VAS)和髋关节HSS功能评分。结果观察组总有效率显著优于对照组,差异有统计学意义(P<0.05);观察组患者经治疗后肿胀程度在术后第3天、第7天明显低于对照组,差异有统计学意义(P<0.05);治疗后两组患者TNF-α、IL-1、IL-6水平均显著降低,观察组水平明显低于对照组(P<0.01);治疗后观察组疼痛VAS评分明显低于对照组(P<0.01),髋关节HSS功能评分明显高于对照组(P<0.01)。结论断骨丹外敷可有效缓解全髋关节置换术后肢体肿胀,起到良好的活血通络效果。

Objective To study the external application of Duangu pill on limb swelling after total hip arthroplasty. Methods The 60 cases from February 2013 to May 2015 for total hip arthroplasty in our hospital after limb swelling accord-ing to the random number table, were randomly divided into the control group and observation group, 30 cases in each group. The control group was given ice application for subsidence of swelling, the observation group was treated with Duangu pill for external application. The lower extremity swelling degree and serum indexes （TNF-α, IL-1, IL-6） were measured in two groups. The treatment effect of patients in two groups was evaluated, ans pain score of VAS and knee function score of HSS in patients were compared. Results The total efficiency of observation group was significantly higher than of the con-trol group, the difference was statistically significant （P〈0.05）. The degree of swelling at third day and seventh day after treat-ment in observation group was significantly lower than the control group, the difference was statistically significant （P〈0.05）. After treatment, the TNF-α, IL-1 and IL-6 levels of the two groups were significantly lower, the level of the observa-tion group was significantly lower than the control group （P〈0.01）. The VAS scores of pain in the observation group were sig-nificantly lower than those in the control group, and the HSS function score of the hip joint was significantly higher than that of the control group （P〈0.01）. Conclusion The external application of Duangu pill could effectively alleviate limb swelling after total hip arthroplasty after, show a good effect of promoting blood circulation and removing obstruction in channels.