丹参活血汤联合电疗治疗自发性膝关节骨坏死微创置换术后肿胀疼痛的效果

Danshen Huoxue Decoction Combined with Electrotherapy for the Treatment of Swelling and Pain after Spontaneous Knee Osteonecrosis with Minimally Invasive Replacement

目的:分析丹参活血汤联合电疗治疗自发性膝关节骨坏死微创置换术后肿胀疼痛的效果。方法:以2017年5月—2019年11月间本院收治的92例自发性膝关节骨坏死微创置换患者为对象,随机分为两组,各46例。对照组术后予以中频电疗,试验组术后予以丹参活血汤联合中频电疗,对比分析两组患肢肿胀程度、患肢静息及活动状态疼痛程度、膝关节功能、关节活动度。结果:术后次日、术后第3、7天,试验组患肢肿胀程度均比对照组低,差异有统计学意义(P<0.05)。术后第3、7天,试验组患肢静息状态、活动状态时的疼痛视觉模拟评分(VAS)均比对照组低,差异有统计学意义(P<0.05)。术后7天,试验组美国特种外科医院膝关节评分(HSS)为(80.03±5.20)分,膝关节活动度(ROM)为(114.61±10.03)°,分别比对照组的(76.22±5.17)分及(105.28±10.10)°高,差异有统计学意义(P<0.05)。结论:丹参活血汤联合电疗治疗自发性膝关节骨坏死微创置换术后患者的效果显著,有助于缓解术后患肢肿胀及疼痛程度,促进膝关节功能,并改善关节活动度。

Objective To analyze the effect of Danshen Huoxue Decoction combined with electrotherapy on the pain of swelling after minimally invasive replacement of spontaneous knee osteonecrosis.Methods 92 cases of spontaneous osteonecrosis patients who were admitted to our hospital from May 2017 to November 2019 were randomly divided into two groups according to the computer digital table method,46 cases in each group.The control group was treated with intermediate frequency electrotherapy after operation and the experimental group was treated with Danshen Huoxue Decoction combined with intermediate frequency electrotherapy after operation.The degree of swelling of the affected limb,the degree of pain in the resting and active state of the affected group,knee function and joint mobility were compared and analyzed between the two groups.Results On the next day after operation and on the 3^rd and 7^th day after surgery,the degree of swelling of the affected limb in the experimental group were all lower than those in the control group,with statistically significant(P<0.05).On the 3^rd and 7^th postoperative days,the VAS scores of the resting and active limbs of the experimental group were lower than those of the control group,with statistically significant(P<0.05).At 7 days after surgery,the HSS of the experimental group was(80.03±5.20)points and the ROM was(114.61±10.03)°,which were higher than(76.22±5.17)points and(105.28±10.10)°of the control group respectively,with statistically significant(P<0.05).Conclusion The effect of Danshen Huoxue Decoction combined with electrotherapy on patients with spontaneous knee osteonecrosis after minimally invasive replacement is significant.It can help to relieve the swelling and pain of the affected limbs after surgery,and promote the improvement of knee function and joint mobility.