益气活血中药联合运动疗法对全膝关节置换术后疗效影响的研究

The Research of Yiqi Huoxue Traditional Chinese Medicine Combined with Exercise Therapy on Curative Effect of Total Knee Arthroplasty

目的:观察益气活血中药联合运动疗法对改善全膝关节置换术(Total Knee Arthroplasty,TKA)后患者临床症状、促进患侧膝关节功能恢复等方面临床疗效的影响。方法:运用随机数字表法将120例膝关节骨性关节炎患者随机分为两组(治疗组和对照组)每组各60例。治疗组患者于术后第2天开始予益气活血中药内服和运动疗法治疗干预,对照组仅进行常规运动疗法干预,其余基础治疗措施相同。分别比较两组患者术前、术后1周、术后1个月的膝关节功能评分(HSS)、疼痛视觉模拟评分(VAS)、小腿周径等指标。结果:HSS评分:两组术后与术前比较,差异均具有统计学意义(P<0.05),治疗组与对照组术前HSS评分比较差异无统计学意义,两组术后1周、术后1个月HSS评分比较,差异具有统计学意义(P<0.05);VAS评分:两组术后1个月与术后1周比较,差异均具有统计学意义(P<0.05),治疗组与对照组术前VAS评分比较,差异无统计学意义(P>0.05),术后1周VAS评分比较,差异无统计学意义(P>0.05),治疗组与对照组术后1个月VAS评分比较,差异具有统计学意义(P<0.05);小腿周径:两组治疗前比较,差异无统计学意义,治疗组与对照组治疗后1周比较,差异有统计学意义(P<0.05),治疗组与对照组治疗后1个月比较,差异无统计学意义(P>0.05)。结论:益气活血中药在改善患者术后功能、减轻早期疼痛及小腿肿胀等方面具有一定优势。

Objective: To observe the effect of Yiqi Huoxue traditional Chinese medicine combined with exercise therapy on improving the clinical symptoms and promoting the functional recovery of knee joint after total knee arthroplasty(TKA). Methods::120 patients with knee osteoarthritis were randomly divided into treatment group and control group, 60 cases in each group. The treatment group was given Yiqi Huoxue Decoction Combined with exercise therapy on the second day after operation. The control group only received routine exercise therapy intervention;other basic treatment measures were the same as the treatment group. hospital for special surgery knee score(HSS), Visual Analogue Scale(VAS) and leg circumference were compared before operation, a week, and a month after operation. Results: HSS score: the difference between the two groups was statistically significant(P<0.05), the difference between the treatment group and the control group was not statistically significant, the difference between the two groups was statistically significant(P<0.05);VAS score: the difference between the two groups was statistically significant(P<0.05), the difference between the treatment group and the control group was statistically significant(P<0.05) Compared with the control group, there was no significant difference in VAS score before operation(P>0.05), but there was no significant difference in VAS score a week after operation(P>0.05), and there was significant difference in VAS score a month after operation between the treatment group and the control group(P<0.05);leg circumference: there was no significant difference between the two groups before treatment, but there was no significant difference between the treatment group and the control group a week after treatment The difference was statistically significant(P<0.05), but there was no significant difference between the treatment group and the control group at a month after treatment(P>0.05).Conclusion: Yiqi Huoxue traditional Chinese medicine has certain advantages in improving postoperative function, reducing early pain and leg swelling.