中医药治疗全髋关节置换术后疼痛的研究进展

Research Progress on Chinese Medicine in Pain after Total Hip Replacement

综述了全髋关节置换术(THA)后疼痛的病因、高危因素,以及中医药治疗THA术后疼痛的作用机制。假体松动、手术因素、术后感染、患者因素为THA术后疼痛的高危因素;针刺、耳穴、推拿、中药等中医特色治疗方式可通过调控神经递质分泌、抑制疼痛传导、改善局部微循环等多种途径发挥作用,且疗效显著,副作用小,值得临床推广应用。

The etiology and high-risk factors of pain after total hip arthroplasty(THA)as well as the mechanism of action of Chinese medicine in the treatment of post-THA pain are reviewed.Prosthesis loosening,surgical factors,postoperative infection and patient factors are the high-risk factors for post-THA pain.Chinese medicine characteristic treatment modalities such as acupuncture,auricular acupuncture,tui-na and Chinese medicine can work by regulating neurotransmitter secretion,inhibiting pain transmission and improving local microcirculation,etc.,with significant efficacy and few side effects,which are worthy of further clinical promotion and application.