腕踝针对膝内翻畸形患者全膝关节置换术后镇痛效果的临床观察

Observation on Analgesic Effect of Wrist-ankle Acupuncture in Patients with Knee Varus Deformity after Total KneeArthroplasty

目的:观察腕踝针对膝内翻畸形患者全膝关节置换术(TKA)后镇痛的效果。方法:选取2023年3—9月于广东省中医院大学城医院接受66例TKA全膝关节置换术患者作为研究对象,采用随机数字表法分为基础组和观察组,各33例。基础组给予常规镇痛干预,中医组在常规镇痛基础上给予腕踝针干预。比较两组疼痛程度、膝关节活动度、生活质量、睡眠质量、镇痛满意度及不良反应发生率。结果:术后48 h、72 h,中医组视觉模拟疼痛量表评分低于基础组,术后1周、2周,中医组膝关节主动活动度高于基础组,差异均有统计学意义(P<0.05)。干预后,中医组匹兹堡睡眠质量指数各项评分低于基础组,差异有统计学意义(P<0.05)。干预后,中医组简易生活质量量表评分及镇痛满意度各项评分均高于基础组,差异有统计学意义(P<0.05)。中医组不良反应发生率低于基础组,差异有统计学意义(P=0.046)。结论:用腕踝针干预可有效减轻膝内翻畸形行TKA患者的术后疼痛程度,改善其膝关节功能,并提高患者睡眠质量及镇痛满意度,且不良反应较少。腕踝针用于膝内翻畸形行全膝关节置换术患者术后,具有显著镇痛效果。

Objective:To observe the analgesic effect of wrist-ankle acupuncture after total knee arthroplasty(TKA)in patients with knee varus deformity.Methods:66 patients who underwent TKA in University City Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine of from March to September 2023 were selected as the study subjects,and were divided into the basic group and the observation group,each with 33 cases,by using the randomized numerical table method.The basic group was given conventional analgesic intervention,and the TCM group was given wrist-ankle acupuncture therapy on the basis of conventional pain management.The two groups were compared in terms of pain level,knee mobility,quality of life,sleep quality,analgesic satis⁃faction and incidence of adverse reactions.Results:48 hours and 72 hours after the operation,the visual analog pain scale score of the TCM group was lower than those of the basic group,and the active knee joint mobility of the TCM group was higher than that of the basic group at 1 week and 2 weeks after the operation,and the differences were all statistically significant(P<0.05).After the in⁃tervention,all scores of Pittsburgh Sleep Quality Index in TCM group were lower than those of the basic group,and the difference was statistically significant(P<0.05).After the intervention,the scores of Quality of Life Scale and analgesic satisfaction in the TCM group were higher than those in the basic group,and the difference was statistically significant(P<0.05).The incidence of adverse re⁃actions in the TCM group was lower than that in the basic group,and the difference was statistically significant(P=0.046).Conclu⁃sion:Wrist-ankle acupuncture can effectively reduce the postoperative pain of patients undergoing TKA,improve their knee func⁃tion,their sleep quality and analgesic satisfaction.Furthermore it is with fewer adverse reactions.The application of wrist-ankle acu⁃puncture contributes to a significant analgesic effect in patients with knee varus deformity after TKA.