摘要
目的:探讨循经针刺联合补阳还五汤的中医特色治疗对单侧全髋关节置换术(THA)后患肢肿胀疼痛的临床疗效。方法:收集单侧全髋关节置换术后患者40例,随机分为实验组和对照组两组,每组各20例。对照组给予THA术后骨科常规治疗,实验组在骨科术后常规治疗基础上,于术后第1天应用循经针刺联合补阳还五汤的中医特色疗法,实验组与对照组均予术后相同常规康复锻炼。两组患者分别记录术前第1天、术后第3天、术后第7天的白细胞介素6(IL-6)的浓度值,同时记录术前第1天、术后第3天、第7天、第14天的VAS评分情况及大腿周径,比较两种治疗方法的疗效差异。结果:实验组术后患肢大腿周径肿胀程度较对照组明显减轻,且肿胀消退较快(P<0.05)。实验组术后患肢疼痛较对照组明显减轻,且改善疼痛的效果较快(P<0.05)。实验组与对照组术后第3天、术后第7天白细胞介素-6对比,两组在治疗3天以后对白细胞介素-6有一定的抑制作用,实验组减轻术后炎症应激反应导致的肿痛效果优于对照组(P<0.05)。结论:应用循经针刺联合补阳还五汤中医特色治疗可有效减轻THA术后患肢肿胀、疼痛程度,提高患者术后康复锻炼的积极性,促进关节功能恢复,改善生活质量,且未见明显不良反应,有较高的临床应用价值。
Objective:The aim of this study is to investigate the clinical curative effect of Acpuncture Along Meridians combined with Buyang Huanwu Decoction,on the swelling and pain of the patients after unilateral primary total hip arthroplasty(THA).Methods:To collect 40patients who is the first line of unilateral primary THA in the orthopedics departement of the Second Affiliated Hospital of Guiyang Chinese Traditional Medicine College.(February 2016to February 2018),40patients was randomly divided into two groups,the experimental group and the control group,20cases in each,in accordance with the experimental design for clinic treatment,flow-up,date statistics and discussion.The experimental group applied Acpuncture Along Meridians combined with Buyang Huanwu Decoction on the basis of conventional treatment after orthopedic surgery,the control group given orthopedics postoperative routine therapy,the experimental group and the control group given postoperative routine rehabilitation treatment.Two groups of patients were recorded preoperatively,on the third and seventh day postoperative of interleukin 6(IL-6)level.At the same time,recorded the VAS scores condition and the perimer of thigh swelling by the first day before surgery,and the third,seventh,fourteenth day after surgery.Thus to use Statistical to analyze all data to observe the movement disorder effect of two groups of pain and swelling condition,and compare the differences between the two treatments,which can assess the efficacy of Acpuncture Along Meridians combined with Buyang Huanwu Decoction,observe the effectiveness and safety of the experimental method.Results:The pain of the patients of the treatment group is smaller than that of the patients of the experimental group and the pain reliefs more rapidly,so there is statistical meaning in the differences between two groups(P<0.05).Compared to two groups,the first day before the operation,there is no statistical meaning in the different of the interleukin-6(IL-6)(P>0.05).The third day and the seventh day after the operation,there is the statistical meaning in the different of the interleukin-6and tumor necrosis factor(P<0.05).Conclusion:Application of Acpuncture Along Meridians Buyanghuanwu Decoction which is effective to eliminate the swelling and pain after THA.There was a significant improvement in the postoperative pain,swelling and early function rehabilitation,the clinical results were satisfactory,and with less side effects,which has wide clinical application value.
作者
鲁尚德
周长林
Lu Shangde;Zhou Changlin(Changde Vocational And Technical College,Changde 415000,China;The Second Department of Bone,The Second Hospital Affiliated to Guiyang University of Traditional Chinese Medicine,Guiyang 550002,China)
出处
《亚太传统医药》
2022年第7期79-85,共7页
Asia-Pacific Traditional Medicine
关键词
人工全髋关节置换术
肿胀
疼痛
循经针刺
补阳还五汤
临床研究
Total Hip Arthroplasty
Swelling
Pain
Acpuncture Along Meridians
Buyang Huanwu Decoction
Clinical Research
