| Objective:To evaluate the effects of Chinese medicine fumigation and washing on rehabilitation after total knee arthroplasty(TKA),and the clinical efficacy in the treatment of swelling,pain,and knee dysfunction after TKA,as well as the advantages of improving patients’ quality of life,reducing adverse drug reactions,and shortening postoperative recovery time,and to obtain objective,true and accurate clinical efficacy evaluation,so as to guide doctors to choose the best treatment plan and enrich clinical treatment methods.Methods:A total of 86 patients with pain,swelling,and knee dysfunction after TKA that met the inclusion criteria were randomly divided into a treatment group and a control group,according to whether the surgical incision at 2 weeks after operation was Class A healing and whether Chinese medicine fumigation and washing was added after suture removal,with 43 cases in each group.Both groups of patients underwent routine rehabilitation exercises after operation.The treatment group was given a Chinese medicine fumigation and washing to knee joint after the stitches were removed at the 2 week after operation.The control group only received routine rehabilitation training.The differences in clinical efficacy on swelling,visual analogue scale of pain(VAS),knee HSS score,knee HSS score excellent rate,and patient satisfaction were compared between the 2 groups of patients before and 6 weeks after operation.Results:①The gender of the 2 groups of patients was tested by chi-square test(χ2=0.434,P=0.51>0.05),and the difference was not statistically significant,indicating that the gender of the 2 groups of patients was comparable;②The preoperative HSS score comparison between the 2 groups(t=0.012,P=0.990>0.05),showed no statistically significant difference;the difference between the 2 groups at 6 weeks after operation(t=-4.140,P=0.000<0.05)showed statistically significant difference;③Comparison of excellent rate of HSS score at 6 weeks after operation between the 2 groups after chi-square test(χ2=8.539,P=0.014<0.05)showed that the difference between the treatment group and the control group was statistically significant;④Comparison of pain,mobility,walking function between the 2 groups before operation(P>0.05)showed no statistically significant difference;and the difference was statistically significant at 6 weeks after operation(P<0.05).⑤Comparison of knee circumference before operation between the 2 groups(t=0.390,P=0.698>0.05)showed no statistically significant difference;the comparison between the 2 groups at 2 weeks after operation(t=0.460,P=0.647>0.05)showed no statistically significant difference.Comparison between the 2 groups at 6 weeks after operation(t=-2.632,P=0.010<0.05)showed statistically significant difference;⑥Comparison of clinical efficacy of the swelling degree at 6 weeks after operation between the 2 groups after chi-square test(χ2=8.822,P=0.012<0.05)showed that the difference between the treatment group and the control group was statistically significant;⑦Comparison of VAS score between the 2 groups(t=-1.185,P=0.239>0.05)showed no statistically significant difference;the comparison at 6 weeks after operation(t=-2.782,P=0.007<0.05)showed statistically significant difference;⑧Comparison of satisfaction between the 2 groups at 6 weeks after operation after chi-square test(χ2=4.440,P=0.035<0.05)showed that the difference between the treatment group and the control groups was statistically significant.From the above data,it can be seen that the degree of swelling of the knee,VAS score,knee HSS score,knee HSS score excellent rate and patient satisfaction of the treatment group at the 6th postoperative week were significantly better than the control group(P<0.05),and the knee joint pain,walking function and joint mobility were significantly better than the control group(P<0.05).No adverse reactions occurred in the treatment group during treatment.Conclusion:The clinical treatment of swelling,pain,and knee dysfunction after TKA is mostly by western medicine,but the clinical efficacy is not good,with long postoperative recovery time and adverse drug reactions.Chinese medicine fumigation and washing has a definite curative effect on rehabilitation after TKA.It can effectively relieve symptoms such as knee pain,swelling and dysfunction,improve joint activity and walking function,shorten postoperative rehabilitation time,improve patient’s quality of life,and reduce adverse drug reactions,which is worthy of clinical promotion. |
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