Clinical Study On The Effect Of Psychotherapy Of TCM On Early Physical And Mental Recovery After Total Knee Arthroplasty

Objective: Explore the influence psychotherapy of TCM on the early physical and mental rehabilitation of patients after total knee replacement,and provide ideas for comprehensive TCM therapy during the perioperative period of total knee arthroplasty.Methods: Using the method of systematic retrospective study,93 patients with knee osteoarthritis who were treated in our hospital from October 2018 to October 2020 were treated with total knee arthroplasty after conservative treatment.After the selection of inclusion and exclusion criteria,30 patients were treated with routine treatment plus TCM psychological treatment group(group A)and 30 patients with routine treatment group(group B)were divided into two groups: group A(n = 30)and group B(n = 30).The routine treatment group included the prevention of infection,pain relief,swelling reduction and anticoagulation treatment,while the routine treatment plus Psychotherapy of TCM treatment group began to give Psychotherapy of TCM to the patients one day before operation and lasted for two weeks after operation.The pain VAS scores of the two groups at 1 day before operation and 3,Psychotherapy of TCM 7 and 14 days after operation were analyzed and compared.The HSS scores of 1 day before operation and 3 days,7 days and 14 days after operation were compared.SAS and SDS scores of patients on the 7th and 14 th day after operation were analyzed,and SPSS25.0 was used as a tool for statistical analysis.Results:(1)Before operation,no significant difference was found in gender,age,BMI,left and right knee,course of disease,SAS score,SDS score,VAS score and HSS score between the two groups(P>0.05).(2)HSS score: the HSS score of both groups increased after operation(P < 0.05),and the HSS score of group A was better than that of group B on the 3rd,7th and 14 th day after operation(P < 0.05).(3)VAS score: the VAS score after treatment in both groups was lower than that before treatment(P < 0.05),and the pain score in group A was better than that in group B at 3,7 and 14 days after treatment(P < 0.05).(4)SAS score: the SAS score of both groups decreased after treatment(P < 0.05),and the SAS score of group A was better than that of group B at 7 and 14 days after treatment,and the difference was statistically significant(P < 0.05).(5)SDS score: the SDS score of both groups after treatment was lower than that before treatment(P < 0.05),but there was no significant difference in SDS score between group An and group B at 7 and 14 days after treatment(P>0.05).Analysis conclusion:(1)Psychotherapy of TCM can promote the physical and mental recovery of patients in the early stage after TKA,promote functional recovery and pain relief,and relieve patients’ anxiety and depression.(2)Psychotherapy of TCM has positive significance for the early physical and mental recovery of patients after TKA,which can be used for clinical reference.