| Objective:In this study,the curative effect of auricular point pressing with beans combined with Huoluotongli decoction on rehabilitation after total knee arthroplasty(TKA)was observed,and the effect of auricular point pressing with beans combined with Huoluotongli decoction on rehabilitation after TKA was evaluated,including postoperative pain,swelling degree and knee joint function,so as to provide reference for accelerating rehabilitation after TKA and better guide clinical practice.Methods:According to the inclusion and exclusion criteria,90 patients who were diagnosed with knee arthritis in the Department of Joint Orthopaedics of Shandong Provincial Hospital of TCM from December 2021 to October 2022 and underwent unilateral TKA for the first time were selected.The operation was performed by the same surgeon according to the same surgical method.The patients were stochastically split into three groups according to the complete randomization method,30 cases in each group,to ensure that the three groups of patients used the same anesthesia site,anesthesia method and operation method.Different treatments were taken on the basis of the same conventional treatment options after operation.The normal group : the conventional treatment options was used after the operation.Traditional Chinese medicine group : On the basis of the normal group,Huoluo Tongli Decoction was taken orally on the next day after the operation,all of which were decocted in the pharmacy of the hospital,once a day,and taken warmly 30 minutes after breakfast and dinner every day during hospitalization..Combined group : On the basis of the traditional Chinese medicine group,auricular point pressing was given.Auricular point pressing was performed on the corresponding acupoints(Shenmen acupoint,knee acupoint,liver acupoint,kidney acupoint,Sanjiao acupoint,ureter acupoint and bladder acupoint)24 hours before operation.The other ear was replaced at the same acupoint for auricular point pressing in 24 hours after operation.After that,two ears were replaced every3 days for auricular point pressing at the same acupoint.The VAS scores at rest and functional exercise on the 2nd,4th and 7th days after operation,the perimeter of 10 cm above and below the patella of the affected leg and the HSS score of the knee joint were recorded.The data were analyzed by SPSS25.0 to obtain conclusions.Results:A total of 90 patients were included in this clinical study,which were divided into 3 groups,30 in each group.All patients completed the study as planned except for one patient in the combined group.There was no significant difference in age,BMI,gender and operation sites among the three groups(P >0.05).Comparison of VAS scores : Resting VAS : On the second day after operation,the scores of the combined group were lower than those of the Traditional Chinese medicine group and the normal group,and which was statistically significant(P < 0.05);on the 4th day,the combined group was lower than the Traditional Chinese medicine group and the normal group,and there was a statistical difference(P < 0.05).On the 7th day,the scores of the Traditional Chinese medicine group and the combined group were lower than the normal group,with considerable differences(P < 0.05).There was no considerable difference between the other groups(P > 0.05).Functional exercise VAS : On the second day after operation,the combined group was lower than the traditional Traditional Chinese medicine group,with significant difference(P < 0.05);on the 4th day,the scores of the three groups were combined group < Traditional Chinese medicine group < normal group,and there were considerable differences between the groups(P < 0.05).On the 7th day,the scores of the Traditional Chinese medicine group and the combined group were lower than those of the normal group,and there was a considerable difference(P < 0.05).There was no significant difference between the other groups(P > 0.05).HSS score : On the second day after operation,the combined group was better than the normal group and the Traditional Chinese medicine group,and there was a significant difference(P<0.05).On the 4th day,the scores of the three groups were combined group>Traditional Chinese medicine group > normal group,there were considerable differences between the groups(P < 0.05);on the 7th day after operation,the scores of the combined group and the Traditional Chinese medicine group were better than the normal group,and there was a significant difference(P < 0.05).There was no significant difference between the other groups(P > 0.05).Swelling analysis : comparison of the perimeter of 10 cm above the patella :on the second day after operation,there was no significant difference between the three groups(P > 0.05);on the 4th day,the perimeter of the Traditional Chinese medicine group and the combined group was smaller than that of the normal group,and there was a significant difference(P < 0.05).On the 7th day,the perimeter of the combined group was smaller than that of the normal group,and there was a significant difference(P < 0.05).There was no significant difference between the other groups(P > 0.05).Comparison of the perimeter of 10 cm below the patella : on the second day after operation,there was no significant difference between the three groups(P > 0.05);on the 4th day,the combined group was smaller than the normal group,and there was a significant difference(P < 0.05);on the 7th day after operation,the mean perimeter of the three groups was compared as the combined group <the Traditional Chinese medicine group < the normal group,and there were considerable differences(P < 0.05).There was no significant difference between the other groups(P > 0.05).Conclusion:Both auricular point pressing beans and Huoluo Tongli Decoction can effectively reduce the pain and swelling after TKA,and can effectively promote the recovery of knee joint function,and the combined effect of the two treatment options is more obvious,which is helpful for the rapid recovery of TKA patients after operation,and has clinical promotion value. |
PDF Full Text Request