The Clinical Study On The Effect Of Traditional Chinese Medicine On Umbilicus To Treat Pain After Total Knee Arthroplasty

Objectives:The study was to evaluate the clinical effect of The Traumatological Seven Ingredients Of LongFa on umbilicus on treating the pain by observing the VAS score,joint mobility and serum parameters in patients after total knee arthroplasty after,and preliminary explore of it's mechanism,and provide the theoretical basis for the promotion of this technology application.Methods:The research subjects involved patients who have been hospitalized in Quanzhou Orthopedics-Traumatology Hospital during October 2015 to December 2016.There are seventy patients with serious knee osteoarthritis who had the primary TKA in the clinical research.According to the standard of diagnosis,inclusion and exclusion,These patients were randomly allocated into two groups according to the random number table,treatment group and control group,35 cases in each group.The patients in the treatment group were treated with traditional Chinese medicine on umbilicus for two weeks after operation,while the control group were treated with normal saline for two weeks.Then we recorded and compared two groups 's pain VAS scores on the preoperative day and the first,second,third,fifth,seventh,tenth and fourteenth postoperative days.Besides,the comparison of two groups' range of motion on the preoperative day and the first,third,seventh and fourteenth postoperative days.Observe and record two groups of knee joint function of HSS score on the preoperative day and the seventh and fourteenth postoperative days.Patients were extracted venous blood for testing leukocyte,CRP and ESR on the first preoperative day and the first,third,seventh,fourteenth postoperative days.At the fourteenth postoperative day,we will evaluate the total curative effect with HSS.And we will record and analyze the safety in the whole course.Finally SPSS20.0 statistical software is used to analyze the data,and we set the P<0.05 statistically significant.Results:1.Totally 70 patients were concluded in our study.Two cases fell out of the treatment group and two cases fell out of the control group.Finally,66 patients finished the clinical observation,with the falling rate of 5.71%.2.There were significant difference(P<0.05)in the records of VAS scores,range of motion,HSS scores,leukocyte,CRP,ESR between the treatment group and control group before and after the treatment.The VAS scores between the two groups showed no statistical difference on the first,second and fourteenth postoperative days(P>0.05),while the evaluation on the third,fifth,seventh and tenth days after surgery varied significantly(P<0.05).The range of motion showed no statistical difference on the first and fourteenth postoperative days(P>0.05),while the evaluation on the third and seventh days after surgery varied significantly(P<0.05).The HSS scores were statistically different on the seventh and fourteenth postoperative days(P<0.05).The leukocyte,CRP and ESR showed no statistical difference on the first and fourteenth postoperative days(P>0.05),while the evaluation on the third and seventh days after surgery varied significantly(P<0.05).3.In the treatment group,two case of patient's skin became red and sore on the treatment,which was diagnosed as anaphylaxis.The incidence of adverse events was 5.71%.No adverse events happened during the treatment in the control group.Conclusion:The traditional Chinese medicine on umbilicuson can relieve the pain and improve the range of motion after TKA.Which has a great significance on promoting the early rehabilitation exercise.The clinical effect is satisfactory,which can be further popularized in clinical application.