| Objective:In order to provide a theoretical basis,the patients with local joint swelling and pain who received total knee arthroplasty were observed.The serum levels of CRP,erythrocyte sedimentation rate,plasma D-dimer related inflammation and coagulation index were collected after taking Danqiniuren Bazhen decoction in early knee arthroplasty.The treatment of local joint swelling and pain after with blood circulation,swelling of water,replenish qi and enrich the blood of drugs,to optimize clinical postoperative treatment and rehabilitation programs provide some reference.Methods:According to the diagnostic criteria,inclusion criteria,exclusion criteria,and shedding criteria,ninty elderly patients who received unilateral total knee arthroplasty were selected for the first time in the Fourth Division of Orthopaedics(joint surgery)of the Second Hospital of Fuzhou from August 2016 to December 2017.The relevant data were collected likeage,gender,disease duration,body mass index(BMI),etc..,90 patients were divided into treatment group and control group in the random number table,45 cases in each group.The control group was treated with conventional swelling and analgesia.On the basis of this,the treatment group was given Danqiniuren Bazhen Decoction orally for 2 consecutive weeks.,The 3-inch patella and 3-inch lower patellar limbs were measured on the 1st,3rd,7th and 14th day after operation respectively,and the swelling value was calculated.One day before operation,The pain scores of VAS,serum CRP,everthrocyte sedimentation rate and plasma D-dimer were observed and recorded on the 3rd,7th,14th day.HSS function score of the affected knee was recorded on the 1st day before operation and on the 3rd,7th and 14th day after operation.SPSS 22.0 software was used for statistical analysis of data and P<0.05 was set as a statistically significant standard.Result:1.Five patients were excluded,two patients excessive pain using other analgesia,one patient leave the hospital ahead of time,one patient was unable to take the drug on time,and one patient inability to cooperate with blood withdrawal.The remaining 43 patients in the treatment group cases,the remaining 42 cases in the control group,the withdrawal rate was 5.6%.2.There was no significant difference in age,body mass index(BMI),and disease course by t-test between the two groups(P>0.05).There was no significant difference in sex and surgical site between the two groups by chi-square test(P>0.05).3.There were significant differences in swelling value,VAS score,HSS function score,erythrocyte sedimentation rate,serum CRP and plasma D-dimer between the two groups before and after treatment(P<0.05).There was no difference in swelling value,VAS score,serum CRP,erythrocyte sedimentation rate,plasma D-dimer between the two groups on the affected side of the iliac bone at 3 inches and 3 inches below the sacrum,but not at 1 day before surgery,or 1 day after surgery and 14 days after surgery.Statistical significance(P>0.05)was statistically significant on the 3rd and 7th days after operation(P<0.05),the treatment group is better than the control group.There was no significant difference in HSS function score between the two groups before operation(P>0.05),on the 3rd day after operation and on the 7th and 14th day after operation(P<0.05),the treatment group is better than the control group.Conclusion:Danqiniuren Bazhen Decoction combined with conventional western medicine treatment maybe a effectively measure to improving the early swelling and pain symptoms of elderly patients after TKA,which is beneficial to the early functional rehabilitation of patients and is worthy of further clinical application. |
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