Clinical Effect Of Longhu Dingtong Granule On Pain And Rehabilitation After Total Knee Arthroplasty

Purpose:To analyze the clinical efficacy of Longhudingtong Granule in treating pain after total knee replacement and promoting postoperative rehabilitation,so as to provide basis for the application of traditional Chinese medicine in pain and rehabilitation after total knee replacement.Method:A total of 60 patients after total knee replacement were randomly divided into 2 groups,with 30 cases in each group.On the second day after operation,the control group was given celecoxib capsule orally,100mg/ capsule;1 capsule each after breakfast and dinner;Treatment group: On the basis of the control group,Longhudingtong granules were added,one dose a day,and taken separately after breakfast and dinner.(two groups of patients were taken for 3 months,and taken for 2 weeks in the first month;In the second and third months,they were taken for one week each month).ESR,VAS score and HSS score of knee joint were recorded on the first day before operation.ESR and VAS scores were recorded on the first day,first month,second month and third month after operation.HSS scores were recorded in the first month,the second month and the third month.Result:(1).There was no difference in age,gender,left and right limbs between the two groups of patients(P>0.05);(2).There was no significant difference in ESR,VAS and HSS scores between the two groups on the first day before surgery(P>0.05);(3).On the first day after operation,there was no significant difference in ESR and VAS scores between the two groups(P > 0.05).(4).There were significant differences in ESR,VAS score and HSS score of knee joint before and after treatment(P < 0.05);(5).At the first month,the second month and the third month after operation,the ESR level in the treatment group was significantly lower than that in the control group(P<0.05).The VAS score in the treatment group was lower than that in the control group(P<0.05).The HSS score of knee joint was better than that of control group(P<0.05).Conclusion:Longhu Dingtong Granule can significantly reduce the pain of patients after TKA,reduce the psychological resistance to functional exercise,and accelerate the process of postoperative rehabilitation.It has a significant effect on acute and chronic postoperative pain and significantly improves TKA The function of knee joint after operation.This traditional Chinese medicine treatment method is safe and convenient,with clear curative effect and no obvious side effects.It can be widely used in orthopedic postoperative pain and rehabilitation treatment.