Study On The Effect Of Transcutaneous Electrical Acupoint Stimulation On ERAS After Total Knee Arthroplasty

Objective:To explore the effect of transcutaneous electrical acupoint stimulation on Enhanced Recovery After Surgery(ERAS)in patients undergoing total Knee Arthroplasty(TKA)under the guidance of traditional Chinese medicine theory,and to provide a new idea for promoting rapid rehabilitation of TKA patients in clinical practice.Methods:60 patients who met the criteria were randomly divided into experimental group(30 cases)and control group(30 cases).Postoperative nursing routine and transcutaneous electrical acupoint stimulation were used in the experimental group,while the control group only adopted postoperative nursing routine.The treatment time was from 1 day before operation to 7 days after operation.The limb circumference at 10 cm above and below the patella was measured and recorded 1 day before operation,1,3,7 days after operation,VAS score,C-reactive protein level,HSS score of knee joint before and after operation,total drainage flow at 24 hours and 48 hours after operation,and the number of cases of gastrointestinal adverse reactions after operation were recorded.Result:1.On the first day after surgery,there was no significant difference in the degree of limb swelling between the two groups(p>0.05).Three days and seven days after the operation,the risk of swelling in the experimental group was significantly good than the control group.t test p)0.05,the difference was statistically significant.2.There was no significant difference in VAS score of resting state pain between the two groups on the first day after operation,P>0.05 by paired t-test.The VAS score of pain in the experimental group was lower than that in the control group at rest for 3 days and 7 days after operation.Pain t test showed that the VAS score of pain in the experimental group was significantly lower than that in the control group(P<0.05).3.Comparing the VAS score of operative limb pain on the 3rd day and 7th day after operation,the degree of pain in the experimental group was lower than that in the control group,which was statistically significant by t-test(p>0.05).4.There was no significant difference in total drainage between the two groups by t test(p>0.05).5.The HSS scores of knee joints of the two groups were compared one day before operation,and there was no statistical significance by t-test P 0.05.The HSS scores of knee joints of the seven days after operation were compared by t-test P 0.05,with statistical significance.Conclusion:1.Transcutaneous electrical acupoint stimulation has a good effect in the treatment of swelling and pain of affected limbs after TKA.2.Transcutaneous electrical acupoint stimulation does not increase the risk of bleeding,and has fewer adverse reactions.It is a safe and effective treatment method.3.Transcutaneous electrical acupoint stimulation is a non-invasive treatment,which does not increase the risk of infection,and the degree of acceptance and cooperation of patients is high,which reduces the nervous mood of patients after operation,and contributes to the rapid recovery of patients after operation.