| Background:Total Knee joint Arthroplasty(Total Knee Arthroplasty,TKA)is the most effective method of the treatment in the end of Knee osteoarthritis,which can rectify Knee joint deformity,resume the function of Knee joint and improve patient quality of life.As the technology matures and the constant improvement of artificial joint materials,TKA surgery has become mature,to provide effective treatment for serious Knee osteoarthritis.Along with our country entering an aging society,TKA operations are rising steadily each year.Postoperative rehabilitations after TKA are an important factor to obtain the expected curative effect of surgery which making the range of joint motion and walking ability at a long-term stability.Reasonable and orderly postoperative rehabilitation will directly affect the surgical effect,and effective postoperative analgesia will affect postoperative rehabilitation directly.With the development of surgical technology and the improvement of anesthesia technology,the trauma and pain caused by TKA surgery have been overcome to a large extent,but the postoperative pain has not been well solved,which is a prominent problem affecting postoperative rehabilitation.Objective:In order to assess the impact of transcutaneous acupoint electrical stimulation combined with Chinese medicine ointment on early pain after total knee arthroplasty,and the influence in postoperative functional rehabilitation and Assess whether it’s safe to use it in clinic,by comparing patients postoperative pain,postoperative early functional rehabilitation of the knee joint and the incidence of postoperative adverse reactions in the two groups.Methods:A Total of 80 people who received Total Knee Arthroplasty(TKA)in our department from August 2018 to January 2020 were divided equaly into experimental group and the control group according to the principle of randomized control:.After surgery,the control groups were given basic analgesia,while the others were given Transcutaneous Electrical Acupoint Stimulation(TEAS)combined with traditional Chinese medicine on the basis of basic analgesia until the 7th day after operation.The visual analogue scale(VAS),the threshold of knee pain,the knee function score of the Hospital for Special Surgery(HSS)after Surgery,and postoperative adverse reactions such as nausea and vomiting were recorded.Results:For various reasons,77 effective cases were actually included,including 38 cases in the experimental group and 39 cases in the control group.On the first day after surgery,the VAS score of the two groups was 7.12±1.58 and 7.34±1.70,respectively,and the pain threshold was 1.36±0.35 and 1.32±0.34,respectively,with no statistical difference(P>0.05).On the third day after surgery,the VAS of the experimental group was 4.84±2.15 significantly lower than that of the control group VAS5.96±1.82(P<0.05),and the pain threshold of the experimental group was 2.13±0.62 significantly higher than that of the control group 1.64±0.63.On the 7th day after surgery,the VAS score of the experimental group was 2.76± 1.52,lower than that of the control group 3.68±1.54(P<0.05),and the pain threshold of the experimental group was 2.65±0.43,higher than that of the control group 2.12±0.42(P<0.05).The knee HSS score of experimental group(86.33±4.20 and 93.68±3.64)was significantly higher than that of control group(78.65±4.56 and 90.35±3.22)on day 7 and 14 after surgery(P<0.05).The incidence of postoperative adverse reactions was lower than that in the control group(P<0.05).Conclusion:Transcutaneous acupoint electrical stimulation combined with Chinese medicine ointment can effectively relieve the early pain of patients after total knee arthroplasty,promote the early rehabilitation of the knee joint and effectively and the incidence of postoperative adverse reactions are significantly reduced. |
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