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[1]毛矛,季衛(wèi)鋒,胡偉龍,等.芒硝外敷治療全膝關(guān)節(jié)置換術(shù)后膝關(guān)節(jié)腫痛的臨床研究[J].中醫(yī)正骨,2016,28(10):7-10.
　MAO Mao,JI Weifeng,HU Weilong,et al.Clinical study on external application of natrii sulfas for treatment of knee swelling and pain after total knee arthroplasty[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(10):7-10.
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芒硝外敷治療全膝關(guān)節(jié)置換術(shù)后膝關(guān)節(jié)腫痛的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年10期
頁碼:
7-10
欄目:
臨床研究
出版日期:
2016-10-20

文章信息/Info

Title:
Clinical study on external application of natrii sulfas for treatment of knee swelling and pain after total knee arthroplasty
作者:
毛矛1; 季衛(wèi)鋒2; 胡偉龍1; 蘇彪1; 馬鎮(zhèn)川2
1.浙江中醫(yī)藥大學,浙江 杭州 310053;
2.浙江省中醫(yī)院,浙江 杭州 310006
Author(s):
MAO Mao1; JI Weifeng2; HU Weilong1; SU Biao1; MA Zhenchuan2
1.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of TCM,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
關(guān)節(jié)成形術(shù); 置換; 膝;  手術(shù)后并發(fā)癥;  疼痛; 手術(shù)后;  中藥外敷;  芒硝;  冰敷
Keywords:
arthroplasty; replacement; knee;  postoperative complications;  pain; postoperative;  external applications(TCD);  natrii sulfas;  ice compress
摘要:
目的:觀察芒硝外敷治療全膝關(guān)節(jié)置換術(shù)后膝關(guān)節(jié)腫痛的臨床療效。方法:單側(cè)全膝關(guān)節(jié)置換術(shù)后患者60例,隨機分為芒硝組與冰敷組,每組30例。術(shù)后第1天開始,芒硝組以芒硝500 g裝入特制的布袋中外敷患膝,冰袋組以普通醫(yī)用冰袋(質(zhì)量500 g)外敷患膝,共敷3 d。分別在術(shù)前及術(shù)后第1、第2、第3天,采用疼痛視覺模擬量表(visual analogue scale,VAS)對2組患者膝關(guān)節(jié)疼痛情況進行評估; 并測量患膝上、下10 cm處的周長,評估患膝腫脹程度。結(jié)果:2組患者膝關(guān)節(jié)疼痛VAS評分手術(shù)前后各時間點間的差異有統(tǒng)計學意義,即存在時間效應(F=73.731,P=0.000); 術(shù)前和術(shù)后第1天,2組患者膝關(guān)節(jié)疼痛VAS評分的組間差異均無統(tǒng)計學意義[(2.13±0.51)分,(1.90±0.48)分; t=1.829,P=0.073;(3.10±0.31)分,(3.07±0.25)分; t=0.460,P=0.647]; 術(shù)后第2、第3天,芒硝組膝關(guān)節(jié)疼痛VAS評分均低于冰敷組[(2.23±0.43)分,(3.03±0.49)分; t=-6.719,P=0.000;(1.77±0.57)分,(2.37±0.56)分; t=-4.133,P=0.000]; 2組間總體比較,芒硝組膝關(guān)節(jié)疼痛VAS評分低于冰敷組,即存在分組效應[(2.37±0.71)分,(2.82±0.55)分; F=21.353,P=0.000]; 時間因素和分組因素之間存在交互效應(F=17.594,P=0.000)。術(shù)前2組患者膝上、膝下10 cm處周長的組間比較,差異均無統(tǒng)計學意義[(44.03±5.20)cm,(45.53±1.76)cm; t=-1.498,P=0.143;(35.47±3.60)cm,(34.63±1.07)cm; t=1.216,P=0.232]; 術(shù)后2組患者膝上、膝下10 cm處腫脹程度比較,芒硝組均較冰敷組輕[(2.30±0.23)%,(6.71±0.26)%; t=-68.668,P=0.000;(3.10±0.19)%,(8.08±0.14)%; t=-131.325,P=0.000]。結(jié)論:對于全膝關(guān)節(jié)置換術(shù)后患者,采用芒硝外敷可有效緩解膝關(guān)節(jié)疼痛、消除膝關(guān)節(jié)腫脹,且效果較冰敷好。
Abstract:
Objective:To observe the clinical curative effects of external application of natrii sulfas for treatment of knee swelling and pain after total knee arthroplasty(TKA).Methods:Sixty patients who received unilateral TKA were randomly divided into natrii sulfas group and ice compress group,30 cases in each group.From postoperative day 1,the knees of patients in natrii sulfas group were treated with external application of natrii sulfas,500 g of which filled a special cloth bag,while the knees of patients in ice compress group were treated with external application of common medical ice bags(500 g for each bag)for 3 days.The knee pain degree was evaluated by using visual analogue scale(VAS)before the surgery and at 1,2 and 3 days after the surgery respectively,and the knee swelling degree was evaluated by measuring the perimeter of leg at 10 cm above and below the knee.Results:There was statistical difference in knee pain VAS scores between different time points,in other words,there was time effect(F=73.731,P=0.000).There was no statistical difference in knee pain VAS scores between the 2 groups before surgery and at postoperative day 1(2.13+/-0.51 vs 1.90+/-0.48 points,t=1.829,P=0.073; 3.10+/-0.31 vs 3.07+/-0.25 points,t=0.460,P=0.647).The knee pain VAS scores were lower in natrii sulfas group compared to ice compress group at postoperative day 2 and 3(2.23+/-0.43 vs 3.03+/-0.49 points,t=-6.719,P=0.000; 1.77+/-0.57 vs 2.37+/-0.56 points,t=-4.133,P=0.000).The knee pain VAS scores were lower in natrii sulfas group compared to ice compress group in general,in other words,there was grouping effect(2.37+/-0.71 vs 2.82+/-0.55 points,F=21.353,P=0.000).There was interaction between time factor and grouping factor(F=17.594,P=0.000).There was no statistical difference in the perimeter of leg at 10 cm above and below the knee between the 2 groups before the surgery(44.03+/-5.20 vs 45.53+/-1.76 cm; t=-1.498,P=0.143;35.47+/-3.60 vs 34.63+/-1.07 cm; t=1.216,P=0.232).The postoperative swelling degree of leg at 10 cm above and below the knee was slighter in natrii sulfas group compared to ice compress group(2.30+/-0.23 vs 6.71+/-0.26%; t=-68.668,P=0.000; 3.10+/-0.19 vs 8.08+/-0.14%; t=-131.325,P=0.000).Conclusion:The therapy of external application of natrii sulfas can effectively relieve the knee pain and eliminate the knee swelling,moreover,its curative effect is better than that of ice compress.

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通訊作者:季衛(wèi)峰 E-mail:[email protected]
更新日期/Last Update: 2016-10-20