| 引用本文:陈飘飘1，谢文鹏1，吕文学2，颜冰2，邱红明2.经皮穴位电刺激改善人工全膝关节置换术后疼痛临床研究[J].世界中医药,2019,(06):. |
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| 经皮穴位电刺激改善人工全膝关节置换术后疼痛临床研究 |
| Clinical Study of Transcutaneous Electrical Acupoint Stimulation to Alleviate Limb Pain after Total Knee Arthroplasty |
| 投稿时间：2019-01-02 |
| DOI：10.3969/j.issn.1673-7202.2019.06.051 |
| 中文关键词: 经皮穴位电刺激 全膝关节置换术 疼痛 静脉镇痛 塞来昔布 |
| English Keywords:Transcutaneous electric acupoint stimulation Total knee arthroplasty Pain Intravenous analgesia Celecoxib |
| 基金项目:山东省中医药科技发展计划项目(2009-082) |
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| 中文摘要: |
| 目的:评价经皮穴位电刺激对于全膝关节置换术后的镇痛效果。方法:选取2018年6月至2018年9月山东省中医院收治的关节骨科行单侧全膝关节置换术(TKA)的患者50例作为研究对象,按照随机数字表法分为对照组与观察组,每组25例。对照组患者术后采用自控静脉镇痛、塞来昔布口服镇痛。观察组在对照组的基础上于术前30 min及术后1~7 d功能康复锻炼前30 min行经皮穴位电刺激治疗。采用疼痛视觉模拟(VAS)评分评估2组患者术后第1、2、3、5、7天患膝静息状态疼痛程度及第3、5、7天行功能康复锻炼时患肢疼痛程度,观察2组患者第3、5、7天患膝关节活动度,并记录术后恶心、呕吐的发生率。结果:在术后第1、2、3、5、7天静息状态下患膝疼痛VAS评分观察组均低于对照组,差异有统计学意义(P<005);术后第3、5、7天行功能锻炼时患膝疼痛VAS评分观察组低于对照组,差异有统计学意义(P<005);术后第3、5、7天膝关节的活动度观察组高于对照组,差异有统计学意义(P<005);观察组术后恶心、呕吐发生率低于对照组,差异有统计学意义(P<005)。结论:经皮穴位电刺激可以缓解全膝关节置换术后早期患膝静息状态及功能活动时的疼痛,并可增加膝关节活动度,降低术后恶心、呕吐发生率。 |
| English Summary: |
| To investigate the analgesic effect of transcutaneous electric acupoint stimulation(TEAS)on early stage after total knee arthroplasty(TKA).Methods:A total of 50 patients who underwent unilateral TKA in the Department of Joint Orthopaedics，Shandong Hospital of Traditional Chinese Medicine from June 2018 to September 2018 were randomly divided into an observation group and a control group.The control group：self-controlled intravenous analgesia and celecoxib were used after operation.On the basis of the control group，the observation group received transcutaneous acupoint electrical stimulation 30 minutes before operation and 30 minutes before functional rehabilitation exercise 1-7 days after operation.Visual analogue pain scale(VAS)was used to evaluate the pain degree of knee resting state on the 1st，2nd，3rd，5th，7th day after operation and limb pain on the 3rd，5th and 7th day after functional rehabilitation exercise.The knee joint activity on the 3rd，5th and 7th day was observed.The use of emergency adjuvant analgesics 72 hours after operation was recorded.Nausea and vomiting were recorded.Results:The VAS scores of knee pain in rest state in the observation group were lower than those in the control group on the 1st，2nd，3rd，5th and 7th day after operation，with statistical significance(P<005); The VAS scores of functional exercise in the observation group were lower than those in the control group on the 2nd，3rd，5th and 7th day after operation，with statistical significance(P<005); and the activity of knee joint in the observation group on the 3rd，5th and 7th day after operation was higher than that in the control group，with significant difference(P<005).The incidence of nausea and vomiting in the observation group was lower than that in the control group，and the difference was statistically significant(P<005).Conclusion:Transcutaneous acupoint electrical stimulation can relieve the pain of knee resting state and functional activity in the early stage after total knee arthroplasty，increase the range of motion of knee joint，and reduce the incidence of nausea and vomiting after total knee arthroplasty. |
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