本文關(guān)鍵詞：腕踝針治療全膝關(guān)節(jié)置換術(shù)后疼痛的臨床研究　出處：《福建中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腕踝針 全膝關(guān)節(jié)置換術(shù) 疼痛 臨床療效

【摘要】：目的：觀察腕踝針對(duì)TKA術(shù)后疼痛、功能康復(fù)的影響,為臨床治療TKA術(shù)后疼痛提供一種安全、有效方法。方法：根據(jù)前瞻性研究的要求,納入符合標(biāo)準(zhǔn)的行單側(cè)膝關(guān)節(jié)置換術(shù)患者70例(實(shí)驗(yàn)組及對(duì)照組各35例),將70例進(jìn)行了隨機(jī)對(duì)照觀察。對(duì)照組35例采用常規(guī)鎮(zhèn)痛康復(fù)方法,實(shí)驗(yàn)組35例在對(duì)照組基礎(chǔ)上加用腕踝針治療。分別于術(shù)前1天、術(shù)后第3、7、14天檢測(cè)視覺模擬疼痛評(píng)分(VAS評(píng)分)、膝關(guān)節(jié)腫脹程度、膝關(guān)節(jié)屈曲角度、血清IL-6、TNF-α含量。最后用Excel軟件采集數(shù)據(jù),用統(tǒng)計(jì)學(xué)軟件SPSS18.0進(jìn)行數(shù)據(jù)分析。結(jié)果：1、VAS評(píng)分、血清IL-6、TNF-α:實(shí)驗(yàn)組總體上的VAS評(píng)分、血清IL-6、TNF-α均小于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。組間比較：術(shù)前1天,兩組差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后第3、7、14天,均有P0.05,兩組差異具有統(tǒng)計(jì)學(xué)意義。組內(nèi)比較：兩組均有術(shù)后第7天小于術(shù)后第3天、術(shù)后第14天小于術(shù)后第7天、術(shù)后第14天小于術(shù)后第3天(實(shí)驗(yàn)組P0.05,對(duì)照組P0.05),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。2、膝關(guān)節(jié)腫脹度：實(shí)驗(yàn)組總體上的膝關(guān)節(jié)腫脹度均小于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。組間比較：術(shù)后第3、14天,均有P0.05,兩組差異具有統(tǒng)計(jì)學(xué)意義。術(shù)后第7天,兩組差異無統(tǒng)計(jì)學(xué)意義(P0.05)。組內(nèi)比較：兩組均有術(shù)后第7天小于術(shù)后第3天、術(shù)后第14天小于術(shù)后第7天、術(shù)后第14天小于術(shù)后第3天(實(shí)驗(yàn)組P0.05,對(duì)照組P0.05),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。3、膝關(guān)節(jié)屈曲角度：實(shí)驗(yàn)組總體上的膝關(guān)節(jié)屈曲角度均大于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。組間比較：術(shù)前1天,兩組差異無統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后第3、7、14天,均有P0.05,兩組差異具有統(tǒng)計(jì)學(xué)意義。組內(nèi)比較：兩組均有術(shù)后第7天大于術(shù)后第3天、術(shù)后第14天大于術(shù)后第7天、術(shù)后第14天大于術(shù)后第3天(實(shí)驗(yàn)組P0.05,對(duì)照組P0.05),差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：腕踝針配合常規(guī)鎮(zhèn)痛康復(fù)手段應(yīng)用在TKA術(shù)后患者中,能更好地緩解疼痛及恢復(fù)功能,具有安全、效顯、簡(jiǎn)便、價(jià)廉等優(yōu)點(diǎn),適宜臨床應(yīng)用與推廣。
[Abstract]:Objective: To observe the effect of wrist ankle acupuncture on TKA postoperative pain and functional rehabilitation effect, provide a safe and effective method for the treatment of TKA postoperative pain. Methods: according to the requirements of prospective study, included 70 unilateral knee replacement patients with standard cases (experimental group and control group with 35 cases in each group). 70 cases were observed. 35 cases in the control group using conventional analgesia rehabilitation methods, the experimental group of 35 patients in the control group based on the use of wrist ankle acupuncture treatment. In 1 days before surgery, 3,7,14 days after operation to detect the visual analog pain score (VAS score), knee joint swelling degree, serum IL-6 the knee flexion angle, TNF-, alpha content. Finally using Excel software for data acquisition, data analysis using the statistical software SPSS18.0. Results: 1, VAS score, serum IL-6, serum IL-6 TNF- alpha: the experimental group on the overall VAS score, and TNF- alpha were less than the control group, with statistical difference 鎰忎箟(P0.05).緇勯棿姣旇緝錛氭湳鍓，

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