初次全髋关节置换术后应用活血通脉片治疗患肢肿痛的效果评价

发布时间：2018-02-13 05:26

本文关键词： 全髋关节置换术下肢肿胀血栓形成下肢疼痛　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的探讨应用活血通脉片对于治疗全髋关节置换术后下肢肿胀疼痛的临床疗效。为预防及治疗术后下肢肿胀、疼痛及下肢深静脉血栓等并发症提供客观依据。方法将60例患者按照随机对照的原则分为实验组和对照组。对照组THA后由关节骨科医护人员进行常规的护理及康复训练指导;实验组THA后由同组关节骨科医护人员进行相同的常规护理及康复训练指导,并于术后第一天开始口服活血通脉片治疗项目至术后一个月。分别于术前24h,术后1d、3d、5d、7d测量两组患者下肢髌上、髌下周径及静息、疼痛时VAS评分变化。结果1.两组病人测量髌上15cm、髌下10cm的周径在术前24h、术后1d(治疗前)比较,无统计学意义(P0.05),在术后第3、5、7天的肿胀指标进行比较,有统计学差异(P〈0.05),实验组的肿胀度均低于对照组。2.两组病人静息时疼痛VAS评分术前24h、术后1d(治疗前)比较,无统计学意义(P0.05),在术后第3、5、7天两组VAS评分比较,有统计学差异(P〈0.05),比较两组平均等级,实验组静息时的疼痛VAS评分低于对照组。结论综合应用活血通脉片缩短了全髋关节置换术术后下肢肿痛的持续时间,有效减轻了下肢肿胀、疼痛程度,可有效预防DVT的形成。
[Abstract]:Objective to investigate the clinical effect of Huoxue Tongmai tablet on lower limb swelling and pain after total hip replacement. Methods 60 patients were divided into experimental group and control group according to the principle of random control. The control group was guided by routine nursing and rehabilitation training after THA. After THA in the experimental group, the same routine nursing and rehabilitation training were conducted by the same group of joint orthopedic medical staff. From the first day of operation to one month after operation, the upper patellar diameter, patellar diameter and rest of the lower extremities were measured at 24 hours before operation and 1 day after operation for 5 days and 7 days, respectively. Results 1. The patients in the two groups were measured the superior patellar 15 cm, the circumference of 10 cm below the patella was 24 hours before operation, 1 day after the operation (before treatment), there was no significant difference between the two groups (P 0.05). The swelling index was compared on the 3rd and 5th day after operation. The swelling degree of the experimental group was lower than that of the control group (P < 0.05). The VAS score of pain in the two groups was 24 hours before operation and 1 day after operation (before treatment). There was no significant difference in VAS score between the two groups on the 3rd day after operation (P < 0.05), and on the 7th day after operation, there was no significant difference between the two groups. There was significant difference between the two groups (P < 0.05). Compared with the average grade of the two groups, the VAS score of pain in the experimental group at rest was lower than that in the control group. Conclusion the comprehensive application of Huoxue Tongmai tablet shortens the duration of swelling and pain of lower extremity after total hip arthroplasty, and effectively reduces the swelling of lower extremity. The degree of pain can effectively prevent the formation of DVT.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R687.4

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