伤科黄水对行全膝关节置换术患者术后膝关节功能的影响

发布时间：2018-04-19 17:29

本文选题：伤科黄水 + 全膝关节置换术　；参考：《中成药》2017年07期

【摘要】：目的观察伤科黄水(黄芩、黄连、黄柏等)对行全膝关节置换术患者术后膝关节疼痛、肿胀程度及功能恢复的影响。方法取2015.01—2016.01佛山市中医院关节科行全膝关节置换术和常规护理的80例患者,随机均分为观察组和对照组,观察组患者外敷伤科黄水。比较2组术后肿胀程度、视觉模拟评分(VAS)及膝关节HSS功能评分。结果术后7 d、14 d、1个月观察组肿胀程度低于对照组。7、14 d观察组VAS评分显著低于对照组。术后1、3、6个月2组患者膝关节HSS功能评分均较术前增高,但观察组显著高于对照组。所有差异均有统计学意义(P0.05)。结论长期伤科黄水外敷可有效缓解行全膝关节置换术患者术后疼痛及肿胀,改善膝关节功能。
[Abstract]:Objective to observe the effect of Huangshui (Scutellaria baicalensis, Coptis chinensis, Cortex Phellodendri) on pain, swelling and functional recovery of knee joint after total knee arthroplasty.Methods 80 patients with total knee arthroplasty and routine nursing were randomly divided into observation group and control group.The degree of swelling, visual analogue score (VAS) and knee joint HSS score were compared between the two groups.Results the VAS score of the observation group was significantly lower than that of the control group on the 7th and 14th day after operation, and the degree of swelling in the observation group was significantly lower than that in the control group at 1 month.The HSS score of knee joint in the two groups was significantly higher than that in the control group at 1: 3 and 6 months postoperatively, but it was significantly higher in the observation group than that in the control group.All the differences were statistically significant (P 0.05).Conclusion long term external application of yellow water can relieve postoperative pain and swelling and improve knee function in patients undergoing total knee arthroplasty.
【作者单位】：广州中医药大学研究生院;广州中医药大学附属佛山中医院关节科;
【基金】：佛山市院市合作项目(2012HY100631) 佛山市高校和医院科研基础平台建设项目(2013AG10009) 佛山市医学公关项目(2015AB00359) 佛山市十三五重点专科建设项目——骨关节外科(FSZDZK135013)
【分类号】：R274.9

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