The Influence of Ultrasound-Guided Femoral Nerve Block Combined with Original Qi-Restoring and Blood-Moving Decoction on Pain and Knee Function After Total Knee Arthroplasty
Objective:To observe the influence of ultrasound-guided femoral nerve block combined with Original Qi-Restoring and Blood-Moving Decoction on pain and knee function after total knee arthroplasty(TKA).Methods:A total of 60 patients with knee osteoarthritis who were admitted to the Department of Orthopedics,Wuhan Hospital of Traditional Chinese Medicine from May 2020 to May 2022 and were scheduled for TKA were divided into the experimental group and the control group according to the random number table method,with 30 cases in each group.Both groups were given artificial TKA.The control group was additionally given ultrasound-guided femoral nerve block analgesia immediately after surgery,while the experimental group was additionally given Original Qi-Restoring and Blood-Moving Decoction on the basis of the treatment in the control group.The visual analogue scale(VAS)score,the difference in peripheral swelling value,the active flexion and extension activity of the knee joint,and the hospital for special surgery(HSS)score of the two groups were recorded on the 3rd,5th,and 7th days after surgery when they were at rest and passive flexion of 20°,50°,and 70°;the differences in peripheral swelling value,the active flexion and extension activity of the knee joint,and the hospital for special surgery(HSS)score of the knee joint were recorded.Results:At resting 0°,the VAS score of the experimental group was higher than that of the control group on the 3rd day after operation(P<0.05),but there was no significant difference in the VAS score between the two groups on the 5th and 7th day after operation respectively(P>0.05).At passive flexion of 20°,45°,and 70°,the VAS score of the ex-perimental group was higher than that of the control group on the 3rd,5th,and 7th day after operation respectively(P<0.05).At the same measurement point,the swelling difference of the affected limb in the experimental group was greater than that in the control group on the 3rd,5th,and 7th day after operation respectively(P<0.05).The active flexion angle of the knee joint in the experimental group was greater than that in the control group on the 3rd,5th,and 7th day after operation respectively(P<0.05).The HSS score of the knee joint in the experimental group was higher than that in the control group on the 3rd,5th,and 7th day after operation respectively(P<0.05).Conclusion:Ultrasound-guided femoral nerve block combined with Original Qi-Restoring and Blood-Moving Decoction after TKA can reduce the pain degree at rest and active flexion and extension at each time point after operation,promote the detumescence of the affected limb,thereby increasing the range of motion of the affected knee and promoting the recovery of knee function.
artificial total knee arthroplastyknee osteoarthritisOriginal Qi-Restoring and Blood-Moving Decoctionultrasound-guided femoral nerve block
万方数据
维普
