Application of Tongluo Zhitong Decoction Combined with Joint Loosening in Accelerated Rehabilitation of Total Knee Arthroplasty
Objective:To explore the application value of Tongluo Zhitong decoction combined with joint mobilization in accelerated rehabilitation after total knee arthroplasty(TKA).Methods:A retrospective study was conducted to select the clinical data of 75 patients undergoing TKA from January 2023 to September 2023 as the research objects.According to the treatment methods,they were divided into control group(37 cases,treated with joint loosening after operation)and observation group(38 cases,treated with Tongluo Zhitong decoction on the basis of the control group).Both groups were treated continuously for 1 week and followed up for 12 weeks.The levels of pain(visual analogue scale(VAS)score),swelling degree of knee joint,range of motion of knee joint and postoperative recovery(American Knee Society Score(AKSS),Fugl-Meyer Assessment(FMA)score and Manual Muscle Test(MMT)score)were compared between the two groups at different time points(before treatment,1 week,6 weeks and 12 weeks after treatment).The incidence of adverse reactions during treatment was recorded and compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P＜0.05).The first time of getting out of bed in the observation group was(21.02±4.74)h,which was shorter than that in the control group(32.45±6.91)h(P＜0.05).The VAS scores and knee joint swelling degree of the two groups at 1 week,6 weeks and 12 weeks after treatment were lower than those before treatment,and showed a downward trend.The observation group(VAS scores were(3.75±0.88)points,(2.49±0.75)points and(1.77±0.35)points,knee joint swelling degree were(43.76±3.19)mm,(41.55±3.06)mm and(40.88±2.78)mm)was 1 ower than the control group(VAS scores were(4.97±0.67)points,(3.75±0.64)points and(2.39±0.61)points,knee joint swelling degree were(45.19±3.63)mm,(43.53±2.14)mm and(42.17±2.03)mm)(P＜0.05).At 1 week,6 weeks and 12 weeks after treatment,the knee joint activity,AKSS clinical score,functional score,FMA and MMT scores of the two groups were higher than those before treatment,and showed an upward trend.The observation group was higher than the control group,and the two groups were compared at time points,groups and interactions(P＜0.05).No adverse reactions occurred during the treatment in the two groups.Conclusion:The introduc-tion of Tongluo Zhitong decoction combined with joint loosening can effectively relieve postoperative pain in TKA patients,improve knee joint mobility,improve knee joint function,and eliminate postoperative knee swelling.
total knee arthroplastyTongluo Zhitong decoctionultrasonic introductionjoint looseningaccelerate rehabilitation
NETL
NSTL
万方数据
