Effects of Acupressure Combined with Shangke Powder on the Degree of Swelling and Knee Score of the Affected Limb after Knee Replacement
Objective:To observe the effect of acupressure combined with external application of Shangke Pow-der after knee replacement and to explore its mechanism.Methods:80 patients were divided into 40 cases in the research group and 40 cases in the control group according to random nuonber table method.The control group used external application of Shangke Powder,and the study group used acupressure point massage+external appli-cation of Shangke Powder.The degree of swelling of the affected limb,C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),cyclooxygenase-2(COX-2),plasma viscosity,whole blood low shear viscosity,whole blood high shear viscosity,lower limb circumferential diameter,knee range of motion,symptom scores,visual analog scale(VAS)and Hospital for Special Surgery(HSS)knee function scores were compared between the two groups.Re-sults:The swelling rate of the study group was 15.00%,which was lower than 35.00%of the control group(P<0.05).After treatment,the circumferential diameter of the lower limbs,the difference in knee and the difference in the upper knee were lower than those in the control group(all P<0.05).The inflammatory indexes,VAS,HSS scores,knee mobility,plasma viscosity,whole blood low shear viscosity,whole blood high shear viscosity and symp-tom scores were improved in the two groups after treatment,and the CRP,TNF-α,COX-2 level,VAS score,plas-ma viscosity,whole blood low shear viscosity,whole blood high shear viscosity,and symptom scores were lower than those in the control group(P<0.05)after treatment,while the HSS score and knee mobility were higher than those in the control group(all P<0.05).Conclusion:The effect of acupressure combined with Shangke Powder external application is more ideal,which can promote rapid reduction of symptoms,reduce pain,relieve swelling,eliminate inflammatory response,promote knee mobility,and improve blood rheological indexes.