[1]孙鹏飞*,杨轩,王建业,等.巨刺电针治疗人工全膝关节置换术后疼痛的临床观察[J].中国中医骨伤科杂志,2024,32(07):40-45.[doi:10.20085/j.cnki.issn1005-0205.240707 ]
　SUN Pengfei*,YANG Xuan,WANG Jianye,et al.Clinical Observation on the Therapeutic Effect of Opposing Side Electroacupuncture on Postoperative Pain after Artificial Total Knee Arthroplasty[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(07):40-45.[doi:10.20085/j.cnki.issn1005-0205.240707 ]
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巨刺电针治疗人工全膝关节置换术后疼痛的临床观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年07期
页码:
40-45
栏目:
临床研究
出版日期:
2024-07-15

文章信息/Info

Title:
Clinical Observation on the Therapeutic Effect of Opposing Side Electroacupuncture on Postoperative Pain after Artificial Total Knee Arthroplasty
文章编号:
1005-0205(2024)07-0040-06
作者:
孙鹏飞1; 2*; 杨轩2; 王建业1; 2; 赵翅4; 康冰心4; 许明岚2; 谢平金5; 卢启贵5沈军2; 3*; 肖涟波2; 3△
1上海中医药大学光华临床医学院(上海,200052)
2上海中医药大学附属光华医院
3上海市中医药研究院中西医结合关节炎研究所
4河南中医药大学
5上海中医药大学深圳医院
Author(s):
SUN Pengfei1; 2*; YANG Xuan2; WANG Jianye1; 2; ZHAO Chi4; KANG Bingxin4; XU Minglan2; XIE Pingjin5; LU Qigui5; SHEN Jun2; 3*; XIAO Lianbo2; 3△
1Guanghua Clinical School of Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China; 2Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China; 3Institute of Arthritis Research in Integrative Medicine,Shanghai Academy of Traditional Chinese Medicine,Shanghai 200052,China; 4Henan University of Chinese Medicine,Zhengzhou 450046,China;...
关键词:
巨刺电针;  全膝关节置换术;  膝骨关节炎;  术后疼痛;  镇痛
Keywords:
opposing side electroacupuncture;  total knee arthroplasty;  knee osteoarthritis;  postoperative pain;  analgesia
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.240707
文献标志码:
A
摘要:
目的:探讨巨刺电针治疗人工全膝关节置换术(TKA)后疼痛的临床疗效。方法:将70例全膝关节置换术患者根据统计软件产生的随机数字分为巨刺电针组和假电针组,每组各35例。分别予以巨刺电针及假电针从术后第3天开始干预,连续治疗5 d,1次/d,每周治疗5 d,连续治疗2周。治疗穴位为对侧的伏兔、足三里、阴陵泉和阳陵泉。分别记录治疗前后患者视觉模拟量表(VAS)评分、压力痛阈值(PPT)、美国膝关节协会评分(American Knee Society Score,AKSS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分和焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、额外镇痛药物使用次数和不良事件的发生情况。结果:本试验共纳入70例患者,其中巨刺电针组脱落2例,假电针组脱落3例。两组患者的基线资料比较,差异均无统计学意义(P>0.05); 与同组治疗前比较,两组患者术后第7天和第14天的VAS评分均降低,差异有统计学意义(P<0.05),PPT值均升高,差异有统计学意义(P<0.05)。与假电针组同期比较,巨刺电针组VAS评分降低更明显,差异有统计学意义(P<0.05); PPT值增高明显,差异有统计学意义(P<0.05)。治疗前两组患者AKSS、SDS和SAS评分相比,差异无统计学意义(P>0.05); 与同组治疗前比较,两组患者治疗后的AKSS均增高,差异有统计学意义(P<0.05); SDS和SAS评分均降低,差异有统计学意义(P<0.05)。与假电针组治疗后比较,巨刺电针组AKSS增高更明显,差异有统计学意义(P<0.05); SDS和SAS评分降低明显,差异有统计学意义(P<0.05)。巨刺电针组使用镇痛药物的次数少于假电针组,差异有统计学意义(P<0.05)。临床研究期间两组患者均无不良事件发生。结论:巨刺电针能降低患者全膝关节置换术后的疼痛强度,促进膝关节功能恢复,改善患者不良情绪。
Abstract:
Objective:To explore the clinical efficacy of opposing side electroacupuncture in the treatment of pain after total knee arthroplasty(TKA).Methods:70 TKA patients were randomly divided into opposing side electroacupuncture group and sham electroacupuncture group based on statistical software,with 35 cases in each group.Interventions were given with opposing side electroacupuncture and sham electroacupuncture starting from the third day after surgery,with continuous treatment for 5 d,once a day,5 d a week,for 2 weeks.The therapeutic acupoints are located on the opposite side of Futu(ST32),Zusanli(ST36),Yinlingquan(SP9),Yanglingquan(GB34).Record the patient's visual analogue scale(VAS)scores,pressure pain threshold(PPT),American Knee Society Score(AKSS),self-rating depression scale(SDS)scores,self-rating anxiety scale(SAS)scores,number of additional analgesics,and incidence of adverse events before and after treatment.Results:A total of 70 patients were included in this trial,including 2 cases in the opposing side electroacupuncture group and 3 cases in the sham electroacupuncture group.There was no statistically significant difference in baseline data between the two groups of patients(P>0.05).Compared with before treatment in the same group,the VAS scores of both groups of patients decreased(P<0.05)and the PPT values increased(P<0.05)at 7 and 14 d after surgery.Compared with the sham electroacupuncture group during the same period,the VAS scores of the opposing side electroacupuncture group decreased more significantly(P<0.05),and the PPT value increased significantly(P<0.05).There was no statistically significant difference in AKSS,SDS,and SAS scores between the two groups of patients before treatment(P>0.05).Compared with before treatment in the same group,the AKSS of both groups of patients increased after treatment(P<0.05),while the SDS and SAS scores decreased(P<0.05).Compared with the sham electroacupuncture group,the opposing side electroacupuncture group showed a more significant increase in AKSS(P<0.05),while SDS and SAS scores decreased significantly(P<0.05).The number of times analgesic drugs were used in the opposing side electroacupuncture group was lower than that in the sham electroacupuncture group,and the difference was statistically significant(P<0.05).During the clinical study,neither group of patients had any adverse events.Conclusion:Opposing side electroacupuncture can reduce the pain intensity of patients after TKA surgery,promote knee joint function recovery,and improve their negative emotions.

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备注/Memo

备注/Memo:
基金项目:2021年上海市卫生健康委员会卫生行业临床研究专项(202140163)
2022 年度上海市“科技创新行动计划”自然科学基金项目(22ZR1453000,22ZR1453100)
上海市2021年度“科技创新行动计划”医学创新研究专项面上项目(21Y11921500)
上海市2022年度“科技创新行动计划”医学创新研究专项面上项目(22Y11923200)
巨刺电针治疗全膝关节置换术后急性疼痛标准规范(2023JS03)
2023年上海市长宁区卫生健康委员会重点专科建设项目(20231003)
△通信作者 E-mail:xiao_lianbo@163.com
*共同第一作者
更新日期/Last Update: 2024-07-05