通络止痛酊溻渍联合揿针对膝关节镜手术后肿痛及睡眠质量的影响  

Effects of Tongluo Zhitong Tincture Hydrotherapy Combined with Lifting Needle onSwelling,Pain and Sleep Quality After Knee Arthroscopy

作　　者：杨博辰[1] 付学敬 YANG Bochen;FU Xuejing(The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450008)

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2023年第4期885-890,共6页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(20-21zy2223)。

摘　　要：目的:观察通络止痛酊溻渍联合揿针对膝关节镜手术后患者的疼痛、肿胀及睡眠质量的影响。方法:将71例膝关节镜手术后患者按随机数字表法分为研究组(36例)和对照组(35例)。对照组给予通络止痛酊溻渍治疗;研究组给予通络止痛酊溻渍+揿针治疗。比较两组患者治疗前、治疗2周、治疗3周的视觉模拟量表(visual analogue scale,VAS)评分、匹茨堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、Lysholm膝关节功能量表评分(Lysholm knee score,LKSS)、膝关节肿胀值及炎症因子[血清白细胞介素-1(interleukin-1,IL-1)、超敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)、白细胞介素-6(interleukin-6,IL-6)]水平,并比较两组患者临床疗效。结果:①研究组有效率为97.22%(35/36),对照组为80.00%(28/35),两组比较,差异有统计学意义(P<0.05)。②治疗后,两组患者VAS评分均低于本组治疗前;研究组治疗2周VAS评分为(3.87±1.14)分,治疗3周VAS评分为(2.03±1.75)分,均低于同期对照组(P<0.05)。③治疗后,两组患者膝关节肿胀值明显小于本组治疗前,LKSS明显高于本组治疗前;研究组肿胀值为(12.42±3.58)mm,LKSS为(75.25±6.44)分,均优于同期对照组(P<0.05)。④治疗后,两组患者PSQI评分均低于本组治疗前;研究组治疗2周PSQI评分为(8.19±3.07)分,治疗3周PSQI评分为(6.23±2.11)分,均低于同期对照组(P<0.05)。⑤治疗后,两组患者血清IL-1、IL-6和hs-CRP水平均显著低于治疗前;研究组血清IL-1为(21.43±3.29)μg·L^(-1)、血清IL-6为(8.87±1.20)μg·L^(-1)、hs-CRP为(9.47±1.89)mg·L^(-1),均低于同期对照组(P<0.05)。⑥安全性评价,两组患者均无明显不良反应。结论:通络止痛酊溻渍联合揿针治疗膝关节镜手术后疗效确切,可明显减轻疼痛程度及膝关节肿胀值,降低炎症因子,改善患者睡眠质量,促进膝关节功能恢复,且安全性较高。Objective:To observe the effect of Tongluo Zhitong Tincture hydrotherapy combined with Lifting needle on the pain,swelling,and sleep quality of patients after knee arthroscopy.Methods:71 patients after knee arthroscopy were divided into study group(36 cases)and control group(35 cases)according to the random number table method.The control group was treated with Tongluo Zhitong tincture hydrotherapy.The study group was treated with Tongluo Zhitong tincture hydrotherapy+Lifting needle.The scores of visual analogue scales(VAS),Pittsburgh sleep quality index(PSQI),Lysholm knee score(LKSS),knee swelling value,and inflammatory factors[serum interleukin-1(IL-1),hypersensitive C-reactive protein(hs-CRP)and Interleukin-6(IL-6)]levels were compared between the two groups before treatment,2 weeks and 3 weeks after treatment.And the clinical efficacy of the two groups was compared.Results:①The effective rate was 97.22%(35/36)in the study group and 80.00%(28/35)in the control group.There was a statistically significant difference between the two groups(P<0.05).②After treatment,the VAS scores of patients in both groups were lower than those before treatment in the same group.The VAS scores of the study group were(3.87±1.14)at 2 weeks of treatment,and(2.03±1.75)at 3 weeks of treatment,both lower than the control group in the same period(P<0.05).③After treatment,the knee joint swelling value of the two groups was significantly lower than that before treatment in the same group,and LKSS was significantly higher than that before treatment in the same group.The swelling value of the study group was(12.42±3.58)mm,and LKSS was(75.25±6.44)points,both were better than the control group in the same period(P<0.05).④After treatment,the PSQI scores of patients in the two groups were lower than those before treatment in the same group.The PSQI scores of the study group were(8.19±3.07)points at 2 weeks of treatment,and(6.23±2.11)points at 3 weeks of treatment,both lower than the control group in the same period(P<0.05).⑤After

关 键 词：通络止痛酊溻渍 揿针 膝关节镜手术 疼痛 肿胀 膝关节功能 睡眠质量 

分 类 号：R246.9[医药卫生—针灸推拿学]