经皮穴位电刺激对膝关节置换患者生存质量中远期疗效评价  

Evaluation of the Mid-term and Long-term Effects of Transcutaneous Acupoint Electrical Stimulation on the Quality of Life of Patients with Total Knee Arthroplasty

作　　者：李凯明 金添[1] 申杨勇[1] 孙宇 崇辉[1] 张清[2] 孙树椿[2] 孙建峰[1] 王尚全[2] LI Kaiming;JIN Tian;SHEN Yangyong;SUN Yu;CHONG Hui;ZHANG Qing;SUN Shuchun;SUN Jianfeng;WANG Shangquan(Xiyuan Hospital of China Academy of Traditional Chinese Medical Scinences,Beijing 100091,China;Wangjing Hospital of China Academy of Traditional Chinese Medical Scinences,Beijing 100102,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]中国中医科学院望京医院,北京100102

出　　处：《辽宁中医药大学学报》2023年第10期59-63,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81904230,82205155);中国中医科学院基本科研业务费自主选题项目院内联合专项项目(ZZ11-034);中央级公益性科研院所基本科研业务费专项资金资助项目(ZZ10-015);首都卫生发展科研专项项目(2018-2-4162)。

摘　　要：目的 将经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)运用于全膝关节置换术(total knee arthroplasty,TKA)患者术后康复以探讨其中、远期疗效,以期为中医系统康复研究提供循证依据。方法 90例TKA术后患者被随机分为两组,分别为TEAS组与对照组。TEAS组予基础治疗+常规康复+TEAS,对照组予基础治疗+常规康复+模拟TEAS。TEAS模拟TEAS治疗于术后第3天开始,30 min/次,2次/d,10 d 1个疗程,于术前及术后3、6个月3个时间点观察两组患者简明健康调查量表(SF-36量表)评分情况及安全性。结果 随访期内两组患者SF-36各项评分均明显高于本组治疗前(P<0.05);在生理机能、躯体疼痛、活力、社会功能4个维度方面,TEAS组评分优于对照组(P<0.05),且随时间延长维度均值逐渐提高;在生理职能、总体健康、情感职能、心理健康方面比较差异无统计学意义(P>0.05);在治疗期内,两组均未发现与TEAS使用直接相关的不良反应。结论 TEAS联合常规康复治疗可降低TKA术后患者疼痛,改善关节活动功能,提高远期生存质量,且临床应用较为安全。Objective To apply transcutaneous electrical acupoint stimulation(TEAS)to the rehabilitation of total knee arthroplasty(TKA)patients after operation to explore the medium and long-term effects,so as to provide evidence-based basis for the systematic rehabilitation research of traditional Chinese medicine.Methods 90 TKA patients after operation were randomly divided into two groups,the TEAS group and the control group.The TEAS group received basic treatment+routine rehabilitation+TEAS treatment,while the control group received basic treatment+routine rehabilitation+simulated TEAS treatment.TEAS simulated TEAS treatment started on the 3rd day after operation,30 min/time,2 times/day,10 days a course of treatment,and to observe the scores of the 36-items short form health survey scale(SF-36)and the safety at 3 time points before and 3 and 6 months after operation.Results During the follow-up period,the scores of SF-36 in both groups were significantly higher than those before treatment(P<0.05);In terms of physiological function,body pain,vitality and social function,the score of TEAS group was better than that of the control group(P<0.05),and the mean value of the dimension gradually increased with time;There was no significant difference in physical function,general health,emotional function and mental health(P>0.05);During the treatment period,no adverse reactions directly related to the use of TEAS were found.Conclusion TEAS combined with routine rehabilitation therapy can reduce the pain of patients after TKA,improve the joint function,and improve the long-term quality of life,and the clinical application is relatively safe.

关 键 词：经皮穴位电刺激 膝骨关节病 全膝关节置换术 SF-36 

分 类 号：R245.97[医药卫生—针灸推拿学]