宁心安神膏对全膝关节置换术患者围手术期睡眠质量、焦虑情绪、疼痛及功能恢复的影响  

Effect of Ningxin Anshen Ointment on Perioperative Sleep Quality,Anxiety,Pain and Functional Recovery in Patients Undergoing Total Knee Arthroplasty

作　　者：杨丽群 周慧敏 许妍妍 许志庆 徐福东[1,2] YANG Liqun;ZHOU Huimin;XU Yanyan;XU Zhiqing;XU Fudong(Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;不详)

机构地区：[1]福建中医药大学,福建福州350003 [2]泉州市正骨医院

出　　处：《中外医学研究》2025年第7期8-11,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建省卫生健康青年科研课题项目(2022QNB007)。

摘　　要：目的:观察宁心安神膏对全膝关节置换术(TKA)患者围手术期睡眠质量、焦虑情绪、疼痛及功能恢复的影响。方法:选取2024年1—6月泉州市正骨医院关节科收治的72例膝骨关节炎患者作为研究对象,采用随机数表法分为观察组和对照组,各36例。对照组给予基础治疗,观察组在对照组基础上口服宁心安神膏,比较两组睡眠质量[匹兹堡睡眠指数量表(Pittsburgh sleep quality index,PSQI)]、焦虑[焦虑自评量表评分(self-rating anxiety scale,SAS)]、膝关节疼痛[视觉模拟评分法(visual analogue scale,VAS)]及膝关节功能[美国特种医院膝关节评分(Hospital for Special Surgery,HSS)]。结果:两组治疗前PSQI评分、SAS评分、膝关节VAS评分及术前1 d PSQI评分比较,差异无统计学意义(P>0.05);观察组术前1 d SAS评分及术后7 d、14 d PSQI评分、膝关节VAS评分及SAS评分低于对照组,差异有统计意义(P<0.05)。两组治疗前、术后14 d膝关节HSS评分比较,差异无统计学意义(P>0.05);两组术后14 d膝关节HSS评分较术前提高,差异有统计学意义(P<0.05)。结论:宁心安神膏能有效改善TKA患者围手术期睡眠质量、焦虑情绪,缓解膝关节疼痛与功能,有利于术后恢复。Objective:To observe the effect of Ningxin Anshen Ointment on perioperative sleep quality,anxiety,pain and functional recovery in patients undergoing total knee arthroplasty(TKA).Method:A total of 72 patients with knee osteoarthritis who admitted to the Department of Arthrology in Quanzhou Orthopedic Hospital from January to June 2024 were selected as the research objects,they were divided into the observation group and the control group by random number table method,with 36 cases in each group.The control group was given basic treatment,and the observation group was given Ningxin Anshen Ointment on the basis of the control group.The sleep quality[Pittsburgh sleep quality index(PSQI)],anxiety[self-rating anxiety scale(SAS)],knee joint pain[visual analogue scale(VAS)]and knee joint function[Hospital for Special Surgery(HSS)]were compared between two groups.Result:There were no significant differences in the PSQI score,SAS score,knee VAS score before treatment and PSQI score at 1 d before operation between two groups(P>0.05);the SAS score at 1 d before operation,PSQI score,knee VAS score and SAS score at 7 d and 14 d after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the HSS score of knee joint between two groups before treatment and 14 d after operation(P>0.05);the HSS scores of knee joint at 14 d after operation in two groups were higher than those before operation,and the differences were statistically significant(P<0.05).Conclusion:Ningxin Anshen Ointment can effectively improve the perioperative sleep quality and anxiety of TKA patients,relieve knee joint pain and function,and is conducive to postoperative recovery.

关 键 词：宁心安神膏 全膝关节置换术 睡眠障碍 焦虑 疼痛 围手术期 

分 类 号：R274.9[医药卫生—中西医结合]