经皮穴位电刺激对全膝关节置换术后患者疼痛和功能康复的影响  

Effect of transcutanclus electrical acupoint stimulation on pain and functional recovery of patients after total knee arthroplasty

作　　者：黄佳敏 李昱鸿 钟钿 赖智炜 何祥忠 HUANG Jiamin;LI Yuhong;ZHONG Tian;LAI Zhiwei;HE Xiangzhong(Department of Sports Medicine,Ganzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市中医院运动医学科,江西赣州341000

出　　处：《中国当代医药》2025年第8期80-84,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022B819)。

摘　　要：目的探讨经皮穴位电刺激(TEAS)对全膝关节置换术(TKA)后患者疼痛、功能康复的影响。方法选取2022年1月至2023年12月赣州市中医院120例膝关节骨关节炎且行TKA患者作为研究对象,按照随机数字表法分为对照组(n=60)、试验组(n=60)。对照组进行芒硝冰袋冰敷镇痛,试验组在对照组基础上行TEAS治疗。比较两组患者的患膝疼痛视觉模拟评分法(VAS)评分、痛阈值和美国特种外科医院膝关节评分(HSS)。结果试验组术后3、7、14 d的VAS评分低于对照组,差异有统计学意义(P<0.05)。试验组术后3、7、14 d痛阈值、HSS评分高于对照组,差异有统计学意义(P<0.05)。试验组临床总有效率高于对照组,差异有统计学意义(P<0.05)。试验组气滞血瘀型、肝肾亏虚型患者临床总有效率高于对照组,差异有统计学意义(P<0.05)。结论TEAS能有效改善TKA术后患者疼痛,有效促进TKA术后患者的功能恢复,且不同证型患者的治疗效果和功能恢复程度存在差异。在气滞血瘀型患者中,TEAS在疼痛缓解和功能恢复方面的效果最为显著;在肝肾亏虚型患者中,TEAS也能发挥一定的疗效,但相对较弱;在风寒湿痹型患者中,TEAS的疗效相对较差。Objective To investigate the effects of transcutanclus electrical acupoint stimulation(TEAS)on pain and functional recovery of patients after total knee arthroplasty(TKA).Methods A total of 120 patients with knee joint osteoarthritis and TKA in Ganzhou Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were selected as research objects,and they were divided into control group(n=60)and experimental group(n=60)according to random number table method.The control group was treated with ice pack of mirabilite,and the experimental group was treated with TEAS on the basic of the control group.The visual analogue scale(VAS)score,pain threshold and hospital for special surgery knee score(HSS)were compared between the two groups.Results The VAS scores of the experimental group at 3,7 and 14 days after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).The pain threshold and HSS score of experimental group were higher than those of control group at 3,7 and 14 days after operation,and the differences were statistically significant(P<0.05).The total clinical effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).The total clinical effective rate of qi stagnation and blood stasis type and deficiency of liver and kidney type in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion TEAS can effectively improve the pain and promote the functional recovery of patients after TKA,and the therapeutic effect and functional recovery degree of patients with different syndrome types are different.In patients with qi stagnation and blood stasis type,TEAS has the most significant effect on pain relief and functional recovery.In patients with deficiency of liver and kidney,TEAS can also play a certain curative effect,but it is relatively weak.In wind-cold-dampness arthralgia type patients,the efficacy of TEAS i

关 键 词：经皮穴位电刺激 中医证型 全膝关节置换术 术后疼痛 

分 类 号：R614[医药卫生—麻醉学]