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温惠芬,李琼仲,方刚妹,曾勤.艾灸联合穴位贴敷对髋关节置换术后患肢肿胀、VAS评分的影响研究[J].湖南中医药大学学报,2019,39(1):64-67[点击复制] |
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| 艾灸联合穴位贴敷对髋关节置换术后患肢肿胀、VAS评分的影响研究 |
| 温惠芬,李琼仲,方刚妹,曾勤 |
| (东莞市中医院骨一科, 广东 东莞 523000) |
| 摘要: |
| 目的 观察髋关节置换术后患肢肿胀患者应用艾灸联合穴位贴敷后的临床效果。方法 收集经本院治疗的172例髋关节置换术患者资料，按随机对照原则分为3组，A组56例，采用常规护理；B组59例，在常规护理基础上行艾灸涌泉穴；C组57例在B组基础上联合活血通络散贴敷涌泉穴。3组患者均术后10 d预防性应用低分子肝素钙5 000 iu，皮下注射，1次/d。分别于术前1 d、术后3、5、7 d 15：00使用同一软尺测量3组患肢大腿周径；采用直观模拟量表（VAS）对3组术前1 d、术后3、5、7 d疼痛进行评估，比较3组临床疗效。结果 C组术后3、5、7 d腿围均低于B组与A组（P<0.05）；B组术后3、5、7 d腿围均低于A组（P<0.05）；C组治疗后7 d总有效率高于B组和A组（P<0.05）；B组治疗后7 d总有效率高于A组（P<0.05）；C组术后3、5、7 d VAS评分均低于B组和A组（P<0.05）；B组术后3、5、7 d VAS评分均低于A组（P<0.05）。结论 髋关节置换术后患肢肿胀者采用艾灸联合穴位贴敷于患肢涌泉穴，能有效缩短患肢肿胀时间、减轻肿胀程度和术后疼痛，临床疗效显著，值得临床推广应用。 |
| 关键词: 髋关节置换术 艾灸 穴位贴敷 涌泉穴 |
| DOI：10.3969/j.issn.1674-070X.2019.01.015 |
| 投稿时间：2018-05-15 |
| 基金项目:东莞市医疗卫生科技计划一般项目（2016105101055）。 |
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| Effect of Moxibustion Combined with Acupoint Application on Swelling and VAS Score of the Affected Limb After Hip Arthroplasty |
| WEN Huifen,LI Qiongzhong,FANG Gangmei,ZENG Qin |
| (First Department of Orthopedics, Dongguan Traditional Chinese Medicine Hospital, Dongguan, Guangdong 523000, China) |
| Abstract: |
| Objective To study the clinical effect of moxibustion combined with acupoint application in patients with affected limb swelling after hip arthroplasty.Methods A total of 172 patients who underwent hip arthroplasty in our hospital were collected and randomly assigned to groups A, B, and C. The 56 patients in group A were given routine nursing; the 59 patients in group B were given routine nursing and moxibustion at Yongquan point; the 57 patients in group C were given routine nursing, moxibustion at Yongquan point, and application of Huoxue Tongluo Powder at Yongquan point. Beginning on day 10 after surgery, low-molecular-weight heparin calcium (5000 IU) was prophylactically given to all patients subcutaneously once per day. One day preoperatively and 3, 5, and 7 days postoperatively, the thigh circumference of the affected limb was measured at 15:00 using the same tape in the three groups, and the Visual Analogue Scale (VAS) was used for pain assessment. The clinical outcome was compared between the two groups.Results At 3, 5, and 7 days after operation, group C had a significantly lower thigh circumference than groups A and B (P<0.05), and group B had a significantly lower thigh circumference than group A (P<0.05). At 7 days after operation, the overall response rate in group C was significantly higher than those in groups B and A (P<0.05), and the rate in group B was significantly higher than that in group A (P<0.05). At 3, 5, and 7 days after operation, the VAS score was significantly lower in group C than in groups A and B (P<0.05), and it was significantly lower in group B than in group A (P<0.05).Conclusion For patients with affected limb swelling after hip arthroplasty, moxibustion combined with application of Huoxue Tongluo Powder at the Yongquan point of the affected limb can effectively shorten the duration of swelling, reduce the degree of swelling, and alleviate pain after operation; it has a good clinical effect and holds promise for clinical application. |
| Key words: hip arthroplasty moxibustion acupoint application Yongquan point |
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