湖南中医药大学学报2018，Vol.38Issue(1)：89-92,4.DOI:10.3969/j.issn.1674-070X.2017.01.023
消肿止痛方外敷用于全髋关节置换术后肢体肿胀的活血通络效果研究
Effect of External Application of Xiaozhong Zhitong decoction on Limb Swelling after Total Hip Arthroplasty
摘要
Abstract
Objective To explore the effect of external application of Xiaozhong Zhitong decoction on limb swelling after total hip arthroplasty. Methods 86 patients with limb swelling after total hip arthroplasty were randomly divided into observation group and control group (n=43). The rats in the control group were treated with magnesium sulfate topical, and the observation group was treated with Xiaozhong Zhitong decoction. TCM syndrome integral (main symptoms: skin ecchymosis, rubefaction, swelling; minor symptoms: local erythema, local pyrexia) before and after treatment were analyzed according to TCM syndrome scoring criteria. The hemarheology level of venous blood was determined, swelling degree and pain score were evaluated, and the adverse reaction was observed. Results After treatment, TCM syndrome score of the two groups decreased, the skin stasis, redness and swelling of the skin were lower than the control group, and the difference was statistically significant (P<0.05). After treatment, the total blood viscosity of the observation group was significantly lower than that in the control group, with a significant difference between the groups (P<0.05). After treatment, the swelling height and pain score were lower than the control group, and the comparison between the two groups was statistically significant (P<0.05). The incidence of adverse reactions was 2.33％ in the observation group, and 4.65％ in the control group, which were not statistically significant(P>0.05). Conclusion Xiaozhong Zhitong decoction shows obvious effect in treatment of patients with limb swelling after total hip arthroplasty, compared with the conventional Western medicine. The hemorheology, swelling degree, and pain score of patients are improved. No serious side effects were observed, it is worth popularizing in clinic.关键词
消肿止痛方/全髋关节置换术/肢体肿胀Key words
Xiaozhong Zhitong decoction/total hip arthroplasty/limb swelling分类
医药卫生引用本文复制引用
关威,崔鹤,尚琦,宋丽萍..消肿止痛方外敷用于全髋关节置换术后肢体肿胀的活血通络效果研究[J].湖南中医药大学学报,2018,38(1):89-92,4.基金项目
辽宁省卫生厅科研课题(Z2015246). （Z2015246）
