四川医学2024，Vol.45Issue(12)：1345-1351,7.DOI:10.16252/j.cnki.issn1004-0501-2024.12.009
多模式消肿方案在全膝关节置换术后的早期疗效分析
An Early Efficacy Analysis of Multimodal Swelling Reduction Regimen After Total Knee Arthroplasty
摘要
Abstract
Objective This article explores the early efficacy of the application of a multimodal swelling reduction regi-men in the perioperative period of total knee arthroplasty.Methods A randomized,double-blind,prospective experimental analy-sis selected 90 patients with knee osteoarthritis admitted to our hospital from November 2023 to May 2024.All patients received to-tal knee arthroplasty,among which group A(n=30)was treated with intraoperative local injection and postoperative intravenous infusion of dexamethasone,dexamethasone was applied in group B(n=30)combined with escin sodium in the perioperative peri-od,and dexamethasone was applied in group C(n=30)combined with escin sodium and magnesium sulfate wet compress in the perioperative period.The observed indicators:limb circumference measurement,swelling rate,knee joint visual analogue scale,knee joint range of motion,recessive blood loss calculation,inflammatory index,and nutritional index.Results On the fourth day after surgery,the limb circumference size of group C was lower than that of group A and group B(P＜0.05).The rate of limb swelling of group C was lower than that of group A and group B(P＜0.05).On the third day after surgery,the knee joint visual analogue scale of group C was lower than that of group A(P＜0.05),and the knee joint visual analogue scale of group C on the fourth day after surgery was lower than that of group A and group B(P＜0.05),and group B was lower than group A(P＜0.05).On the third day after surgery,the knee range of motion of C group was higher than that of group A(P＜0.05).On the fourth day after surgery,the knee range of motion of group C was higher than that of group A and group B(P＜0.05),and group B was higher than group A.Conclusion The application of dexamethasone in perioperative period combined with internal infusion of escin sodium and external wet compress of magnesium sulfate after total knee arthroplasty can effectively alleviate the early swelling of the knee joint after surgery,promote the rehabilitation of knee joint function,reduce the pain of the affected limb.关键词
全膝关节置换术/消肿止痛/七叶皂苷/硫酸镁/疼痛Key words
total knee arthroplasty/reduce swelling and relieve pain/escin sodium/magnesium sulfate/pain分类
医药卫生引用本文复制引用
邓海峰,邓长弓,王星宽,李青松,陈路..多模式消肿方案在全膝关节置换术后的早期疗效分析[J].四川医学,2024,45(12):1345-1351,7.基金项目
南充市2023年市级科技研发计划(编号:23JCYJPT0036) （编号:23JCYJPT0036）
