实用医学杂志2025，Vol.41Issue(23)：3652-3658,7.DOI:10.3969/j.issn.1006-5725.2025.23.004
火龙罐综合灸在肝肾亏虚型膝痹患者全膝关节置换术后康复中的应用
Clinical efficacy study of Huolong Guan comprehensive acupuncture in postoperative pain of patients with knee arthralgia of liver-kidney deficiency type
摘要
Abstract
Objective To investigate the clinical efficacy of fire dragon pot comprehensive therapy in patients with knee paralysis due to liver and kidney deficiency following total knee arthroplasty(TKA).Methods A total of 114 patients undergoing unilateral TKA were randomly assigned to two groups using a random number table.The control group(n=57)received standard enhanced recovery after surgery(ERAS)nursing care,while the intervention group(n=57)received high-frequency general massage(HGM)therapy in addition to the standard ERAS protocol.Outcomes including visual analogue scale(VAS)scores,Hamilton Anxiety Scale(HAMA)scores,Hospital for Special Surgery(HSS)knee scores,and serum levels of inflammatory markers[C-reactive protein(CRP),neutrophil count(NE),and lymphocyte count(LY)]were compared between the two groups.Results Compared with the control group,the intervention group exhibited significantly lower VAS scores at 3 days postoperatively and at discharge,reduced HAMA scores from the preoperative period through 3 days after surgery,improved HSS scores[specifically in pain,function,range of motion,stability,and total score]at 2 weeks postoperatively,and more pronounced improvements in inflammatory markers,including lower levels of CRP and NE and higher LY levels(all P<0.05).Conclusion The comprehensive moxibustion therapy using Huolongjar effectively alleviates postoperative pain following TKA,enhances joint function,reduces anxiety levels,and mitigates inflammatory responses.This intervention is safe,simple to administer,and holds promise for clinical application and wider dissemination.关键词
膝关节置换/膝痹/膝关节功能/疼痛/中医护理/火龙罐综合灸Key words
knee joint replacement/knee arthralgia/knee function/pain/traditional chinese medicine nursing/fire dragon bag combined with moxibustion分类
医药卫生引用本文复制引用
戴雪梅,魏薇,沈彩萍,王翠翠,黄泽青,陈镇秋..火龙罐综合灸在肝肾亏虚型膝痹患者全膝关节置换术后康复中的应用[J].实用医学杂志,2025,41(23):3652-3658,7.基金项目
广东省中医药局科研项目(编号:20232061) （编号:20232061）
广州地区临床高新、重大和特色技术项目(编号:2023P-TS22) （编号:2023P-TS22）
广州中医药大学第一附属医院护理科研课题(编号:2017HL05) （编号:2017HL05）
