摘要
目的:观察健脾益气活血化瘀方治疗中老年全膝关节置换术后疲劳综合征的疗效,探讨中医药融入快速康复方法。方法:选取广州市番禺区中医院骨六科2017年6月-2018年4月原发性单或双侧膝关节病患者50例,采用随机数字表方法随机分为2组,治疗组25例,对照组组28例。治疗组治疗方法为术后常规治疗并健脾益气活血化瘀法成方,对照组治疗方法仅为术后常规治疗,如预防感染、抗凝、补液支持治疗等。治疗6d,后采用Christensen疲劳评分表及术后血红蛋白波动情况作疗效评定标准评定患者的临床疗效。结果:治疗组Christensen疲劳评分较对照组下降明显,P<0.05,差异具有统计学意义;治疗组血红蛋白较对照组下降幅度小,较快达到稳定水平,P<0.05,差异具有统计学意义。结论:健脾益气活血化瘀法可改善中老年膝关节置换术后疲劳综合征情况,对维持血红蛋白水平有一定作用,使中医药在置换手术术后快速康复方面提供一定依据。
Objective:To observe the curative effect of Jianpi Yiqi Huoxue Huayu Recipe in the treatment of fatigue syndrome after total knee arthroplasty in middle-aged and elderly patients,and to explore the method of integrating Chinese medicine into rapid rehabilitation.Methods:50 patients with primary or bilateral knee disease were enrolled in the Department of Orthopaedics,Panyu District Hospital of Panyu District,Guangzhou City from June 2017 to April 2018.They were randomly divided into 2 groups by random number table method,25 cases in the treatment group and 28 cases in the control group.The treatment group was treated with routine treatment and spleen,qi and activating blood circulation.The treatment of the control group was only routine postoperative treatment,such as prevention of infection,anti-coagulation,and fluid support treatment.After 6 days of treatment,the clinical efficacy of the patients was assessed by the Christensen fatigue score and postoperative hemoglobin fluctuations.Results:The Christensen fatigue score of the treatment group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The hemoglobin of the treatment group decreased slightly compared with the control group,and reached a stable level soon,and the difference was statistically significant(P<0.05).Conclusion:The method of invigorating the spleen,replenishing Qi and activating blood circulation to remove blood stasis can improve the fatigue syndrome of knee joint replacement in middle-aged and elderly people,and it has certain effect on maintaining hemoglobin level,which provides a basis for Chinese medicine to recover quickly after replacement surgery.
作者
何智军
何伟
石宇雄
HE Zhijun;HE Wei;SHI Yuxiong(Panyu hospital of Chinese medicine,Guangdong Guangzhou 510000,China;Guangzhou University of Chinese Medicine,Guangdong Guangzhou 510000,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Guangzhou 510000,China)
出处
《中医药临床杂志》
2019年第10期1958-1961,共4页
Clinical Journal of Traditional Chinese Medicine
基金
广东省中医临床重点专科(骨伤科[2018]-486号)
