中药内服外洗对全膝关节置换术后功能恢复影响的临床观察(5748)

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1、TheeffectoforalandwashingwithtraditionalChinesemedicineonfun,tionalrecoveryaftertotalkneqplacementonnctionalrecovcryaftertotalKneereplacementPost-graduate：ChenJie-wenAbstractObjectiveToobservetheeffectoforalandwashingwithshujinhuoxuedecoctionandshujinhuoxuelotionrespectivelyonfunctionalrecoveryaf

2、tertotalkneereplacement，andtoinvestigatethemechanismofthisprescription，inordertoprovideatheoreticalbasisforclinicaluse．MethodsFifrypatientswereselected，intheorthopedicdepartmentofourhospital，whomunderwenttotalkneereplacementforsevereosteoarthritis，accordingtoinclusionandexclusioncriterion．Theywer

3、erandomizedintoatreatmentgroup(oralandwashingwithChineseHerbs)andacontrolgroup(conventionalrehabilitationgroup)，eachgrouphad25patientsrespectively，accordingtochrOnologicaladmissiontime．Therewerenostatisticallysignificantdifferencesbetweenthegroupsaccordingtoage，gender，bodyweight，durationtime．Allp

4、atientsunderwenttotalkneereplacement，andallundertookconventionalrehabilitationtrainingaftersurgery．Patientsinthetreatmentgrouptookshujinhuoxuedecoctiontheseconddayaftersurgery，with7daysoftreatmenttime，whilethecontrolgroupdidn’t．Twoweeksaftersurgery，allpatientsremovedthestitches．Then，thetreatmentg

5、roupusedshujinhuoxuelotiontowashtheirknee，andthecontrolgroupdidn’t．TheHospitalforSpecialSurgeryKneeScore(HSS)sheetwasadopted．Werecordthescoresofallpatients，attheadmissiontime，inthe2nd，3rd，4th，12thweeksaftersurgery，respect．TheStatisticalanalysiswasperformedusingtheStatisticalPackageforSociaIScienc

6、es(SPSS)，version13．O．Results(1)NosignificantdifferenceWasfoundinpreoperativeHSSscoresbetweenthetwogroups(P>0．5)；(2)Comparedwiththecontrolgroup，theHSSscoresinthetreatmentgroupwerefoundtobesignificantlydifferentinthe3rd，4thweeksaftersurgery(p

7、tgroupversusthecontrolgroupforpain,disability，kneejointROMinthe3rd，4thweeksaftersurgery(p