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

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1、TheeffectoforalandwashingwithtraditionalChinesemedicineonfun,tionalrecoveryaftertotalkneqplacementonnctionalrecovcryaftertotalKneereplacementPost-graduate：ChenJie-wenAbstractObjectiveToobservetheeffectoforalandwashingwithshujinhuoxuedecoctionandshujinhuoxuelot

2、ionrespectivelyonfunctionalrecoveryaftertotalkneereplacement，andtoinvestigatethemechanismofthisprescription，inordertoprovideatheoreticalbasisforclinicaluse．MethodsFifrypatientswereselected，intheorthopedicdepartmentofourhospital，whomunderwenttotalkneereplacemen

3、tforsevereosteoarthritis，accordingtoinclusionandexclusioncriterion．Theywererandomizedintoatreatmentgroup(oralandwashingwithChineseHerbs)andacontrolgroup(conventionalrehabilitationgroup)，eachgrouphad25patientsrespectively，accordingtochrOnologicaladmissiontime．T

4、herewerenostatisticallysignificantdifferencesbetweenthegroupsaccordingtoage，gender，bodyweight，durationtime．Allpatientsunderwenttotalkneereplacement，andallundertookconventionalrehabilitationtrainingaftersurgery．Patientsinthetreatmentgrouptookshujinhuoxuedecocti

5、ontheseconddayaftersurgery，with7daysoftreatmenttime，whilethecontrolgroupdidn’t．Twoweeksaftersurgery，allpatientsremovedthestitches．Then，thetreatmentgroupusedshujinhuoxuelotiontowashtheirknee，andthecontrolgroupdidn’t．TheHospitalforSpecialSurgeryKneeScore(HSS)she

6、etwasadopted．Werecordthescoresofallpatients，attheadmissiontime，inthe2nd，3rd，4th，12thweeksaftersurgery，respect．TheStatisticalanalysiswasperformedusingtheStatisticalPackageforSociaISciences(SPSS)，version13．O．Results(1)NosignificantdifferenceWasfoundinpreoperativ

7、eHSSscoresbetweenthetwogroups(P>0．5)；(2)Comparedwiththecontrolgroup，theHSSscoresinthetreatmentgroupwerefoundtobesignificantlydifferentinthe3rd，4thweeksaftersurgery(p

8、ability，kneejointROMinthe3rd，4thweeksaftersurgery(p