Effect Of Huoxue Shugan Decoction On Swelling, Pain And Functional Rehabilitation Of Knee Osteoarthritis After Total Knee Arthroplasty

Objective: To observe the invigorate the liver soup with pain after total knee replacement, treatment effect and influence on limb function recovery, to explore the clinical curative effect of invigorate the circulation of liver soup, mechanism and application prospects.Methods: Choose between January 2015 and December 2015 in luoyang in henan province during the period of knee injury subject bonesetting hospital hospitalization parallel unilateral total knee replacement, 75 cases of patients with osteoarthritis.Cases of all included in the patients with complete information, inform and signed written informed consent, according to the order of subjects were admitted to hospital, according to random number table method the patients were randomly divided into control group and experimental group, experimental group 38 cases, control group of 37 cases.All patients were made from the same group of physicians in the same way downward unilateral total knee replacement surgery, and implant prosthesis same type.Preoperative routine inspection and functional exercise guidance, regular administration in the same way.Treatment group on the basis of routine therapy after surgery to give oral invigorate the liver soup treatment, 1, 1 agent, water decoction, sooner or later points, 7 days for a period of treatment, the treatment of a course of treatment.Observe and record in the two groups in postoperative patients with 0, 3, 5, and 7 days of rest pain and activities pain VAS score;Postoperative day medication on the former two groups of patients with patellar midpoint 10 cm, the patella middle next week 10 cm limb diameter 3, 5, 7 days and the swelling of the difference of each measurement point.0, 3, 5, and 7 days of knee flexion and activity on own initiative;The function of knee joint HSS score 0, 7 day.Using SPSS17. 0 of the obtained data were analyzed.Results: With 5 patients can’t tolerate Chinese medicine or medical problems during the study period due to the merger taking other drugs affect curative effect and give out, control the remaining 35 patients, patients remaining 35 cases.After statistics processing analysis is as follows:Two groups of patients with preoperative in age, gender, location and body mass index distribution differences had no statistical significance(P > 0.05), comparable.On the day of two groups of patients with postoperative medication before resting pain and activities pain VAS score no statistically significant difference(P>0.05), postoperative 3, 5, 7 days of rest pain and activities pain VAS score difference was statistically significant(P <0.05).Two groups of patients with postoperative day use differences in knee before active flexion mobility without statistical significance(P>0.05), 3, 5, and 7 days after knee joint active flexion mobility difference was statistically significant(P<0.05).Two groups of patients with postoperative knee joint HSS score difference before the drug has no statistical significance(P>0.05), after 7 days of the knee joint HSS score difference was statistically significant(P<0.05).Conclusion:Invigorate the liver soup with conventional western medicine therapy after total knee arthroplasty, sore curative effect significantly, can promote patients postoperative functional exercise enthusiasm, improve the degree of knee joint, and economical, convenient taking, worth clinical promotion.