经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响

王宏杰; 白天宇; 许月泠; 彭洪凯; 危一飞; 程桯

doi:10.16025/j.1674-1307.2024.07.003

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经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响

专题—— | 更新时间：2024-08-27

- 经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响
- Effects of transcutaneous electrical acupoint stimulation combined with multimodal analgesia on early active pain and resting pain after total knee arthroplasty
- 北京中医药 2024年43卷第7期页码：723-728
- 作者机构：
  
  1.中国中医科学院望京医院，北京 100102
  2.北京市第一中西医结合医院，北京 100026
- 作者简介：
  
  王宏杰，男，25岁，硕士研究生。研究方向：中西医结合治疗骨关节疾病。
  程桯，E-mail： wjyychengting@163.com
- 基金信息：
  
  首都卫生发展科研专项(首发2022-2-4162)
- DOI：10.16025/j.1674-1307.2024.07.003
  中图分类号：
- 纸质出版日期：2024-07-25，
  
  收稿日期：2024-04-11，
- 稿件说明：
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王宏杰，白天宇，许月泠，等.经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响［J］.北京中医药，2024，43（7）：723-728.

WANG Hongjie,BAI Tianyu,XU Yueling,et al.Effects of transcutaneous electrical acupoint stimulation combined with multimodal analgesia on early active pain and resting pain after total knee arthroplasty[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(07):723-728.
王宏杰，白天宇，许月泠，等.经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响［J］.北京中医药，2024，43（7）：723-728. DOI： 10.16025/j.1674-1307.2024.07.003.

WANG Hongjie,BAI Tianyu,XU Yueling,et al.Effects of transcutaneous electrical acupoint stimulation combined with multimodal analgesia on early active pain and resting pain after total knee arthroplasty[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(07):723-728. DOI： 10.16025/j.1674-1307.2024.07.003.

摘要

目的

探讨经皮穴位电刺激联合多模式镇痛对全膝置换术后早期活动痛及静息痛的影响。

方法

通过随机对照试验纳入68例接受全膝置换术的患者，治疗组与对照组各34例，对照组应用常规多模式镇痛方案，治疗组在多模式镇痛方案的基础上联合经皮穴位电刺激，记录并分析2组患者临床及血液检验指标。

结果

术后3、7、10、14 d，治疗组活动痛VAS评分低于对照组（

0.01，

0.05）。术后1 d，2组活动痛评分均较本组术前升高（

0.01），术后3、7、10、14 d，2组活动痛评分均较本组术前降低（

0.01）。术后7、10 d，治疗组静息痛VAS评分低于对照组（

0.05）。术后1、3 d，治疗组静息痛评分较本组术前升高（

0.05），术后7、1

0、14 d，治疗组静息痛评分与本组术前比较差异无统计学意义（

0.05）。术后1、3、7、10 d，对照组静息痛评分均较本组术前升高（

0.05），术后14 d，对照组静息痛评分与本组术前比较差异无统计学意义（

0.05）。术后14 d，治疗组术侧膝关节温度低于对照组（

0.01），髌上周径小于对照组（

0.01）。术后7、14 d，治疗组血清C反应蛋白（CRP）含量低于对照组（

0.01，

0.05）。

结论

经皮穴位电刺激联合多模式镇痛能够降低全膝置换术后膝关节温度、加速术肢消肿、促进炎症消退，改善术后早期活动痛及静息痛，且对活动痛的缓解效应更为显著。

Abstract

Objective

To explore the effects of transcutaneous electrical acupoint stimulation （TEAS） combined with multimodal analgesia on early active and resting pain after total knee arthroplasty （TKA）.

Methods

A total of 68 patients with TKA were randomly divided into treatment group and control group， 34 cases in each one. The control group was treated with multimodal analgesia， and the treatment group was treated with TEAS based on multimodal analgesia. The clinical and blood test indexes of 2 groups were recorded and analyzed.

Results

On the 3rd， 7th， 10th and 14th day after operation， the active pain scores of the treatment group were lower than those of the control group （

0.01，

0.05）. On the 1st day after operation， the active pain scores of the two groups were higher than those before operation （

0.01）， and on the 3rd， 7th， 10th and 14th day after operation， the active pain scores of the two groups were lower than those before operation （

0.01）. The rest pain scores of the treatment group were lower than those of the control group on 7th and 10th day after operation （

0.05）. On the 1st and 3rd day after operation， the resting pain scores of the treatment group were higher than those before operation （

0.05）， and on the 7th， 10th and 14th day after operation， there was no signific

ant difference between preoperative and postoperative scores in the treatment group （

0.05）. On the 1st， 3rd， 7th and 10th day after operation， the resting pain scores of the control group were higher than those before operation （

0.05）， and on the 14th day after operation， there was no significant difference in the scores before and after operation of the control group （

0.05）. The temperature of the operated knee in the treatment group was lower than that in the control group on the 14th day after operation （

0.01）， and the diameter of suprapatellar circumference was smaller than that of the control group （

0.01）. The level of serum CRP in the treatment group were lower than that in the control group on the 7th and 14th day after operation （

0.01，

0.05）.

Conclusion

TEAS combined with multimodal analgesia can reduce the temperature of the knee joint after TKA， accelerate limb swelling resolution， promote the resolution of inflammation. TEAS can relieve early active pain and resting pain after TKA， and the relief effect on active pain is more significant than that on resting pain.

关键词

经皮穴位电刺激全膝置换术术后疼痛活动痛静息痛

Keywords

Transcutaneous electrical acupoint stimulationtotal knee arthroplastypostoperative painactive painresting pain

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