Rehabilitation satisfaction of Taohong Siwu Decoction combined with acupoint moxibustion applied in older adults after total knee arthroplasty

doi:10.3969/j.issn.2095-4344.0339

Abstract

Abstract:

BACKGROUND: With the “Bio-Psycho-Social” paradigm, rehabilitation after total knee arthroplasty (TKA) has shifted from “Disease” to “Patient-Centered” to improve surgical safety and patient satisfaction. The core concept of modern rapid rehabilitation is based on the concept of people-oriented, and is the concrete practice of medical and humane care. How to pay more attention to the psychological rehabilitation of patients after replacement, elimination of pain, functional recovery, improve the comfort of treatment, orthopedic physicians need to push innovation and research in depth in our country.

OBJECTIVE: To investigate the effect of acupoint moxibustion combined with Taohong Siwu Decoction on the rehabilitation satisfaction of the patients after TKA.

METHODS: Totally 186 older adults after undergoing TKA were enrolled at Lanzhou General Hospital of PLA from January 2015 to December 2016. The patients were divided into three groups: conventional group, Taohong Siwu Decoction group and combination group. The conventional group was given subcutaneous injection of low molecular weight heparin calcium, 4 000 U, once daily, conventional nurse and rehabilitation, oral administration of 200 mg of celecoxib, twice daily (7 days a course). The Taohong Siwu Decoction group received the same treatment with the conventional group, and was given Taohong Siwu Decoction (400 mL), twice daily. The combination group was given acupuncture and moxibustion on the basis of the first two treatments. The pain index was recorded at baseline, 7 and 90 days postoperatively. The Spitzer quality of life and QLQ-C30 scores at postoperative 90 days were compared among groups to assess the quality of life and rehabilitation satisfaction.

RESULTS AND CONCLUSION: (1) Compared with the conventional group, the pain index in the Taohong Siwu Decoction and combination groups was significantly decreased at 7 and 90 days postoperatively (P < 0.01). There was significant difference in each index between Taohong Siwu Decoction and combination groups at different time points (P < 0.01). (2) Compared with the conventional group, the quality of life and rehabilitation satisfaction of the patients in the Taohong Siwu Decoction and combination groups were significantly improved (P < 0.01), but there was no significant difference between Taohong Siwu Decoction and combination groups (P > 0.05). (3) In summary, Taohong Siwu Decoction combined with acupoint moxibustion can alleviate the pain, and improve satisfaction and quality of life of the patients undergoing TKA. Based on the conventional treatment of low molecular weight heparin calcium for preventing deep venous thrombosis, the combination of Taohong Siwu Decoction and acupoint moxibustion exhibits excellent results in improving quality of life and satisfaction.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Arthroplasty, Replacement, Knee, Pain Measurement, Tissue Engineering

CLC Number:

R318

Jin Rui, Liu Ying, Yao Yao, Liu Ya-fei, Tao Hui, Du Shan-shan, Chen Hui, Liu Jun. Rehabilitation satisfaction of Taohong Siwu Decoction combined with acupoint moxibustion applied in older adults after total knee arthroplasty [J]. Chinese Journal of Tissue Engineering Research, 2018, 22(27): 4271-4276.

Figures/Tables 2

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