腕踝針聯(lián)合常規(guī)鎮(zhèn)痛對膝內(nèi)翻畸形患者全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛效果的臨床觀察腕踝針聯(lián)合常規(guī)鎮(zhèn)痛對膝內(nèi)翻畸形患者全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛效果的臨床觀察

摘要：目的：本研究主要探究腕踝針聯(lián)合常規(guī)鎮(zhèn)痛對膝內(nèi)翻畸形患者全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛效果的臨床觀察。方法：將100例膝關(guān)節(jié)內(nèi)翻畸形患者隨機(jī)分為兩組，試驗(yàn)組采用腕踝針聯(lián)合常規(guī)鎮(zhèn)痛，對照組采用常規(guī)鎮(zhèn)痛，觀察兩組術(shù)后鎮(zhèn)痛效果以及并發(fā)癥情況。結(jié)果：試驗(yàn)組患者術(shù)后鎮(zhèn)痛控制效果較好，VAS評分、術(shù)后鎮(zhèn)痛藥物使用量以及術(shù)后并發(fā)癥情況均優(yōu)于對照組。結(jié)論：腕踝針聯(lián)合常規(guī)鎮(zhèn)痛對于膝內(nèi)翻畸形患者全膝關(guān)節(jié)置換術(shù)后鎮(zhèn)痛效果良好，同時(shí)也能有效降低并發(fā)癥的發(fā)生率。該方法非常適合臨床應(yīng)用，推廣度較高。

關(guān)鍵詞：腕踝針聯(lián)合常規(guī)鎮(zhèn)痛；膝內(nèi)翻畸形；全膝關(guān)節(jié)置換術(shù)；鎮(zhèn)痛效果。

Abstract:Objective:Theaimofthisstudywastoinvestigatetheclinicalobservationoftheanalgesiceffectofwrist-ankleacupuncturecombinedwithconventionalanalgesiainpatientswithkneeinternalrotationdeformityaftertotalkneearthroplasty.Methods:100patientswithkneeinternalrotationdeformitywererandomlydividedintotwogroups,withtheexperimentalgroupreceivingwrist-ankleacupuncturecombinedwithconventionalanalgesiaandthecontrolgroupreceivingconventionalanalgesiaonly.Thepostoperativeanalgesiceffectandtheincidenceofcomplicationsinbothgroupswereobserved.Results:Theexperimentalgrouphadbetterpostoperativeanalgesiccontroleffect,lowerVASscores,lesspostoperativeanalgesicdrugconsumption,andalowerincidenceofpostoperativecomplicationsthanthecontrolgroup.Conclusion:Wrist-ankleacupuncturecombinedwithconventionalanalgesiaiseffectiveinpostoperativepaincontrolforpatientswithkneeinternalrotationdeformityaftertotalkneearthroplasty,andcaneffectivelyreducetheincidenceofcomplications.Thismethodissuitableforclinicalapplicationandhasahighpromotionrate.

Keywords:Wrist-ankleacupuncturecombinedwithconventionalanalgesia;Kneeinternalrotationdeformity;Totalkneearthroplasty;AnalgesiceffectPostoperativepaincontrolisoneofthemostimportantaspectsofpatientcareaftertotalkneearthroplasty,especiallyforpatientswithkneeinternalrotationdeformity.Inrecentyears,wrist-ankleacupuncturecombinedwithconventionalanalgesiahasemergedasanewmethodforpainmanagement.

Thisstudyaimedtoevaluatetheeffectivenessofwrist-ankleacupuncturecombinedwithconventionalanalgesiaincontrollingpostoperativepainforpatientswithkneeinternalrotationdeformityaftertotalkneearthroplasty.

Theresultsofthisstudydemonstratedthatthismethodhadasignificantanalgesiceffect.TheVisualAnalogScalescoresoftheexperimentalgroupweresignificantlylowerthanthoseofthecontrolgroup,indicatingthatpatientswhoreceivedwrist-ankleacupuncturecombinedwithconventionalanalgesiahadlesspain.

Inaddition,theincidenceofcomplicationsintheexperimentalgroupwassignificantlylowerthanthatinthecontrolgroup.Thissuggeststhatwrist-ankleacupuncturecombinedwithconventionalanalgesiacaneffectivelyreducetheriskofcomplicationsinpatientspostoperatively.

Overall,thisstudysupportstheclinicalapplicationofwrist-ankleacupuncturecombinedwithconventionalanalgesiaforpatientswithkneeinternalrotationdeformityaftertotalkneearthroplasty.ThismethodhasahighpromotionrateandisausefuladditiontocurrentpainmanagementstrategiesInadditiontoreducingcomplicationsandprovidingeffectivepainmanagement,wrist-ankleacupuncturecombinedwithconventionalanalgesiamayhaveotherbenefitsforpatientsundergoingtotalkneearthroplasty.Forexample,somestudieshavefoundthatacupuncturecanimprovekneejointfunctionandreduceinflammation,whichmayaidinpostoperativerecovery(Wangetal.,2017).Furthermore,acupuncturehasbeenshowntohaveminimalsideeffectsandisconsideredsafewhenperformedbyaqualifiedpractitioner(Wangetal.,2017).

However,itisimportanttonotethattheeffectsofwrist-ankleacupuncturemayvarydependingontheindividual.Factorssuchasage,sex,andoverallhealthstatusmayimpacttheeffectivenessofacupunctureasapainmanagementstrategy(Laoetal.,2015).Additionally,somepatientsmaynotbecomfortablewithacupunctureormaynotwishtoundergoadditionaltherapiesbeyondtraditionalmethodsofpainmanagement.

Inconclusion,wrist-ankleacupuncturecombinedwithconventionalanalgesiaisapromisingadditiontocurrentpainmanagementstrategiesforpatientsundergoingtotalkneearthroplasty.Furtherresearchisneededtofullyunderstandthebenefitsandlimitationsofthisapproachandtoidentifywhichpatientsmaybenefitthemost.However,thisstudyprovidesevidencethatwrist-ankleacupuncturecaneffectivelyreducepainandcomplicationsinaspecificpatientpopulationandmayhaveadditionalbenefitsforpostoperativerecoveryInadditiontoprovidingeffectivepainmanagement,wrist-ankleacupuncturemayalsohaveotherpotentialbenefitsforpatientsundergoingtotalkneearthroplasty.Onestudyfoundthatacupuncturecanimproverangeofmotionandreduceswellinginthekneejoint,whichareimportantfactorsinthepostoperativerecoveryprocess.Anotherstudysuggestedthatacupuncturemayreducetheneedforopioidsandotherpainmedications,whichcanhavearangeofsideeffectssuchasnausea,constipation,andaddiction.

Furthermore,acupunctureisanon-invasiveandlow-riskintervention,whichmaybeappealingtopatientswhoarehesitanttoundergomoreinvasiveproceduressuchasnerveblocksorepidurals.Acupuncturecanalsobeeasilyintegratedintostandardpostoperativecareprotocols,withminimaldisruptiontootheraspectsofcare.

However,itisimportanttonotethatwrist-ankleacupuncturemaynotbesuitableforallpatientsoralltypesofsurgeries.Theapplicabilityofacupuncturemaydependonseveralfactors,suchaspatientpreference,theseverityofpain,andthetypeofanesthesiausedduringsurgery.Additionally,moreresearchisneededtodeterminetheoptimalfrequencyanddurationofacupuncturesessions,aswellasthemosteffectiveacupuncturepointstotarget.

Overall,wrist-ankleacupunctureisapromisingadditiontocurrentpainmanagementstrategiesforpatientsundergoingtotalkneearthroplasty.Thisnon-invasive,low-riskinterventionmayoffereffectivepainreliefandotherpotentialbenefitsforpostoperativerecovery.Furtherresearchisneededtofullyunderstandthebenefitsandlimitationsofthisapproachandtoiden