Effects of Transcutaneous Electrical Acupoint Stimulation Combined with Multi-model Analgesia on Infrared Thermal Imaging Characteristics and Pain of Knee Joint after Total Knee Arthroplasty
10.19879/j.cnki.1005-5304.202307484
- VernacularTitle:经皮穴位电刺激联合多模式镇痛对全膝置换术后膝关节红外热成像特征及疼痛的影响
- Author:
Hongjie WANG
1
;
Yifei WEI
;
Tianyu BAI
;
Jiaming QIU
;
Yueling XU
;
Zige LI
;
Ting CHENG
Author Information
1. 中国中医科学院望京医院,北京 100102
- Keywords:
transcutaneous electrical acupoint stimulation;
total knee arthroplasty;
infrared thermal imaging;
postoperative pain
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2024;31(6):157-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of transcutaneous electrical acupoint stimulation(TEAS)combined with multi-model analgesia on infrared thermal imaging characteristics and pain after total knee arthroplasty(TKA).Methods A total of 74 patients with TKA were divided into the treatment group and the control group according to random number table method,with 37 cases in each group.The control group was treated with multi-model analgesia,and the treatment group was treated with TEAS on the basis of multi-model analgesia for 30 min,once in the morning and afternoon before the patient's rehabilitation exercise 1-7 days after surgery.The infrared thermal imaging data,visual analogue scale(VAS)score,Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score and pain threshold of the two groups were recorded and analyzed before and at different time points after operation.Results There were 2 cases dropped out in each group.Compared with before surgery,both groups had an increase in knee joint temperature on the surgical side 14 days after surgery(P<0.05),and the temperature in the treatment group was lower than that in the control group(P<0.05).The self knee temperature difference in the treatment group was lower than that in the control group 14 days after surgery(P<0.05).Compared with before surgery,the VAS score of the treatment group decreased 3 and 7 days after surgery(P<0.05),while the VAS score of the control group decreased 7 days after surgery(P<0.05);compared with the control group at 3 and 7 days after surgey,the VAS score of the treatment group was lower than that of the control group.Compared with before surgery,the WOMAC scores of both groups increased 7 days after surgery(P<0.05);after 7 days of surgery,the WOMAC score of the treatment group was lower than that of the control group(P<0.05).Compared with before surgery,the pain threshold values of both groups increased 7 days after surgery(P<0.05);compared with the control group at 3 and 7 days after surgery,the pain threshold values of the treatment group was higher than that of the control group(P<0.05).Conclusion TEAS combined with multi-model analgesia can reduce the temperature of the knee joint,relieve the pain of the operated limb,and promote the early functional recovery of the knee joint after TKA.Infrared thermal imaging technology has a certain application value in indirectly assessing the degree of postoperative pain and detecting early infection of the affected limb.
