Clinical efficacy study of Huolong Guan comprehensive acupuncture in postoperative pain of patients with knee arthralgia of liver-kidney deficiency type
10.3969/j.issn.1006-5725.2025.23.004
- VernacularTitle:火龙罐综合灸在肝肾亏虚型膝痹患者全膝关节置换术后康复中的应用
- Author:
Xuemei DAI
1
;
Wei WEI
;
Caiping SHEN
;
Cuicui WANG
;
Zeqing HUANG
;
Zhenqiu CHEN
Author Information
1. 广州中医药大学第一附属医院、广东省中医临床研究院人工关节与髋关节科(广东 广州 510405);广州中医药大学第一附属医院、广东省中医临床研究院股骨头坏死科(广东 广州 510405)
- Publication Type:Journal Article
- Keywords:
knee joint replacement;
knee arthralgia;
knee function;
pain;
traditional chinese medicine nursing;
fire dragon bag combined with moxibustion
- From:
The Journal of Practical Medicine
2025;41(23):3652-3658
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of fire dragon pot comprehensive therapy in patients with knee paralysis due to liver and kidney deficiency following total knee arthroplasty(TKA).Methods A total of 114 patients undergoing unilateral TKA were randomly assigned to two groups using a random number table.The control group(n=57)received standard enhanced recovery after surgery(ERAS)nursing care,while the intervention group(n=57)received high-frequency general massage(HGM)therapy in addition to the standard ERAS protocol.Outcomes including visual analogue scale(VAS)scores,Hamilton Anxiety Scale(HAMA)scores,Hospital for Special Surgery(HSS)knee scores,and serum levels of inflammatory markers[C-reactive protein(CRP),neutrophil count(NE),and lymphocyte count(LY)]were compared between the two groups.Results Compared with the control group,the intervention group exhibited significantly lower VAS scores at 3 days postoperatively and at discharge,reduced HAMA scores from the preoperative period through 3 days after surgery,improved HSS scores[specifically in pain,function,range of motion,stability,and total score]at 2 weeks postoperatively,and more pronounced improvements in inflammatory markers,including lower levels of CRP and NE and higher LY levels(all P<0.05).Conclusion The comprehensive moxibustion therapy using Huolongjar effectively alleviates postoperative pain following TKA,enhances joint function,reduces anxiety levels,and mitigates inflammatory responses.This intervention is safe,simple to administer,and holds promise for clinical application and wider dissemination.