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中医药治疗膝关节置换术后下肢肿胀的临床研究进展
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Abstract:
膝骨关节炎是与年龄相关的慢性退行性疾病，主要影响膝关节活动，且致畸、致残率高，严重影响中老年人的生活质量。晚期膝骨关节炎主要依赖膝关节置换术达到根治目的，以阻断疾病继续发展，但由于手术创伤、活动量减少等因素，术后常遗留下肢肿胀这一问题，影响关节功能恢复。西医对于该问题治疗手段较为单一，且长时间使用消肿药物具有较大副作用。近年来中医药对于患者术后下肢肿胀的研究层出不穷，可通过多模式方案对患者进行干预且疗效确切。本文综述了近五年中医药治疗膝关节置换术后下肢肿胀的临床进展，以期为中医药在治疗膝关节置换术后下肢肿胀方面提供科学依据。
Osteoarthritis of the knee is an age-related chronic degenerative disease that mainly affects knee joint activities and has a high rate of deformity and disability, which seriously affects the quality of life of middle-aged and elderly people. Late-stage osteoarthritis of the knee mainly relies on knee arthroplasty to achieve the goal of eradication, in order to stop the disease from continuing to develop, but due to surgical trauma, reduced activity and other factors, the problem of lower limb swelling is often left behind after the operation, which affects the recovery of function of knee joint. Western medicine is a single treatment for this problem, and the prolonged use of anti-swelling drugs has greater side effects. In recent years, there have been numerous studies on postoperative lower limb swelling in Chinese medicine, which can intervene in patients through multi-modal programs with precise efficacy. This article summarizes the clinical progress of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty in the past five years, with a view to providing a scientific basis for the use of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty.
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