Volume 19 Issue 7
Jul.  2021
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XIE Wei, ZHANG Chi, YANG Xing-hua, ZHANG Xin, LIU Yong-fei, CHENG Biao. Application of shock wave-induced diclofenac diethylamine emulsion in rehabilitation after hip arthroplasty on the basis of the concept of enhanced recovery after surgery[J]. Chinese Journal of General Practice, 2021, 19(7): 1210-1213. doi: 10.16766/j.cnki.issn.1674-4152.002023
Citation: XIE Wei, ZHANG Chi, YANG Xing-hua, ZHANG Xin, LIU Yong-fei, CHENG Biao. Application of shock wave-induced diclofenac diethylamine emulsion in rehabilitation after hip arthroplasty on the basis of the concept of enhanced recovery after surgery[J]. Chinese Journal of General Practice, 2021, 19(7): 1210-1213. doi: 10.16766/j.cnki.issn.1674-4152.002023

Application of shock wave-induced diclofenac diethylamine emulsion in rehabilitation after hip arthroplasty on the basis of the concept of enhanced recovery after surgery

doi: 10.16766/j.cnki.issn.1674-4152.002023
Funds:

 20184Y0270

  • Received Date: 2020-12-27
    Available Online: 2022-02-16
  •   Objective  To explore the application of shock wave-induced diclofenac diethylamine emulsion in rehabilitation after knee arthroplasty on the basis of the concept of enhanced recovery after surgery.  Methods  A total of 80 patients who were admitted to the Orthopaedic Department of Shanghai First Rehabilitation Hospital from January 2018 to June 2020 and had pain after knee arthroplasty were included in the study. The patients were randomly divided into the control group (40 patients) and treatment group (40 patients) with a random number matrix. The control group received routine rehabilitation. In addition to rehabilitation treatment, the treatment group received shock wave diclofenac diethylamine emulgel every 6 days for a total of three times. The pain VAS, SAS, Berg Balance and Lysholm knee function scores of the two groups were evaluated 1, 6 and 12 days after treatment.  Results  No significant differences in age and gender were found between the groups (all P>0.05). The most significant effect of shock wave-induced diclofenac diethylamine emulsion was observed 12 days after treatment. The VAS scores of the treatment group were significantly lower than those of the control group (2.62±1.26 vs. 3.65±2.58, P < 0.05). The SAS scores of the treatment group were significantly lower than those of the control group (42.08±2.16 vs. 47.76±2.69, P < 0.05). The Berg Balance Scale scores of the treatment group were significantly higher than those of the control group (46.83±4.67 vs. 41.39±3.52, P < 0.05). The Lysholm scale scores of the treatment group were significantly higher than those of the control group (82.98±8.86 vs. 74.52±6.48, P < 0.05).  Conclusion  Based on the concept of accelerated rehabilitation, shock wave-induced diclofenac diethylamine emulsion can effectively reduce the level of pain and anxiety in patients who underwent knee arthroplasty and promote the recovery of knee joint function.

     

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