Ma Shiqiang, Dong Jun, Meng Zhengxin, Zhao Yunchao, Shi Qiuling, Guo Donghui
Department of Arthrology, Cangzhou Integrated Traditional Chinese and Western Medicine Hospital, No.31 Huanghe West Road, Xihuan Middle Street, Yunhe District, Cangzhou, 061000, Hebei, China.
J Neuroeng Rehabil. 2025 Jul 16;22(1):165. doi: 10.1186/s12984-025-01693-x.
To explore the effect of electroacupuncture stimulation combined with the enhanced recovery after surgery (ERAS) regimen on the recovery of motor function after total knee arthroplasty (TKA).
In total, 100 patients with osteoarthritis who were undergoing primary TKA were prospectively included in this study. They were divided into a study group and a control group, with 50 patients in each group. The study group was treated with electroacupuncture stimulation combined with the ERAS regimen. The conventional programme included standard multimodal analgesia and rehabilitation protocols typically used in our hospital for TKA patients. The decision to use different treatment approaches was based on the aim of the study to evaluate the additional benefits of electroacupuncture combined with ERAS compared to the standard care, and the control group was treated with a conventional programme.
The intraoperative blood loss, hospitalisation time and morphine equivalent consumption at 72 h postoperatively in the study group were lower than those in the control group (P < 0.001). The different methods had different effects on the static visual analogue scale (VAS) score, dynamic VAS score, American Knee Society (AKS) joint score, AKS function score and range of motion (ROM; P < 0.001). Further comparison revealed that the static and dynamic VAS scores of the patients in the study group were lower than those in the control group after surgery. Moreover, the AKS joint and function scores of the study group were higher than those of the control group after surgery. In addition, the ROM of the study group was higher than that of the control group after surgery. The comparison of complications revealed that the incidence of intermuscular thrombosis (P = 0.014) and infection (P = 0.046) in the study group was lower than that in the control group.
A rehabilitation programme combining electroacupuncture with the ERAS regimen can effectively relieve pain and promote the recovery of motor function in patients after TKA, accelerating the overall recovery process.
探讨电针刺激联合术后加速康复（ERAS）方案对全膝关节置换术（TKA）后运动功能恢复的影响。
本研究前瞻性纳入了100例接受初次TKA的骨关节炎患者。将他们分为研究组和对照组，每组50例。研究组采用电针刺激联合ERAS方案进行治疗。常规方案包括我院通常用于TKA患者的标准多模式镇痛和康复方案。采用不同治疗方法的决定基于本研究的目的，即评估电针联合ERAS相对于标准治疗的额外益处，对照组采用常规方案进行治疗。
研究组术中失血量、住院时间及术后72小时吗啡等效用量均低于对照组（P＜0.001）。不同方法对静态视觉模拟量表（VAS）评分、动态VAS评分、美国膝关节协会（AKS）关节评分、AKS功能评分及活动范围（ROM）有不同影响（P＜0.001）。进一步比较发现，研究组患者术后静态和动态VAS评分低于对照组。此外，研究组术后AKS关节和功能评分高于对照组。另外，研究组术后ROM高于对照组。并发症比较显示，研究组肌间血栓发生率（P = 0.014）和感染发生率（P = 0.046）低于对照组。
电针与ERAS方案相结合的康复方案可有效缓解TKA术后患者的疼痛，促进运动功能恢复，加速整体康复进程。
