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As patients going to take total knee arthroplasty(TKA) lying in bed for a long time, eating less, bowel movements Slowing down, then influencing defecation.And they will come up with tension and fearness.At the same time, their lifestyle is changing. Epidemiological survey of constipation displaying: tension, anxiety and depression are the dangerous factors of constipation. Eating less, Diet low in fiber content are easily leading to constipation. In addition, lots of patients aren’t used to defecate in bed for a long time, which will also making the defecation difficult. While constipation may cause whole body and partial illness, we should pay more attention to it. Total knee replacement surgery has become the ultimate effective treatment for the disease. However, this surgical method is associated with severe postoperative pain, including severe pain 60%, 30% moderate pain, not only to patients with pain, but also to varying degrees, affect the circulatory, respiratory, digestive, endocrine, immune and other function of each system that may lead to various postoperative complications, serious impact on early postoperative functional rehabilitation and treatment. Postoperative pain not due to early exercise, active physical therapy, so prone to deep vein thrombosis, pulmonary embolism, infection and other complications. Patients within the environment can also lead to disorder, anxiety is not conducive to sleep and rest, short-term deterioration in the quality of life of patients. Severe pain due to joint dysfunction caused by anxiety, depression, most patients need a year of health care in order to get the final improveing. Almost all patients are expected to be their smallest incision, postoperative pain and satisfaction with the lightest of functional recovery. Therefore, adequate postoperative analgesia, especially for sports is not just pain relief, but also to help patients get out of bed early, active physical therapy, as much as possible to restore knee activity and the prevention of deep vein thrombosis formation and other complications. In addition, effective postoperative analgesia reduces stress response, so that patients in a stable environment, and reduce patient anxiety, sleep and rest help to improve the quality of life in patients with short-term.. Early postoperative pain caused by stress response, significantly increased the secretion of stress-quality alcohol, so that myocardial contractility, heart rate, cardiac output increased, liver and kidney blood vessels and gastrointestinal vasoconstriction, myocardial oxygen consumption significantly increase induced myocardial oxygen supply/oxygen ratio

Application and Effect of Acupuncture and Moxibustion for Analgesia in Perioperative Period of Total Knee Arthroplasty