首页|关节粘连传统松解术联合中药熏洗对运动性膝关节损伤的治疗效果

关节粘连传统松解术联合中药熏洗对运动性膝关节损伤的治疗效果

扫码查看
目的 观察关节粘连传统松解术联合中药熏洗对运动性膝关节损伤的治疗效果.方法 将 60 例运动性膝关节损伤患者按照随机数字表法分为2 组,对照组30 例予西药治疗,治疗组30 例在对照组治疗基础上予关节粘连传统松解术联合中药熏洗治疗.疗程4 周.比较2 组治疗前后Lysholm膝关节评分、180°/s、60°/s等速运动的屈膝肌峰力矩、伸膝肌峰力矩、疼痛视觉模拟评分(VAS)、简明健康状况量表(SF-36)评分,并统计2 组疗效.结果 治疗组总有效率86.67%(26/30),对照组总有效率66.67%(20/30),治疗组临床疗效优于对照组(P<0.05).2 组治疗后Lysholm膝关节评分均较本组治疗前升高(P<0.05),且治疗组治疗后高于对照组(P<0.05).2 组治疗后等速运动伸肌峰力矩、等速运动屈肌峰力矩均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05).2 组治疗后疼痛VAS均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05).2 组治疗后SF-36 各项评分均较本组治疗前升高(P<0.05),且治疗组治疗后高于对照组(P<0.05).结论 关节粘连传统松解术联合中药熏洗对运动性膝关节损伤的治疗效果较好,值得临床推广.
Effect of traditional joint adhesion lysis combined with herbal fumigation on exercise-induced knee osteoarthritis
Objective To study the effect of traditional joint adhesion lysis combined with herbal fumigation on exercise-in-duced knee osteoarthritis(KOA).Method Sixty patients with exercise-induced KOA were randomized 1:1 into the control group and the treatment group.All patients received Western medicine treatment,patients in the treatment group additionally re-ceived traditional joint adhesion lysis combined with herbal fumigation.A 4-week of treatment was performed,aiming to com-pare the Lysholm score,isokinetic peak torque of knee flexors/extensor(60 deg/s and 180 deg/s),visual analogue scale(VAS)for pain,and the 36 item Short-form Health Survey(SF-36)scores before and after treatment,and the curative effect of the two groups was assessed.Result The total effective rate of the treatment group was better than that of the control group(86.67%[26/30]vs 66.67%[20/30],P<0.05).Patients in the both groups presented significantly increased Lysholm score(P<0.05),improved isokinetic peak torque of knee flexors/extensor(P<0.05)and elevated SF-36 scores(P<0.05),and significantly decreased VAS scores(P<0.05)than those before treatment,and the improvements were more pro-nounced in the treatment group(P<0.05).Conclusion The effect of joint adhesion lysis combined with herbal fumigation on exercise-induced KOA is ideal and worthy of clinical promotion.

Exercise-induced knee osteoarthritisTendon injurytraditional joint adhesion lysisHerbal fumigation

韩佳秀、刘泽生、李通

展开 >

河北省张家口市中医院骨伤科,河北 张家口 075000

运动性膝关节损伤 伤筋病 关节粘连传统松解术 中药熏洗

河北省中医药局中医药类科研计划(2022)

2022524

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
  • 24