[1]陆纯德.气血并补荣筋汤联合关节镜对膝关节半月板损伤患者Lysholm评分、股四头肌萎缩和关节活动度的影响[J].陕西中医,2019,(10):1422-1424.
　LU Chunde..Effects of Qixuebingbu Rongjin decoction combined with arthroscopy on Lysholm scoresquadriceps atrophy and joint activity in patients with meniscus injury of knee joint[J].,2019,(10):1422-1424.
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气血并补荣筋汤联合关节镜对膝关节半月板损伤患者Lysholm评分、股四头肌萎缩和关节活动度的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1422-1424
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Effects of Qixuebingbu Rongjin decoction combined with arthroscopy on Lysholm scoresquadriceps atrophy and joint activity in patients with meniscus injury of knee joint
文章编号:
DOI:10.3969/j.issn.10007369.2019.10.030
作者:
陆纯德
上海建工医院骨科（ 上海 200983）
Author(s):
LU Chunde.
Department of Orthopaedics，Shanghai Group Hospital （Shanghai 200983）
关键词:
膝关节; 半月板损伤; 关节镜手术; 气血并补荣筋汤; 关节功能; Lysholm评分
Keywords:
Key words 〖HT5”SS〗Knee; Meniscus injury; Arthroscopic surgery; Qixuebingbu Rongjin decoction; Joint function; Lysholm score
分类号:
R684
文献标志码:
A
摘要:
摘 要 目的：分析关节镜联合气血并补荣筋汤辅助治疗对膝关节半月板损伤患者疼痛、Lysholm评分、股四头肌萎缩和关节活动度的影响。方法：选取84例膝关节半月板损伤，随机分为对照组采取关节镜手术，观察组采取关节镜手术+气血并补荣筋汤辅助治疗，两组各42例。比较两组患者治疗效果、治疗前后视觉模拟评分（VAS）、Lysholm评分、关节活动度及股四头肌萎缩程度等差异。结果：观察组治疗总有效率较对照组显著升高（P＜0.05）。相比治疗前，两组患者治疗后VAS评分均显著减少，Lysholm评分明显增加（P＜0.05），且观察组治疗后VAS评分较对照组显著减少，Lysholm评分较对照组明显增加（P＜0.05）。与治疗前比较，两组患者治疗后关节活动度明显升高，股四头肌萎缩程度明显下降（P＜0.05）；观察组治疗后关节活动度较对照组明显升高，股四头肌萎缩程度较对照组明显下降（P＜0.05）。结论：对膝关节半月板损伤患者患者而言，其应用关节镜联合气血并补荣筋汤辅助治疗可有效改善临床疗效，明显缓解疼痛和股四头肌萎缩，增加关节活动度，从而可有效促进膝关节功能的恢复，因此具有显著的治疗效果。
Abstract:
Abstract 〖HT5”SS〗Objective：To analyze the effects of arthroscopy combined with Qixuebingbu Rongjin decoction on pain，Lysholm scores，quadriceps atrophy and joint activity in patients with knee meniscus injury. Methods：84 cases of knee meniscus injury were randomly divided into two groups：the control group received arthroscopic surgery and the observation group received arthroscopic surgery + Qixuebingbu Rongjin decoction as adjuvant therapy，42 cases in each group. The differences in treatment effect，visual analogue score （VAS），Lysholm score，range of motion of joints and atrophy degree of quadriceps between the two groups were compared. Results：The total effective rate of observation group was significantly higher than that of control group （P＜0.05）. Compared with before treatment，VAS score of the two groups was significantly reduced after treatment，and Lysholm score was significantly increased （P＜0.05），and VAS score of the observation group was significantly reduced after treatment，while Lysholm score was significantly increased compared with the control group （P＜0.05）. Compared with before treatment，the range of motion of the joints was significantly increased and the atrophy degree of quadriceps was significantly decreased in the two groups （P＜0.05）. After treatment，the range of motion of joints in the observation group was significantly increased and the atrophy degree of quadriceps was significantly decreased compared with the control group （P＜0.05）. Conclusion：The application of arthroscopy combined with Qixuebingbu Rongjin decoction as adjuvant therapy can effectively improve the clinical efficacy，significantly relieve pain and quadriceps atrophy，and increase the range of joints motion，so as to effectively promote the recovery of knee function.

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更新日期/Last Update: 2019-10-23