[1]于国胜,胡艳昭,刘颜华,等.红花化瘀汤熏洗治疗膝关节镜术后康复效果及对患者疼痛和膝关节功能的影响*[J].陕西中医,2020,(4):477-480.
 YU Guosheng,HU Yanzhao,LIU Yanhua,et al.Effect of Honghua Huayu decoction fumigation and washing on knee arthroscopic rehabilitation and pain and knee function[J].,2020,(4):477-480.
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红花化瘀汤熏洗治疗膝关节镜术后康复效果及对患者疼痛和膝关节功能的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年4期
页码:
477-480
栏目:
临床研究
出版日期:
2020-04-05

文章信息/Info

Title:
Effect of Honghua Huayu decoction fumigation and washing on knee arthroscopic rehabilitation and pain and knee function
文章编号:
DOI:10.3969/j.issn.10007369.2020.04.022
作者:
于国胜胡艳昭刘颜华崔丽红刘长利赵秀泉
河北省沧州中西医结合医院(沧州 061000)
Author(s):
YU GuoshengHU YanzhaoLIU Yanhuaet al.
Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province(Cangzhou 061000)
关键词:
红花化瘀汤 膝关节镜 膝关节肿胀度 视觉模拟疼痛量表 膝关节功能 炎症因子
Keywords:
Honghua Huayu decoction Knee arthroscopy Knee swelling Visual analog pain scale Knee function Inflammatory factors
分类号:
R687.4
文献标志码:
A
摘要:
目的:探讨红花化瘀汤熏洗在膝关节镜术后康复中的临床效果及对患者疼痛和膝关节功能的影响。方法:选择膝关节镜手术患者104例为研究对象,随机数字表分为对照组和观察组各52例。对照组术后给予常规方法治疗,观察组在对照组基础上联合红花化瘀汤熏洗治疗。治疗8周后,比较两组治疗效果、VAS评分、膝关节功能及炎症因子。结果:两组术后2周、4周、6周及8周膝关节肿胀度均小于术前(P<0.05); 但观察组术后以上时间点膝关节肿胀度小于对照组(P<0.05); 且观察组术后以上时间点VAS评分低于对照组(P<0.05); 观察组术后8周疼痛、功能、活动度、畸形、肌力和稳定性评分高于对照组(P<0.05); 观察组治疗后8周NO和IL-1β水平低于对照组(P<0.05),TGF-1β水平高于对照组(P<0.05)。结论:红花化瘀汤熏洗用于膝关节镜术后康复中能改善患者膝关节肿胀程度,减轻患者疼痛,提高患者膝关节功能,可降低炎症因子水平。
Abstract:
Objective:To explore the clinical effect of Honghua Huayu decoction fumigation washing on rehabilitation after knee arthroscopy and the effect on pain and knee function of patients.Methods:A total of 104 patients with knee arthroscopic surgery were selected as the research subjects.The random number table was divided into the control group(n=52 cases)and the observation group(n=52 cases).The control group was given conventional treatment after operation,and the observation group was combined with Honghua Huayu decoction for fumigation and washing on the basis of the control group.After 8 weeks of treatment,the treatment effect,VAS score,knee function and inflammatory factors were compared between the two groups.Results:The swelling degree of knee joints in the two groups was less than that before surgery at 2 weeks,4 weeks,6 weeks,and 8 weeks(P<0.05); but the swelling degree of knee joints in the observation group was less than that in the control group at the above points(P<0.05); And the VAS score of the observation group at the above time points was lower than that of the control group(P<0.05); the pain,function,activity,deformity,muscle strength and stability score of the observation group at 8 weeks after operation were higher than those of the control group(P<0.05).NO and IL-1β levels in the observation group were lower than those in the control group(P<0.05),and TGF-1β levels were higher than those in the control group(P<0.05).Conclusion:The fumigation and washing of Honghua Huayu decoction for knee arthroscopy can improve the swelling degree of patients' knee joints,reduce the pain of patients,improve the function of patients' knee joints,and reduce the level of inflammatory factors.

参考文献/References:

[1] 王 庆,程新胜,刘 晔.早期综合康复治疗对膝关节骨折术后膝关节功能的影响观察[J].中国民康医学,2018,30(22):98-99.
[2] 李国梁,韩广普,闫国强,等.红花化瘀汤薰蒸联合理筋手法在膝骨关节炎全膝关节置换术后康复中的应用[J].中医正骨,2013,25(12):31-34.
[3] 张宝柱,徐卫国.中药熏洗联合CPM机治疗膝关节创伤术后康复的Meta分析[J].湖南中医杂志,2018,34(12):111-112,116.
[4] 张意侗,谢秋芳,梁 晖,等.膝关节骨性关节炎中医外治法的研究进展[J].中国医药导报,2019,16(26):45-48.
[5] 亓 建.中药熏蒸治疗膝关节镜术后肿痛的临床研究[D].北京:北京中医药大学,2014.
[6] 马玉翠,李雪薇.超声波、关节松动训练、熏洗外敷综合疗法在前交叉韧带重建术患者膝关节功能康复治疗中的应用效果研究[J].陕西医学杂志,2019,48(2):197-200.
[7] 王 俊.关节镜联合桃红四物汤合五苓散治疗膝骨关节炎性滑膜炎的疗效观察[D].长沙:湖北中医药大学,2019.
[8] 李常存.膝关节镜治疗膝骨性关节炎的临床有效性及影响因素研究[J].中国疗养医学,2017,26(11):1180-1182.
[9] 崔 琳,孙 瑛,邱琛茗,等.膝关节镜围手术期加速康复模式的研究进展[J].西南国防医药,2018,28(12):1287-1289.
[10] 邱志新,窦荣花,郝有志,等.中风后肩手综合征患者应用红花化瘀汤结合针刺治疗的效果分析[J].陕西中医,2016,37(10):1323-1324.
[11] 韩廷成,祁兆建,陈大志,等.中药熏洗对膝关节镜术后并发症改善的临床观察与分析[J].齐齐哈尔医学院学报,2017,38(13):1523-1525.
[12] 文 雯,邓 沂.中药熏洗治疗膝关节炎30例[J].环球中医药,2019,12(9):1422-1424.
[13] 彭弗里曼.自拟下肢熏洗方治疗膝关节镜术后关节肿痛的临床研究[D].长沙:湖南中医药大学,2018.
[14] 李志红,杨孟孟,杨伟伟,等.中药熏洗对膝关节骨性关节炎患者膝关节功能、血管内皮生长因子、软骨寡聚基质蛋白水平的影响[J].陕西中医,2019,40(9):1226-1228.
[15] 柯贤鹏.膝关节镜术后下肢深静脉血栓发生相关因素分析[D].唐山:华北理工大学,2016.

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备注/Memo

备注/Memo:
*河北省沧州市科学技术局项目(162302098)
更新日期/Last Update: 2020-04-13