基于MRI检查应用舒筋外洗颗粒治疗膝关节运动损伤临床研究

Clinical Study on Shujin Waixi Granules on Knee Joint Sports Injury Based on MRI

目的:通过磁共振成像(MRI)观察业余马拉松选手比赛后膝关节损伤情况及应用舒筋外洗颗粒治疗的临床疗效。方法:对业余马拉松选手赛后24 h进行膝关节MR检查,筛选出膝关节运动损伤及MRI检查显示膝关节异常患者21例,按随机数字表法分为试验组11例(18个关节)和对照组10例(18个关节)。对照组仅进行关节制动、休息干预,未作药物系统治疗;试验组给予舒筋外洗颗粒熏洗治疗。治疗7 d后,比较2组临床疗效及膝关节MRI检查结果。结果:21例36个膝关节MRI检查结果异常:关节积液或软组织肿胀20个(右侧11个,左侧9个),前交叉韧带损伤5个(右侧3个,左侧2个),内侧副韧带损伤8个(右侧6个,左侧2个),外侧副韧带损伤6个(右侧2个,左侧4个),骨髓水肿3个(右侧胫骨平台2个,左侧股骨内髁1个)。治疗后,试验组临床疗效总有效率为83.33%,对照组为27.78%,2组比较,差异有统计学意义(P<0.05);试验组MRI疗效总有效率为88.89%,对照组为33.33%,2组比较,差异有统计学意义(P<0.05)。结论:MRI能有效评价业余马拉松选手比赛后膝关节损伤情况,舒筋外洗颗粒治疗马拉松选手赛后膝关节损伤疗效肯定。

Objective:To observe the knee injury of amateur marathon runners after race and the clinical effect of Shujin Waixian Granules by magnetic resonance imaging(MRI).Methods:The amateur marathon runners were examined by MR 24 hours after the race,and 21 patients with knee injury and abnormal knee were screened by MRI.They were divided into the trial group and the control group according to random number table method,with 11 cases(18 joints)and 10 cases(18 joints)in each group.The control group only intervened with joint braking and rest,and there was no medicinal treatment.The trial group was given the fumigation with Shujin Waixian Granules.After 7 days of observation and treatment,the clinical effects and knee MRI results in the two groups were compared.Results:Abnormal MRI results were found in 36 knee joints of 21 cases:there were 20 cases of joint effusion or soft tissue swelling(11 on the right side and 9 on the left side),5 cases of anterior cruciate ligament injury(3 on the right and 2 on the left),8 cases of medial collateral ligament injury(6 on the right and 2 on the left),6 cases of lateral collateral ligament injury(2 on the right and 4 on the left),and 3 cases of bone marrow edema(2 on the right tibial plateau and 1 on the left internal condyle).After treatment,the total effective rate of clinical effect was 83.33%in the trial group and 27.78%in the control group,the difference being significant(P<0.05).The total effective rate of MRl was 88.89%in the trial group and 33.33%in the control group,the difference being significant(P<0.05).Conclusion:MRI can effectively evaluate knee joint injury of amateur marathon runners after race,and the therapeutic effect of Shujin Waixian Granules on knee joint injury after marathon is certain.