冰蜡法治疗膝前交叉韧带重建术后肿痛20例

Ice Wax in the Treatment of Swelling after Knee Crossing Ligament Reconstruction for 20 Cases

目的探讨冰敷加中药蜡疗对于膝关节镜下行人工前交叉韧带重建术后关节肿痛的治疗效果。方法膝关节镜下人工前交叉韧带重建术后关节局部肿胀、疼痛患者40例,随机分为冰敷加中药蜡疗组和常规冰敷加压包扎组各20例。常规冰敷加压包扎组采用500 ml生理盐水冰袋2个,弹力绷带2卷。间断冷敷45 min,每日4次,持续弹力绷带加压包扎72 h。冰敷加中药蜡疗组采用于皮肤表面涂抹药膏,药膏上面裹上一层蜡饼,每日4次,每次40分钟,于冰敷后1小时后进行,冰敷时间及操作同常规组,持续72 h。测量并记录受试者24、48及72 h的静止视觉模拟量表(VAS)分值和肿胀值。结果术后24、48及72 h冰敷加中药蜡疗组VAS和肿胀值均低于明显常规冰敷加压包扎组(P<0.05,0.01)。结论冰敷加中药蜡疗联合应用可有效控制前交叉韧带重建术后早期疼痛和肿胀,有助于患者膝关节功能的康复。

Objective Discussing the therapeutic effect of ice and wax therapy of TCM on knee arthroscopic artificial joint swelling and pain after anterior crossing ligament reconstruction. Methods 40 cases patients with local joint swelling pain prosthesis reconstruction of anterior crossing ligament under arthroscopy were randomly divided into ice and wax therapy of TCM group and conventional ice pressure dressing group with 20 cases in each group. The conventional ice pressure dressing group adopted 500 ml saline ice, elastic bandage in 2volumes. Intermittent cold of 45 min, 4 times a day, continuous elastic bandage pressure bandage 72 h. The ice and wax therapy of TCM group used on the skin surface or salves, four times everyday, every time 40 minutes, in 1 hours after icing, maintained 72 h. Measuring and recording the subjects still vision 24, 48 and 72 h scale（VAS） score and swelling value. Results After operation, 24, 48 and 72 h VAS and swelling of the ice and wax therapy of TCM group were significantly lower than those of the conventional ice pressure dressing group（P〈0.05, 0.01）. Conclusion The combined application of ice and wax therapy of TCM can effectively control the anterior crossing ligament reconstruction of early postoperative pain and swelling, and help function recovery of knee joint.