中药熏洗联合CPM治疗胫骨平台骨折术后膝关节功能障碍临床观察

Clinical Observation on the Treatment of Knee Joint Dysfunction after Operation on Fracture of Tibial Plateau with Chinese Herbal Fumigating and Washing Combining CPM

目的:观察中药熏洗联合CPM治疗胫骨平台骨折术后功能障碍的临床疗效。方法:将54例胫骨平台骨折术后膝关节功能障碍的患者随机分为中药熏洗组、CPM组联合组,每组18例。中药熏洗组采用中药熏洗治疗,CPM组采用CPM机治疗,联合组以中药熏洗联合CPM机功能锻炼进行治疗。疗程均为3周。观察3组优良率及HSS评分。结果:联合组膝关节活动度优良率优于中药熏洗组和CPM组(P<0.05),中药熏洗组优于CPM组(P<0.05)。术后6个月随访时,联合组HSS评分及优良率均显著高于中药熏洗组和CPM组(P<0.05),中药熏洗组优于CPM组(P<0.05)。结论:中药熏洗联合CPM能够较好地治疗胫骨平台骨折术后膝关节功能障碍,松解膝关节周围软组织粘连,改善膝关节功能活动,临床效果较好。

Objective：To observe the clinical effect of Chinese herbal fumigating and washing combined with CPM in the treatment of knee joint dysfunction after operation on fracture of tibial plateau Methods：54 cases of knee joint dysfunction after operation on fracture of tibial plateau fracture were randomly divided into a Chinese herbal fumigating and washing group （ CHFWG ） ,a CPM group,and a combined group,18 cases in each.The CHFWG was treated by Chinese herbal fumigating and washing,the CPM group by CPM alone and the combined group by Chinese herbal fumigating and washing combined with CPM.The three groups were treated for 3 weeks.Excellence rate and HSS score of the 3 groups were observed.Results：The excellence rate of the knee joint activity of the combined group was superior to those of the CHFWG and CPM group （ P 〈 0.05 ） ,and the excellence rate of the CHFWG was better than that of the CPM group （ P 〈 0.05 ） During the follow up after 6 months,the HSS score and excellence rate of the combined group were significantly higher than those of the CHFWG and CPM group （ P 〈 0.05 ） ,and the CHFWG was better than the CPM group （ P 〈 0.05 ） .Conclusion：Chinese herbal fumigating and washing combined with CPM can better treat the knee joint dysfunction after operation on fracture of tibial plateau,and improve the soft tissue conglutination and knee joint function,having a better clinical effect.