自拟消痹熏洗方在膝半月板损伤关节镜下成形术后的临床疗效观察

Curative effect of the prescription of self-prepared Xiaobixunxi drafting utend after the treatment of knee meniscus injury by arthroscopic reshaping

目的观察膝半月板损伤关节镜下成形术后应用消痹熏洗方的疗效。方法将60例半月板损伤病人按就诊时间先后顺序分成两组,观察组和对照组各30例,两组病人先行关节镜下成形术并辅以常规功能锻炼,拆线后观察组予以消痹熏洗方进行熏洗,对照组局部单纯温开水熏洗。结果经过治疗,观察组的疼痛视觉模拟(VAS)评分低于对照组,且均明显低于治疗前;观察组的膝关节Lysholm评分高于对照组,且均明显高于治疗前,均差异有统计学意义(P<0.05)。对照组的临床总有效率为90.00%,观察组为96.67%,组间临床总有效率差异有统计学意义(P<0.05)。结论半月板损伤关节镜下成形术后以消痹熏洗方治疗效果更好,临床值得推广应用。

Objective To observe the curative effect of the prescription of self-prepared Xiaobixunxi drafting utend after the treatment of knee meniscus injury by arthroscopic reshaping. Methods A total of 60 patients which meet the inclusion criteria, with knee meniscus injury. The patients were randomized into two groups treated by using knee arthroscopic reshaping and given conventional processing in addition to rehabilitation after arthroscopic reshaping. There were 30 cases in each group. The observation group took the prescription of Xiaobixunxi after wound taking out stitches, while the control group took the hot water only. Results After treatment, the VAS scores of the observation group were lower than the control group, and the pretherapy. The Lysholm knee scores of the observation were higher than the control group,and were significantly higher than pretherapy. The differences were all statistically significant （ P 〈 0 .0 5 ） . The clinical total effective rate of the control group was 90. 00 percent, and that of the observation group was 96. 67 percent. The difference was statistically significant（P 〈 0.05）. Conclusions The effect of the prescription of self-prepared Xiaobixunxi drafting utend after the treatment of knee meniscus injury by arthroscopic surgery is better,and it is worthy of popularization and application.