中医辨证施治辅助半月板关节镜术后康复的效果

Effect of TCM syndrome differentiation assisting patients＆#39; rehabilitation after arthroscopic surgery of meniscus

目的 探讨中医辨证论治辅助膝关节镜下半月板成形术后恢复的作用.方法 纳入2014年4月—2016年10月在秦皇岛市中医医院骨科行膝关节镜下半月板成形术患者83例,随机分为辨证论治组（n=44）和对照组（n=39）,两组术后均进行相应护理及康复训练,辨证论治组患者术后第2天根据中医辨证分型,予中药汤剂口服.分别在入组时（手术后第1天）及入组后1个月评估患者Lysholms评分、VAS评分,比较两组预后膝关节活动功能和疼痛水平.结果 治疗1个月后辨证论治组患者膝关节Lysholms评分（89.93〈7.20）分,高于对照组;VAS评分（1.62〈0.58）分,低于对照组;两组比较差异有统计学意义（t值分别为2.416、11.410;P〈0.05）.结论 良好的术后护理及功能锻炼,辅以中医辨证施治有助于患者恢复关节的活动度、消减疼痛,使患者关节功能尽早恢复.

Objective To explore the effects of TCM syndrome differentiation on the rehabilitation of patients who received arthroscopic surgery of meniscus.Methods Totally 83 patients who received arthroscopic surgery of meniscus in Qinhuangdao Hospital of Traditional Chinese Medicine between April 2014 and October 2016 were randomly divided into a treatment group （n=44） and a control group （n=39）. The patients in the both groups received nursing and rehabilitation training, while the patients in the treatment group took oral decoction prescribed based on TCM syndrome differentiation on the 2nd day. Their Lysholms score and VAS score were measured at the time of enrollment （day 1 after surgery） and 1 month after enrollment. Their knee function and pain level were also compared after the treatment.Results One month later, the Lysholms score of the patients in the treatment group was （89.93±7.20）, higher than that of the patients in the control group, while their VAS score, （1.62±0.58）, was lower than that of the patients in the control group （t=2.416, 11.410;P〈0.05）.Conclusions Good postoperative nursing and functional exercise, supplemented by TCM syndrome differentiation, can help patients to restore their joint activity and reduce pain, so that they can restore their joint function as soon as possible.