消栓饮对治疗气滞血瘀型半月板损伤关节镜术后膝关节肿胀影响的临床观察

Clinical Observation on Effect of Thrombus-expelling Decoction on the Treatment of Knee Joint Swelling after Arthroscopic Treatment of Meniscus Injury with Qi Stagnation and Blood Stasis Type

目的观察消栓饮对治疗气滞血瘀型半月板损伤关节镜术后肿胀的疗效。方法将50例2018年3月—2019年6月在本院关节科病房诊断为气滞血瘀型半月板损伤行关节镜术后膝关节出现肿胀的患者;用七叶皂苷钠治疗的作对照组,采用消栓饮治疗的为治疗组,随机每组25例,在相同常规治疗条件下进行为期1周的治疗观察。结果治疗组肿胀恢复率为84%,对照组为68%,治疗组明显优于对照组,两者比较具有统计学意义(P<0.05);治疗组在膝关节VAS疼痛评分,膝关节平均肿胀恢复时间,膝关节ROM角度,Lysholm关节功能评分明显优于对照组(P<0.05)。结论消栓饮治疗气滞血瘀型半月板损伤关节镜术后肿胀对比七叶皂苷钠见效更佳,整体临床恢复效果显著。

Objective:To observe the curative effect of Thrombus-expelling Decoction on the treatment of knee joint swelling after arthroscopic treatment of meniscus injury with qi stagnation and blood stasis type. Methods:50 patients who were diagnosed as knee joint swelling after arthroscopic treatment of meniscus injury and with qi stagnation and blood stasis type from March 2018 to June 2019 in the arthritis ward of our hospital were randomly divided into a control group and a treatment group,25 cases per group. The control group was treated with sodium aescinate and the treatment group was given Thrombus-expelling Decoction. Under the same conventional treatment conditions,the two groups were treated and observed for 1 week. Results:The recovery rate of swelling in the treatment group was 84% and that in the control group was 68%. The treatment group was significantly better than the control group. The comparison of the two groups had statistically significant difference(P<0.05). The swelling recovery time,knee ROM angle,Lysholm joint function score of the treatment group were significantly better than those of the control group(P<0.05). Conclusion:Thrombus-expelling Decoction is more effective than sodium aescin in the treatment of knee joint swelling after arthroscopic treatment of meniscus injury with qi stagnation and blood stasis type,and the overall clinical recovery effect is significant.