内外合用接骨续筋汤配合手术治疗胫骨平台骨折的膝关节功能及生活质量分析

Analysis of the Knee Joint Function and Quality of Life of Tibial Plateau Fracture Treated with Jiegu Xujin Decoction for Internal and External Use Combined with Surgery

目的观察内外合用接骨续筋汤对胫骨平台骨折术后膝关节功能及生活质量的影响。方法按随机分组法将80例胫骨平台骨折患者分为观察组和对照组,每组40例,两组均行手术治疗,术后对照组予以常规治疗,观察组在对照组基础上予以口服接骨续筋汤配合中药熏洗膝关节。治疗3个月后,随访比较两组患者Lysholm评分、胫骨平台内翻角(tibial plateau-tibial shaft angle,TP-TSA)和胫骨平台后倾角(posterior slope angle,PSA)、膝关节被动活动度评定(passive range of motion,PROM)、股四头肌等长峰力矩和日常生活能力(activities of daily living,ADL)评分。结果治疗后,两组患者的Lysholm评分、TP-TSA、PSA、膝关节PROM、股四头肌等长峰力矩和ADL值均较治疗前上调(P<0.05);且观察组患者的Lysholm评分、TP-TSA、PSA、膝关节PROM、股四头肌等长峰力矩和ADL值均高于对照组(P<0.05)。结论内外合用接骨续筋汤配合手术治疗胫骨平台骨折疗效确切,可有效改善患者膝关节功能,加速膝关节功能康复,对于防治术后膝关节粘连和提高生活质量有明显的积极作用。

Objective To observe the effect of Jiegu Xujin Decoction for internal and external combined use on knee joint function and quality of life after tibial plateau fracture.Methods According to the random grouping method,80 cases of tibial plateau fractures were divided into observation group and control group,40 cases in each group.Both groups were treated with surgery.The control group was treated with routine treatment after operation,and the observation group was treated with Jiegu Xujin Decoction combined with traditional Chinese medicine fumigation on the basis of the control group.After 3 months of treatment,Lysholm score,tibial plateau-tibial shaft angle(TP-TSA)and posterior slope angle(PSA),passive range of motion(PROM),isometric peak torque of quadriceps femoris and activities of daily living(ADL)scores were compared between the two groups.Results Compared with before treatment,Lysholm score,TP-TSA,PSA,knee PROM,isometric peak torque of quadriceps femoris and ADL value of two groups were increased after treatment(P<0.05);compared with control group,Lysholm score,TP-TSA,PSA,knee PROM,isometric peak torque of quadriceps femoris and ADL value of observation group were increased(P<0.05).Conclusion Jiegu Xujin Decoction for internal and external use combined with surgery in the treatment of tibial plateau fracture has definite curative effect,which can effectively improve the knee joint function of patients,accelerate the recovery of knee joint function,and play a significant positive role in preventing postoperative knee joint adhesion and improving the quality of life.