急性创伤性膝关节滑膜炎联用中药外敷与冲击波治疗的临床效果分析

Clinical efficacy of TCM ointment external application plus shock wave therapy on acute traumatic knee synovitis

目的:分析中药外敷与冲击波治疗联合应用于急性创伤性膝关节滑膜炎治疗的临床效果。方法:选取2018年1月-2020年10月在湖北省钟祥市中医院接受治疗的急性创伤性膝关节滑膜炎患者68例,采用随机数字表法将其分为例数均等的两组,对照组34例采用冲击波治疗,研究组34例应用冲击波联合中药外敷治疗,比较两组治疗前后中医症状积分、Lysholm膝关节功能评价表评分、炎性因子、红细胞沉积率(Erythrocyte Sedimentation Rate,ESR)及临床总有效率。结果:研究组治疗后膝关节肿胀、疼痛以及活动度等中医症状积分低于对照组(P<0.05)。研究组治疗3 d后、治疗1周和2周后的Lysholm膝关节功能评价表评分与对照组各时间点的Lysholm膝关节功能评价表评分比较均较高(P<0.05)。研究组治疗后ESR水平、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)水平、超敏C反应蛋白(high sensitivity C-reactive Protein,hs-CRP)水平、金属基质蛋白酶-13(Matrix Metalloproteinases-13,MMP-13)与对照组各指标比较均显著较低,差异有统计学意义(P<0.05)。研究组治疗后临床总有效率高于对照组,差异有统计学意义(P<0.05)。结论:在急性创伤性膝关节滑膜炎治疗中,联合应用中药外敷与冲击波治疗的疗效确切,可有效减轻患者的临床症状,抑制机体炎性反应,降低患者的ESR,加速患者膝关节功能改善,增强治疗效果,可在临床推广应用。

Objective:To analyze the clinical effect of the combination of external application of TCM and shock wave therapy in the treatment of acute traumatic knee synovitis.Methods:A total of 68 patients with acute traumatic knee synovitis who were treated in Zhongxiang Hospital of Traditional Chinese Medicine,Hubei Province from January 2018 to October 2020 were selected and divided into two groups of equal numbers by random number table method,and the control group of 34 cases was used shock wave therapy,and 34 cases in the study group were treated with shock wave plus external application of TCM.The TCM symptom score,Lysholm knee function evaluation scale score,inflammatory factors,erythrocyte sedimentation rate(ESR)and total efficiency were compared between the two groups before and after treatment.Results:After treatment,the scores of TCM symptoms such as knee joint swelling,pain and motion range in the study group were lower than those in the control group(P<0.05).The Lysholm knee function evaluation scale score in the study group after 3 days,after 1 week and 2 weeks were higher than those in the control gorup at each time point(P<0.05).After treatment,the ESR,hs-CRP,MMP-13 in the study group were significantly lower than those in the control group(P<0.05).After treatment,the total efficiency in the study group was significantly higher than that in the control group(P<0.05).Conclusion:In the treatment of acute traumatic knee synovitis,the combined application of external application of TCM and shock wave therapy can effectively relieve the clinical symptoms of patients,inhibit the inflammatory response of the body,reduce the ESR in patients,and accelerate the improvement of knee joint function.It can enhance the therapeutic effect and can be applied in clinical practice.