中药熏洗联合运动疗法治疗半月板损伤的临床疗效

Clinical efficacy of Traditional Chinese Medicine fumigation and washing combined with exercise therapy in the treatment of meniscus injury

目的探讨中药熏洗联合运动疗法治疗半月板损伤的临床疗效。方法选取2019年1月至2021年12月于九江市中医医院确诊为半月板损伤的60例患者作为研究对象,采用随机分配法分为观察组与对照组,每组30例。对照组给予康复运动主被动活动训练疗法,观察组在对照组康复运动治疗基础上给予自拟中药熏洗方治疗。比较两组症状改善情况[关节伸屈度和关节活动范围(ROM)]、临床疗效、视觉模拟评分法(VAS)评分、膝关节Lysholm评分。结果治疗后,两组伸度值均小于治疗前,屈度值均大于治疗前,且观察组伸度值小于对照组,屈度值大于对照组,差异有统计学意义(P<0.05);治疗2、4周,观察组关节ROM均明显大于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为90.00%,明显高于对照组的66.67%,差异有统计学意义(P<0.05)。治疗前,两组VAS评分和Lysholm评分比较差异无统计学意义;治疗2、4周,两组VAS评分均低于前一时间点,膝关节Lysholm评分均高于前一时间点,且观察组VAS评分明显低于对照组,膝关节Lysholm评分明显高于对照组,差异有统计学意义(P<0.05)。结论中药熏洗联合运动疗法治疗半月板损伤能有效改善半月板受损症状,提高膝关节活动度,减轻关节疼痛程度,值得临床推广应用。

Objective To study the clinical efficacy of Traditional Chinese Medicine fumigation and washing combined with exercise therapy in the treatment of meniscus injury.Methods 60 patients with meniscus injury diagnosed in Jiujiang Hospital of Traditional Chinese Medicine from January 2019 to December 2021 were selected as the research subjects,and they were randomly divided into the observation group and the control group,with 30 cases in each group.The control group was treated with active and passive activity training therapy of rehabilitation exercise,and the observation group was treated with self-made Traditional Chinese Medicine fumigation formula on the basis of the control group.The improvement of symptoms(joint extension and knee rang of motion[ROM]),clinical efficacy,visual analogue scale(VAS)score and knee Lysholm score were compared between the two groups.Results After treatment,the extension value of the two groups was lower than before treatment,and the flexor value of two groups groups was higher than before treatment,and the extension value in the observation group was lower than the control group,and the flexor value was greater than the control group,the differences were statistically significant(P<0.05).After 2 and 4 weeks of treatment,the knee ROM in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The total effective rate in the observation group was 90.00%,which was significantly higher than 66.67% in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in VAS score and knee Lysholm score between the two groups;after 2 and 4 weeks of treatment,the VAS scores in the two groups were lower than those at the previous time point,and the Lysholm scores of the knee joint were higher than those at the previous time point,and VAS score in the observation group was significantly lower than the control group,knee Lysholm score was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion Traditional Chinese Medicine fumigation and washing combined with exercise therapy in the treatment of meniscus injury can effectively improve the symptoms of meniscus injury,improve the range of motion of knee joint and reduce the degree of joint pain,and it is worthy of clinical promotion and application.