复元活血汤结合康复训练对膝关节前交叉韧带重建术膝关节疼痛和膝关节功能的影响

Effect of Fuyuan Huoxue Decoction Combined with Rehabilitation Training on Knee Pain and Knee Function in Patients with Anterior Cruciate Ligament Reconstruction

目的探究复元活血汤结合康复训练在行膝关节前交叉韧带重建术患者中的干预价值。方法选择本院2022年1月-2024年3月收治的136例接受膝关节前交叉韧带重建术的患者作为本次研究对象,严格按照随机数字表法分为两组,对照组接受常规康复治疗,研究组接受复元活血汤结合康复训练,各组均68例,均连续干预,对比两组疼痛情况[应用视觉模拟评分法(VAS)评价]、膝关节功能(使用Lysholm膝关节评分评价)、关节情况(如关节肿胀程度与膝关节活动度)与生活质量[运用生活质量调查问卷量表(SF-36)评价]。结果手术前,两组VAS评分、Lysholm膝关节评分差异无统计学意义(P>0.05),手术后1周与出院时,VAS评分均下降且研究组均低于对照组;Lysholm膝关节评分均升高,且研究组较对照组高(P<0.05)。研究组关节肿胀程度在数值上小于对照组,膝关节活动度高于对照组(P<0.05)。手术前、后比较,两组生活质量各维度评分均升高,且研究组高于对照组(P<0.05)。结论将复元活血汤结合康复训练应用在行膝关节前交叉韧带重建术患者中可缓解其疼痛、改善其膝关节功能,改善关节肿胀程度、提高膝关节活动度、提升生活质量,值得在临床上推广使用。

Objective Exploring the intervention value of Fuyuan Huoxue Decoction combined with rehabilitation training in patients undergoing anterior cruciate ligament reconstruction of knee joint.Methods A total of 136 patients who underwent anterior cruciate ligament reconstruction surgery in our hospital from January 2022 to March 2024 were selected as the subjects of this study.They were strictly divided into two groups according to the random number table method.The control group received routine rehabilitation treatment,while the study group received Fuyuan Huoxue Decoction combined with rehabilitation training.There were 68 patients in each group who received continuous intervention.The two groups were compared in terms of pain[evaluated by applying the visual analog scale(VAS)],knee function(evaluated by using the Lysholm knee score),joint conditions(such as the degree of joint swelling versus knee mobility),and quality of life[evaluated by using the quality of life questionnaire scale(SF-36)].Results Before the surgery,there was no significant difference in VAS scores and Lysholm knee scores between the two groups(P>0.05);One week after surgery and upon discharge,VAS scores decreased and the study group was lower than the control group;Lysholm knee scores were elevated in all cases and were higher in the study group than in the control group(P<0.05).The degree of joint swelling was numerically less in the study group than in the control group,and knee mobility was higher than in the control group(P<0.05).Comparing pre-and post-surgery,the scores of all dimensions of quality of life were elevated in both groups and were higher in the study group than in the control group(P<0.05).Conclusion The application of Fuyuan Huoxue Decoction combined with rehabilitation training in patients undergoing knee anterior cruciate ligament reconstruction can relieve their pain,improve their knee function,improve the degree of joint swelling,improve knee mobility,and enhance the quality of life,which is worthy of popularization and using in the clinic.