消肿止痛方治疗膝关节镜术后早期肿痛临床研究

Clinical Study on Xiaozhong Zhitong Prescription for Early Swelling and Pain after Knee Arthroscopy

目的:探讨张培祥经验方消肿止痛方治疗膝关节镜术后肿痛的临床疗效。方法:将在本院行关节镜下清扫术的膝关节退行性病变患者60例,随机分为2组各30例。对照组采用20%甘露醇静滴及西乐葆口服治疗,治疗组采用消肿止痛方内服治疗;疗程均为1周,观察比较2组临床疗效及术后疼痛、肿胀改善情况。结果:总有效率治疗组为93.33%,对照组为73.33%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组疼痛VAS评分均较治疗前降低(P <0.05),且治疗组评分低于对照组(P <0.05)。治疗后第2、4、7天,治疗组髌骨上极2 cm周径、髌骨中点周径、腓肠肌最粗点周径均小于对照组,差异均有统计学意义(P <0.05)。结论:消肿止痛方治疗膝关节术后肿痛临床疗效显著,值得临床推广。

Objective:To explore the clinical effect of ZHANG Peixiang’s experienced prescription,namely Xiaozhong Zhitong prescription,for early swelling and pain after knee arthroscopy. Methods:Divided 60 cases of patients with knee joint degeneration who underwent arthroscopic dissection in our hospital into the two groups randomly,30 cases in each group.The control group received mannitol in 20% via intravenous drip and celecoxib via oral administration,while the treatment group received the oral administration of Xiaozhong Zhitong prescription. The course of treatment both lasted for 1 week.Observed and compared the clinical effect and improvements of postoperative pain and swelling in both groups. Results:The total effective rate was 93.33% in the treatment group and 73.33% in the control group,difference being significant(P < 0.05).After treatment,scores of VAS in both groups were lower than those before treatment(P < 0.05),and the scores in the treatment group were lower than those in the control group(P < 0.05). On the 2nd,4th and 7th days after treatment,the 2-centimeter circumference of the superior pole of patella,the circumference of patella center and the circumference of thickest point in gastrocnemius in the treatment group were respectively shorter than those in the control group,differences being significant(P < 0.05). Conclusion:Xiaozhong Zhitong prescription has significant clinical effect in treating early swelling and pain after knee arthroscopy,which is worthy of clinical promotion.