肌骨超声引导下富血小板血浆技术联合康复训练对半月板损伤关节镜术后的临床观察

目的探究肌骨超声引导下富血小板血浆(PRP)技术联合康复训练对半月板损伤关节镜术后的临床疗效。方法选取2018年6月-2021年6月期间本院收治的半月板损伤关节镜术患者共计70例,根据随机数表法将患者分为观察组(n=35)和对照组(n=35),两组均接受普通护理及术后康复训练,观察组在此基础上联合肌骨超声引导下PRP技术。比较两组术后6周、12周的VAS评分、膝关节Lysholm评分、膝关节功能恢复评分。结果观察组患者术后6周、12周VAS评分显著低于对照组患者(P<0.05);Lysholm评分显著高于对照组(P<0.05);观察组膝关节灵活度、步行稳定性以及膝关节舒适度评分高于对照组,差异具有统计学意义(P<0.05)。结论肌骨超声引导下PRP技术联合康复训练对半月板损伤关节镜术后患者康复进程疗效良好,能够有效改善膝关节功能。

关节镜下半月板损伤缝合术患者膝关节功能恢复的围术期护理

目的探讨关节镜下半月板损伤缝合术患者的围术期护理。方法方便选取2016年7月—2018年6月间该院收治60例半月板损伤患者,随机分为对照组、研究组均30例。两组均行关节镜下半月板损伤缝合术,对照组围术期实施常规护理,研究组则实施综合护理干预,对比两组术后疼痛、肢体肿胀发生率、并发症发生率及护理满意度。结果研究组术后疼痛、肢体肿胀发生率分别为3.33%、0.00%,低于对照组的13.33%、6.67%(χ^2=6.548、6.900,P<0.05);两组术后并发症发生率分别为3.33%、16.67%(χ^2=9.886,P<0.05);两组护理满意度分别为96.67%、86.67%(χ^2=6.548,P<0.05)。结论对半月板损伤患者而言,关节镜下半月板损伤缝合术是一种理想、可靠的治疗方式,围术期通过实施综合护理干预可有效减少术后疼痛及肢体肿胀的发生,降低并发症发生率,保障手术效果,提高护理满意度,值得临床应用推广。

加速康复外科在关节镜下半月板损伤修复围术期护理中的应用效果观察

目的观察在关节镜下半月板损伤修复围术期护理中应用加速康复外科的效果。方法在我院2017年6月—2018年6月收治的下半月板损伤患者中抽取58例作为研究对象,将其随机分为2组。试验组运用加速康复外科护理,对照组采用临床骨科常规护理,统计并发症发生率、住院时长以及护理满意度。结果对照组患者并发症发生率高于试验组,住院时长长于试验组,护理满意度低于试验组,差异均有统计学意义(P<0.05)。结论在膝关节半月板损伤患者围术期护理中实施加速康复外科护理方式,能够减少并发症发生,缩短住院时间,使护理质量得到提升,从而提高了患者的护理满意度。

关节镜下半月板损伤缝合术患者实施循证护理的效果分析

目的分析关节镜下半月板损伤缝合术患者实施循证护理的效果.方法选取我院关节镜下半月板损伤缝合术患者96例,依照建档时间不同分组,各48例.对照组接受常规护理干预,观察组在对照组基础上接受循证护理干预,比较两组干预前后膝关节功能、遵医行为.结果干预后,观察组膝关节功能Lysholm评分较对照组高(P<0.05);干预后,观察组遵医行为较对照组高(P<0.05).结论循证护理应用于关节镜下半月板损伤缝合术患者,能提高患者遵医行为,有效改善膝关节功能.

Efficacy of mild moxibustion combined with surgery for meniscal injury and its effect on TGF-β1 and PDGF levels in the fluid of knee joint

Objective To observe the efficacy of mild moxibustion combined with arthroscopic meniscal repair in the treatment of meniscal injury and to explore its action mechanism.Methods Ninety-eight patients with meniscal injury were divided into a surgery group and a moxibustion plus surgery group by the random number table method,with 49 cases in each group.Both groups received arthroscopic meniscal repair,and the moxibustion plus surgery group was treated with add-on mild moxibustion.The Lysholm score,visual analog scale(VAS)score,and mobility of the affected knee were measured before and after treatment,and transforming growth factor(TGF)-β1 and platelet-derived growth factor(PDGF)levels were measured in the fluid of the affected knee joint.The healing of the meniscus was recorded at a follow-up visit 3 months after the surgery.Results After treatment,the Lysholm score increased,the VAS score decreased in both groups,and the intra-group differences in both groups were statistically significant(P<0.05).The Lysholm score was higher in the moxibustion plus surgery group than in the surgery group,and the VAS score was lower in the moxibustion plus surgery group than in the surgery group.The differences between groups in both scores were statistically significant(P<0.05).The mobility of the affected knee joint increased in both groups(P<0.05),and it was greater in the moxibustion plus surgery group than in the surgery group(P<0.05).When compared with pretreatment,the levels of TGF-β1 and PDGF in the fluid of the knee joint increased in both groups(P<0.05),and the levels of TGF-β1 and PDGF in the fluid of the affected knee joint were higher in the moxibustion plus surgery group than in the surgery group(P<0.05).The healing of the meniscus in the moxibustion plus surgery group was significantly better than that in the surgery group at the follow-up visit 3 months after the surgery(P<0.05).Conclusion The effect of mild moxibustion combined with arthroscopic meniscal repair is better than the surgery alone in improving knee function,relieving pain,increasing mobility of the affected knee,and promoting meniscal healing,which may be related to the up-regulation of TGF-β1 and PDGF levels in the fluid of knee joint.