养肝柔筋方预防膝关节周围骨折术后关节粘连的临床效果  

The clinical effects of Yanggan Roujin Prescription on preventing knee joint adhesion after fracture around the knee joint

作　　者：陈凯龙 王志勇 王立胜 

机构地区：[1]深圳市宝安区中心医院骨科,广东深圳518102

出　　处：《包头医学院学报》2015年第6期110-112,共3页Journal of Baotou Medical College

摘　　要：目的:探讨养肝柔筋方预防膝关节周围骨折术后关节粘连的临床效果。方法:选取近2年进行膝关节周围骨折术的患者病例共150例,随机分成观察组和对照组,对照组用常规的消肿止痛和适当的运动进行治疗,观察组在对照组治疗的基础上配合口服中药养肝柔筋方进行预防和治疗术后出现的关节粘连。观察记录两组患者的治疗效果、膝关节Lysholm评分和膝关节的活动范围。结果:观察组患者膝关节Lysholm评分和膝关节的活动范围均高于对照组,两组比较差异具有统计学意义(P<0.01)。观察组患者术后恢复治疗效果评价中优良率为86.7%,高于对照组65.3%,两组间相比差异有统计学意义(P<0.01);总有效率观察组为96%,也高于对照组的92%,两组间相比,差异有统计学意义(P<0.05)。结论:采用常规的治疗方法并配合养肝柔筋方对预防膝关节周围骨折术后关节粘连具有明显效果。Objective：To study the clinical effects of Yanggan Roujin Prescription in patients after surgery for fracture around the knee joint . Methods：150 patients after surgery for fracture around the knee joint were randomly divided into the treatment group （75 patients） and the control group （75 patients）.The treatment group was treated with Yanggan Roujin Prescription after the routine treatment, while the control group was treated with the conventional therapy, with the efficacy, the Lysholm Knee score and the scope of the knee joint activity of the two groups com-pared.Results：The Lysholm Knee score and the scope of the knee joint activity of the treatment group were significantly higher than those of the control group （ P 〈0.01）;the efficacy of the treatment group （86.7 %） was significantly higher than that of the control group （65.3 %）.The difference was significant （ P 〈0.01）.The total effective rate of the treatment group （96 %） was also higher than that of the control group （92%）, the difference being significant （ P 〈0.05）.Conclusion：the efficacy of Yanggan Roujin Prescription based on the routine treatment in pa-tients after surgery for fracture around the knee joint was significant .

关 键 词：养肝柔筋方 膝关节周围骨折术 关节粘连 临床效果 

分 类 号：R687.3[医药卫生—骨科学]