活血祛瘀外治法配合功能训练治疗骨折后膝关节僵直的临床研究  

Clinical Study on Knee Joint Stiffness after Fracture by Activating Blood Circulation to Dissipate Blood Stasis External Treatment Combined with Knee Stiffness Function Training

作　　者：郭鹏飞[1] 周敬杰[1] 韩良[1] 李书钢[1] 

机构地区：[1]徐州市中心医院,江苏徐州221000

出　　处：《中医药导报》2016年第17期88-90,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:探讨活血祛瘀外治法配合功能训练治疗骨折后膝关节僵直的临床效果。方法:将70例骨折后膝关节僵直患者随机分成治疗组和对照组。两组均给予功能训练,治疗组在此基础上,给予自拟中药熏洗治疗,以7 d为1个疗程,连续治疗3个疗程后,观察比较患者治疗前后膝关节功能、膝关节活动度以及膝关节最大屈曲的疼痛程度。结果:治疗组总有效率为94.3%,显著高于对照组总有效率77.1%(P<0.05);两组治疗后HSS评分和Lysholm评分均显著升高(P<0.05),且治疗组治疗后HSS评分和Lysholm评分均显著高于对照组(P<0.05);两组治疗后VAS评分均呈不断降低的趋势(P<0.05);且治疗组治疗后VAS评分显著低于对照组(P<0.05);两组治疗后膝关节屈曲度、伸直度及屈伸弧度均呈现不断增大的趋势(P<0.05);且治疗组治疗后膝关节屈曲度、伸直度及屈伸弧度均显著大于对照组(P<0.05)。结论:中药熏洗配合功能训练治疗骨折后膝关节僵直,能够有效改善膝关节功能,提高膝关节活动度,安全可靠,经济方便。Objective： To explore the clinical effect of activating blood circulation to dissipate blood stasis external treatment combined with knee stiffness function training on knee joint stiffness after fracture. Methods： The 70 cases of patients with knee joint stiffness after fracture were randomly divided into treatment and control groups. Patients were given functional training in two groups. And patients were treated with self-made traditional Chinese medicine external treatment in treatment group, with seven days as a course of treatment. The knee function and knee joint activities and maximum knee flexion pain were analyzed and compared before and after continuous treatment in three courses. Results： The total effective rate was 94.3% in treatment group, which was significantly higher than that of the control group of 77.1% （P〈0.05）; The HSS score and Lysholm score were significantly increased in two groups after treatment （P〈0.05）, and the treatment group showed higher HSS score and Lysholm score than the control group （P〈0.05）; The VAS score showed a decreasing trend in two groups after treatment （P〈0.05）, and the treatment group showed lower VAS score than the control group （P〈0.05）. The knee flexion, extension and flexion extension showed increasing trend n two groups after treatment （P〈0.05）, and the treatment group showed higher knee flexion, extension and flexion extension than the control group （P〈0.05）. Conclusion： The application of activating blood circulation to dissipate blood stasis external treatment combined with knee stiffness function training in treat with knee joint stiffness after fracture can effectively improve the function of knee joint, and improve the knee joint activity. It is safe, reliable, economical and convenient.

关 键 词：膝关节僵直 中药熏洗 功能训练 HSS评分 Lysholm评分 

分 类 号：R274.1[医药卫生—中医骨伤科学]