自拟活血利水汤联合膝关节镜术治疗退行性半月板损伤的临床观察  

The clinical observation for the treatment of degenerative meniscusinjury by self⁃made decoction of activat⁃ing blood and dieresis combining with knee arthroscopy

作　　者：陈凯 马勇[1] CHEN Kai;MA Yong(First Clinical Medical College of Nanjing University of Chinese Medicine,Nanjing 210000,China;Department of Orthopedics,Danyomg Hospital of Traditional Chinese Medicine,Danyomg 212300,China)

机构地区：[1]南京中医药大学第一临床医学院,南京210000 [2]丹阳市中医院骨伤科,江苏丹阳212300

出　　处：《实用医学杂志》2023年第6期768-772,共5页The Journal of Practical Medicine

基　　金：江苏高校优势学科(中西医结合)建设工程资助项目(编号:苏政办发[2018]87号)。

摘　　要：目的观察自拟活血利水汤联合膝关节镜术治疗退行性半月板损伤的临床疗效。方法选取2018年2月至2020年2月期间在丹阳市中医院进行关节镜手术的60例退行性半月板损伤患者,分为对照组和治疗组每组各30例。对照组术后予抗凝、补液等治疗,治疗组在抗凝、补液的基础上,予活血利水法自拟汤剂口服,连续服用4周,术后随访6个月。比较两组术后临床疗效、凝血指标、肿胀值,两组在术前、术后2周、术后6个月Lysholm评分、VAS评分变化。结果治疗组临床显效率高于对照组(P<0.05);术后1周的两组凝血指标(PT、APTT)较术前延长,且治疗组时间较对照组延长(P<0.05);两组肿胀值在术后第3、7天比术后第1天持续性降低(P<0.05),在术后第3、7天,治疗组低于对照组(P<0.05);两组Lysholm评分、VAS评分在术后2、4周、6个月评分明显优于治疗前,差异有统计学意义,且治疗组在术后2、4周优于对照组(P<0.05)。结论膝关节镜术治疗退行性半月板损伤临床有效,应用自拟活血利水汤可有效减轻膝关节术后早期肿胀,改善凝血功能,促进膝关节功能的恢复。Objective Observe the clinical curative effects for the treatment of degenerative meniscus injury by self⁃made decoction of activating blood and dieresis combining with knee arthroscopy.Methods From February 2018 to February 2020,60 patients with degenerative meniscus injuries who will undergo knee arthroscopy at Danyang Hospital of Traditional Chinese Medicine will be divided into two groups:control and treatment,with 30 patients in each.After the knee art hroscopy,the control group received the treatment of anticoagulation and fluid replacement;while based on the treatment of anticoagulation and fluid replacement,the treatment group also orally took medicine of activating blood and dieresis prepared the hospital for 4 weeks continuously,the follow⁃up survey took 6 months.Postoperative curative effects,anticoagulation index,swelling value,changes in Lyscholm knee score scale,and VAS score are compared for 2 weeks before and after the operation,as well as 6 months after the operation.Results The total effective rate of the treatment group is higher thanthat of the control group(P<0.05);two groups of anticoagulation index one week after the operation(PT,APTT)are postponed than the pre⁃operation ones,and duration of the treatment group is longer than the control group(P<0.05);two groups of swelling value were reduced continuously on the 3rd and 7th day after the operation than the first day after the operation(P<0.05).On the 3rd and 7th day after the operation,the value of treatment group is lower than those of the control group(P<0.05);two groups of Lyscholm knee score scale and VAS score(2 weeks and 4 weeks after the opera⁃tion,6 months after the operation)are obviously better than the value before the treatment,the differences have statistical significance,and treatment group(2 weeks and 4 weeks after the operation)is better than the control group.(P<0.05).Conclusion The treatment of degenerative meniscus injury by means of knee arthroscopy is effective,the application of activating blood and dieresis ca

关 键 词：活血利水汤 膝关节镜术 退行性半月板损伤 临床疗效 

分 类 号：R684[医药卫生—骨科学]