新伤湿敷液治疗关节镜下前交叉韧带重建术后膝关节肿胀疗效观察  

Curative effect of new injury wet compress on joint swelling after anterior cruciate ligament reconstruc-tion under arthroscope

作　　者：张梓帆 徐昭乐 Zhang Zifan;Xu Zhaole(Graduate School,Hunan University of Traditional Chinese Medicine,Changsha,Hunan 410208,China;Depart-ment of Sports Medicine,Changde Hospital Affiliated to Hunan University of Traditional Chinese Medicine,Changde,Hunan 415000,China)

机构地区：[1]湖南中医药大学研究生院,湖南长沙410208 [2]湖南中医药大学附属常德医院运动医学科,湖南常德415000

出　　处：《中国药物与临床》2024年第12期806-809,共4页Chinese Remedies & Clinics

摘　　要：目的探究新伤湿敷液治疗关节镜下前交叉韧带(ACL)重建术后膝关节肿胀疼痛的临床疗效。方法选取2022年1月至2023年9月在湖南中医药大学附属常德医院行关节镜下ACL重建术后患者60例,使用随机数字表法分为对照组与治疗组,每组30例,对照组术后在遵循PRICE原则基础上予常规对症治疗,治疗组在此基础上加用新伤湿敷液外敷。通过疼痛视觉模拟量表(VAS)评分及膝关节肿胀值、膝关节屈伸活动度(ROM)评价2组患者术后不同时间节点患膝肿胀疼痛及活动度改善情况。结果术后第1天,2组VAS评分差异具有统计学意义(P<0.05),且治疗组VAS评分小于对照组;术后第3天与术后第7天,膝关节肿胀值、VAS评分治疗组与对照组组间差异具有统计学意义(P<0.05);患者术后第3、5、7天膝关节ROM改善治疗组均优于对照组,组间差异有统计学意义(P<0.05)。术后疗效比较治疗组优于对照组(P<0.05)。结论新伤湿敷液治疗能有效改善膝关节镜下ACL重建术后关节肿胀、疼痛,促进功能康复。Objective To explore the clinical effect of new injury wet compress on knee swelling and pain after arthroscopic anterior cruciate ligament(ACL)reconstruction.Methods A total of 60 patients with arthroscopic ACL reconstruction were selected and divided into control group and treatment group with 30 cases in each group by random number table method in Changde Hospital Affiliated to Hunan University of Traditional Chinese Medicine from January 2022 to September 2023.The control group received conventional symptomatic treatment based on the PRICE principle after surgery,and the treatment group was treated with new wound wet compress on the basis of this.The visual analogue scale(VAS)score,knee swelling value and knee range of motion(ROM)were used to evaluate the improvement of knee swelling pain and motion at different time points in the two groups after surgery.Results On the first day after surgery,there was a statistically significant difference in VAS score between the two groups(P<0.05),and the VAS score of the treatment group was lower than that of the control group.At the 3rd and 7th day after surgery,there were statistically significant differences in knee swelling and VAS scores between the treatment group and the control group(P<0.05),and the relevant indexes in the treatment group were lower than those in the control group.The improvement of knee flexion and extension motion(ROM)at the 3rd,5th and 7th day after surgery in the treatment group was better than that in the control group,and the difference between the two groups was statistically significant(P<0.05).The treatment group was better than the control group(P<0.05).Conclusion The treatment of new injury wet compress can effectively improve the joint swelling and pain after arthroscopic ACL reconstruction,and promote functional rehabilitation.

关 键 词：前交叉韧带重建 膝关节 功能康复 新伤湿敷液 

分 类 号：R687.4[医药卫生—骨科学]