消瘀止痛膏外敷联合关节腔穿刺治疗膝关节急性创伤性滑膜炎的临床研究  

Clinical study on the treatment of acute traumatic synovitis of knee joint by external application of Xiaoyu Zhitong plaster combined with joint cavity puncture

作　　者：刘安明 陈丽珍 刘铀宁 刘勇[1] 邱聪 LIU An-ming;CHEN Li-zhen;LIU You-ning(Huangpi District Traditional Chinese Medicine Hospital,Wuhan 430300,China)

机构地区：[1]武汉市黄陂区中医医院,武汉430300

出　　处：《中国中西医结合外科杂志》2025年第2期182-186,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：武汉市中医药科研项目(WZ22Q19)。

摘　　要：目的:探讨消瘀止痛膏外敷联合关节腔穿刺治疗膝关节急性创伤性滑膜炎的临床效果。方法:选取2022年7月—2024年2月我院收治的膝关节急性创伤性滑膜炎患者102例,随机分为观察组与对照组各51例,对照组患者给予关节腔穿刺治疗,观察组在其基础上给予消瘀止痛膏外敷,比较两组患者治疗前后膝关节量表评分、中医证候评分、测量指标、肌骨超声指标及关节液炎症因子的差异。结果:治疗后两组膝关节疼痛视觉模拟量表评分、膝关节WOMAC评分、中医证候评分、膝关节周径、肌骨超声指标、关节液炎症因子(C反应蛋白、白细胞介素-1、白细胞介素-6)水平均较治疗前降低,差异有统计学意义(P<0.05);膝关节Lysholm评分、膝关节活动度均较治疗前升高,差异有统计学意义(P<0.05),且观察组降低/升高程度优于对照组,差异有统计学意义(P<0.05)。结论:消瘀止痛膏外敷联合关节腔穿刺可降低膝关节急性创伤性滑膜炎患者滑膜厚度及关节积液深度,从而改善膝关节活动度,降低关节液炎症因子表达水平。Objective To investigate the clinical effect of Xiaoyu zhitong plaster combined with joint cavity puncture on acute traumatic synovitis of knee joint.Methods A total of 102 patients with acute traumatic synovitis of knee joint were selected from our hospital.The control group was given joint cavity puncture treatment,and the observation group was given Xiaoyu Zhitong plaster on the basis of external application.Knee joint scale scores(Visual Analog Scale score,Lysholm score,WOMAC score),TCM syndrome scores,measurement indicators(knee joint circumference measurement,knee joint motion),musculoskeletal ultrasound indicators(knee joint synovial thickness and joint effusion depth)were observed before and after treatment in two groups.Joint fluid inflammatory factors(hypersensitive C-reactive protein,interleukin-1,interleukin-6).Results After treatment,the knee joint visual analog scale score,knee WOMAC score,TCM syndrome score,knee joint circumference,knee joint synovial thickness,joint effusion depth and joint fluid inflammatory factors were all lower than before treatment,while the knee joint Lysholm score and knee joint motion were all higher than before treatment(P<0.05).The degree of decrease/increase in the observation group was better than that in the control group(P<0.05).Conclusion External application of Xiaoyu Zhitong plaster combined with joint cavity puncture can reduce the thickness of synovial membrane and the depth of joint effusion in patients with acute traumatic synovitis of knee joint,improve the mobility of knee joint and reduce the expression level of inflammatory factors in joint fluid.

关 键 词：消瘀止痛膏 中医外治 关节腔穿刺 膝关节急性创伤性滑膜炎 炎症因子 

分 类 号：R684.3[医药卫生—骨科学] R274.32[医药卫生—外科学]