红花化瘀汤中医特色技术干预方案对膝关节镜术后患者康复的效果研究  

Effect of Honghua Huayu Decoction on rehabilitation in patients with arthroscopic knee surgery

作　　者：李杰 崔丽红[2] 杨云菲 LI Jie;CUI Lihong;YANG Yunfei(Department of Orthopedics,Cangzhou Hospital of Integrated TCM-WM Hebei,Cangzhou,Hebei 061000;Department of Sports Medicine,Cangzhou Hospital of Integrated TCM-WM Hebei,Cangzhou,Hebei 061000)

机构地区：[1]河北省沧州中西医结合医院骨科,河北沧州061000 [2]河北省沧州中西医结合医院运动医学科,河北沧州061000

出　　处：《河北中医》2025年第4期548-552,557,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省沧州市科技计划项目(编号:162302098)。

摘　　要：目的观察红花化瘀汤中医特色技术干预方案对膝关节镜术后患者康复的影响。方法选择2022年1月至2023年12月收治的140例行膝关节镜手术治疗患者为研究对象,通过随机抽签法分为对照组与试验组,每组70例。对照组采取常规膝关节镜手术围术期管理,试验组在对照组的基础上加用以中药红花化瘀汤为处方的中医特色技术干预方案治疗。比较2组治疗前后疼痛视觉模拟评分法(VAS)评分、肿胀程度、Lysholm膝关节功能量表(LKSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、失眠严重指数量表(ISI)评分、匹兹堡睡眠质量量表(PSQI)评分、健康调查简表(包括生活功能、躯体功能、物质功能、心理功能)评分及炎症因子白细胞介素1(IL-1)、IL-6、超敏C反应蛋白(hs-CRP)水平变化情况。结果与本组治疗前比较,2组治疗后疼痛VAS评分均降低(P<0.05),肿胀程度均减轻(P<0.05),LKSS评分均升高(P<0.05),且试验组治疗后疼痛VAS评分、肿胀程度及LKSS评分改善程度均优于对照组(P<0.05)。与本组治疗前比较,2组治疗后SAS评分、SDS评分均降低(P<0.05),且试验组治疗后SAS评分、SDS评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后ISI评分、PSQI评分均降低(P<0.05),且试验组治疗后ISI评分、PSQI评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后健康调查简表心理功能、躯体功能、物质功能、生活功能评分均升高(P<0.05),且试验组治疗后健康调查简表各项评分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后炎症因子IL-1、IL-6、hs-CRP水平均降低(P<0.05),且试验组治疗后IL-1、IL-6、hs-CRP水平均低于对照组(P<0.05)。结论以中药红花化瘀汤为处方的中医特色技术干预方案可有效减轻膝关节镜术后患者疼痛症状,改善膝关节功能,减轻焦虑、抑郁程度,改善生活质量与睡眠质量,缓解炎症反应。Objective To study the clinical effect of Honghua Huayu Decoction on rehabilitation in patients with arthroscopic knee surgery.Methods A total of 140 patients who received arthroscopic knee surgery in hospital from January 2022 to December 2023 were randomly assigned into experimental group(n=70)and control group(n=70).All patients were managed by routine perioperative intervention,and those in experimental group were additionally given traditional Chinese medicine(TCM)Honghua Huayu Decoction.The visual analogue scale(VAS),swelling degree,Lysholm Knee Scoring Scale(LKSS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Insomnia Severity Index(ISI),Pittsburgh Sleep Quality Scale(PSQI),36-item Short Form Health Survey(SF-36)(including life function,physical function,material function,psychological function)and interleukin 1(IL-1),IL-6,high-sensitivity C-reactive protein(hs-CRP)levels were included as comparators.Results After intervention,significantly decreased VAS score,reduced swelling degree,increased LKSS score,decreased scores of SAS,SDS,ISI and PSQI,increased SF-36 score,decreased levels of IL-1,IL-6 and hs-CRP were found in the both groups(all P<0.05),and the experimental group was superior to the control group the above indexes(all P<0.05).Conclusion TCM intervention with Honghua Huayu Decoction for patients with arthroscopic knee surgery can effectively relieve pain symptoms,improve knee joint function,reduce anxiety and depression,improve quality of life and sleep,and relieve inflammatory responses.

关 键 词：膝关节 腔镜手术 中药疗法 术后康复 

分 类 号：R684.76[医药卫生—骨科学]