通络止痛酊溻渍联合红外线照射治疗膝关节镜术后并发症临床研究
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R684

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河南省中医药科学研究专项课题(20-21zy2223)


Clinical Study on Moisten Compress with Tongluo Zhitong Tincture and Infrared Radiation for Postoperative Complications After Knee Arthroscopy
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    摘要:

    目的:观察通络止痛酊溻渍联合红外线照射治疗膝关节镜术后并发症的临床疗效。方法:选取符合膝骨关节炎早、中期诊断并符合手术指征且同意行膝关节镜手术的患者90 例,按随机数字表法分为红外线组、塌渍组和联合组各30 例。红外线组术后给予红外线照射治疗,塌渍组术后给予通络止痛酊溻渍治疗,联合组术后给予通络止痛酊溻渍联合红外线照射治疗,共治疗2 周。术后当天、术后1 周和术后2 周分别行视觉模拟评分法(VAS) 评分、膝关节功能评分(KSS),并检测膝关节肿胀程度和关节积液深度,评价临床疗效。结果:联合组总有效率为100%,分别高于红外线组83.33%和塌渍组93.33%,差异均有统计学意义(P<0.05)。术后当天,联合组VAS 评分低于红外线组(P<0.05)。术后1 周,塌渍组VAS 评分低于红外线组(P<0.05),联合组VAS 评分低于红外线组和塌渍组(P<0.05)。术后2 周,塌渍组和联合组VAS 评分低于红外线组(P<0.05)。术后当天,塌渍组和联合组KSS 功能评分高于红外线组(P<0.05)。术后1 周,塌渍组KSS 功能评分高于红外线组(P<0.05),联合组KSS 功能评分高于红外线组和塌渍组(P<0.05)。术后2 周,塌渍组KSS 功能评分高于红外线组(P<0.05),联合组KSS功能评分高于红外线组和塌渍组(P<0.05)。术后当天,红外线组、塌渍组、联合组膝关节肿胀程度比较,差异无统计学意义(P>0.05)。术后1 周,塌渍组和联合组膝关节肿胀程度轻于红外线组(P<0.05)。术后2 周,塌渍组膝关节肿胀程度轻于红外线组(P<0.05),联合组膝关节肿胀程度轻于红外线组和塌渍组(P<0.05)。术后当天,红外线组、塌渍组、联合组膝关节积液深度比较,差异无统计学意义(P>0.05)。术后1 周,联合组膝关节积液深度低于红外线组(P<0.05)。术后2 周,联合组膝关节积液深度低于红外线组和塌渍组(P<0.05)。结论:通络止痛酊溻渍联合红外线照射治疗能够有效缓解膝关节镜术后并发症,明显减轻肿胀、疼痛等症状,减少关节积液,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of the moisten compress with Tongluo Zhitong tincture and infrared radiation on patients with postoperative complications after knee arthroscopy. Methods: A total of 90 patients diagnosed with osteoarthritis at early and middle stages and met with surgical indications who agreed to undergo knee arthroscopy were selected. According to the random number table method,patients were divided into the infrared radiation group, the moisten compress group and the combination group respectively, with 30 cases in each group. The infrared radiation group was treated with infrared radiation after surgery; the moisten compress group was treated with moisten compress with Tongluo Zhitong tincture after surgery,and the combination group was treated with both moisten compress with Tongluo Zhitong tincture and infrared radiation. The treatment of the three groups lasted for two weeks. The score of Visual Analogue Scale(VAS) and Knee Function Score(KSS) were performed on the day after surgery,one week after surgery and two weeks after surgery,respectively. The degree of knee joint swelling and the depth of joint effusion were detected and the clinical effects were evaluated. Results:The total effective rate was 100% in the combination group,respectively higher than that of 83.33% in the infrared radiation group and 93.33% in the moisten compress group, differences being significance(P<0.05). On the day after surgery,the VAS score in the combination group was lower than that in the infrared radiation group(P<0.05). One week after surgery,the VAS score in the moisten compress group was lower than that in the infrared radiation group(P<0.05),and the VAS score in the combination group was respectively lower than that in the infrared radiation group and the moisten compress group(P<0.05). Two weeks after surgery,the respective VAS score in the moisten compress and the combination group was lower than that in the infrared radiation group(P<0.05). On the day after surgery, the respective KSS function score in the moisten compress group and the combination group was higher than that in the infrared radiation group(P<0.05). One week after surgery,the KSS function score in the moisten compress group was higher than that in the infrared radiation group(P<0.05), and the KSS function score in the combination group was respectively higher than that in the infrared radiation group and the moisten compress group(P<0.05). Two weeks after surgery,the KSS function score in the moisten compress group was higher than that in the infrared radiation group(P<0.05), and the KSS function score in the combination group was respectively higher than that in the infrared radiation group and the moisten compress group(P<0.05). On the day after surgery,there was no significant difference in the degree of knee joint swelling between the three groups(P>0.05). One week after surgery, the respective degree of knee joint swelling in the moisten compress group and the combination group was lower than that in the infrared radiation group(P<0.05). Two weeks after surgery,the degree of knee joint swelling in the moisten compress group was lower than that in the infrared radiation group (P<0.05), and the degree of knee joint swelling in the combination group was respectively lower than that in the infrared radiation group and the moisten compress group(P<0.05). On the day after surgery,there was no significant difference in the depth of knee joint effusion between the three groups(P>0.05). One week after surgery,the depth of knee joint effusion in the combination group was lower than that in the infrared radiation group(P<0.05). Two weeks after surgery,the depth of knee joint effusion in the combination group was respectively lower than that in the infrared radiation group and the moisten compress group(P<0.05). Conclusion: The therapy of the moisten compress with Tongluo Zhitong tincture and infrared radiation can effectively relieve the postoperative complications after knee arthroscopy,obviously reduce swelling,pain and other symptoms,reduce joint effusion and improve the clinical effect.

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韩崇涛,赵永杰,阎晓霞,李向坦,徐迎锋.通络止痛酊溻渍联合红外线照射治疗膝关节镜术后并发症临床研究[J].新中医,2022,54(9):95-99

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  • 在线发布日期: 2022-05-09
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