活血消肿汤治疗膝关节镜术后膝关节肿胀58例临床疗效观察

发布时间：2018-03-22 05:06

  本文选题：半月板损伤　切入点：膝关节镜术后　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:探讨活血消肿汤治疗膝关节镜术后膝关节肿胀的临床疗效。方法:选取2013年5月-2015年12月期间,辽宁中医药大学附属医院骨二科收治的58例膝关节半月板损伤且经膝关节镜治疗的患者,随机分为:对照组29例,男性9人,女性20例,年龄29岁-85岁,平均年龄47.3岁,术后采用局部冷疗;治疗组29例,其中男性4,女性25例,年龄29岁-67岁,平均年龄51.9岁,术后在对照组的基础上口服活血消肿汤治疗。观测两组患者术后5天、7天患侧膝关节屈曲角度,以及两组患者在术后1天、3天、5天、7天膝关节肿胀程度,并进行相关的统计学分析。结果:1.两组在年龄、术后第一天患膝关节肿胀值、膝关节屈曲角度比较差异无统计学意义。2.治疗组术后第1、3、5、7天膝关节肿胀值分别是(5.19±0.97)、(4.18±1.26)、(2.07±0.90)、(0.69±0.67)。对照组术后第1、3、5、7天膝关节肿胀值分别是(5.07±0.99)、(4.12±1.29)、(2.26±0.96)、(1.24±1.23),两组患者治疗后3天、5天膝关节肿胀值比较,P均0.05,差异无统计学意义,7天后两组肿胀值比较P0.05,差异有统计学意义。3.治疗组术前膝关节屈曲角度为(35.49±3.15),术后5天、7天膝关节屈曲角度分别是(92.9±10.03)、(114.91±12.95)。对照组术前屈曲角度为(35.55±3.41),术后5天、7天膝关节屈曲角度分别是(88.62±13.22)、(105.91±14.86)。两组患者治疗5天后膝关节屈曲角度比较,P0.05,差异无统计学意义;治疗7天后,差异有统计学意义(P0.05)。结论:应用活血消肿汤治疗膝关节镜术后膝关节肿胀有较好的疗效。且运用中药治疗更经济,效果好,患者更易接受。充分发挥了中医的特点。不仅局限单纯的西医治疗,中西医的结合,能推动医疗体系更加全面的发展。
[Abstract]:Objective: to investigate the clinical effect of Huoxue Xiaozhong decoction on knee joint swelling after knee arthroscopy. Methods: from May 2013 to December 2015, Fifty-eight patients with meniscus injury of knee joint treated by knee arthroscope were randomly divided into two groups: control group (29 cases), male (9 cases), female (20 cases), aged 29 to 85 years (mean age 47.3 years). There were 29 cases in the treatment group, male 4, female 25, age 29 to 67 years old, mean age 51.9 years old. The knee flexion angle of the affected side was observed 5 days after operation and 7 days after operation, and the degree of knee joint swelling in the two groups was observed at 1 day, 3 days, 5 days and 7 days after operation, and the patients in the two groups were treated with Huoxue Xiaozhong decoction after operation. The results showed that the two groups had knee joint swelling at age and on the first day after operation. There was no significant difference in knee flexion angle. The knee joint swelling values in the treatment group were 5.19 卤0.97, 2.07 卤0.90 and 0.69 卤0.67 on the 7th day after operation, respectively. In the control group, the swelling values of the knee joint were 5.07 卤0.99, 4.12 卤1.29 and 2.26 卤1.23, respectively. In the control group, the swelling value of the knee joint was 5.07 卤0.99, 4.12 卤1.29 and 2.26 卤1.23, respectively, and the swelling of the knee joint in the control group was 5.07 卤0.99 on the 5th day after treatment. There was no significant difference in swelling value between the two groups after 7 days. The difference was statistically significant. 3. The preoperative flexion angle of knee joint was 35.49 卤3.15 in the treatment group, and the flexion angle of the knee joint in the treatment group was 92.9 卤10.03 and 114.91 卤12.955.The knee flexion angle was 92.9 卤10.03nil / 7 days after operation in the treatment group and the knee joint flexion angle in the control group was 114.91 卤12.955.The knee flexion angle before operation was 35.49 卤3.15, respectively. The flexion angle of knee joint was 35.55 卤3.41, and the flexion angle of knee joint was 88.62 卤13.22 and 105.91 卤14.860.There was no significant difference between the two groups after 5 days of treatment (P 0.05). After 7 days of treatment, the difference was statistically significant (P 0.05). Conclusion: Huoxue Xiaozhong decoction has better curative effect on knee joint swelling after knee arthroscopy. Patients are more receptive. They give full play to the characteristics of traditional Chinese medicine. Not only the simple Western medicine treatment, but also the combination of traditional Chinese and Western medicine can promote the development of the medical system in a more comprehensive way.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
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本文编号：1647172