摘要
【目的】探讨消瘀止痛方联合吊伤膏内外兼治气滞血瘀型膝关节创伤性滑膜炎患者的临床疗效。【方法】选取2023年6月至2024年7月在本院诊治的74例气滞血瘀型膝关节创伤性滑膜炎患者,按照随机数字表法分为观察组(接受消瘀止痛方联合吊伤膏治疗)和对照组(接受洛索洛芬钠贴剂联合布洛芬缓释胶囊治疗),每组37例。比较两组治疗前、治疗2周后滑膜厚度分级、Lysholms评分、膝关节活动度与膝关节围度。【结果】治疗2周后,两组滑膜厚度分级及膝关节围度均低于治疗前,且观察组显著低于对照组,差异有统计学意义(P<0.05);治疗2周后,两组Lysholms评分及膝关节屈曲度数均高于治疗前,且观察组显著高于对照组(P<0.05)。【结论】消瘀止痛方联合吊伤膏内外兼治气滞血瘀型膝关节创伤性滑膜炎患者,可有效减轻膝关节滑膜炎症,降低膝关节滑膜厚度、膝关节围度,提升患者膝关节功能,改善膝关节屈曲度数,值得临床推广应用。
【Objective】To explore the clinical efficacy of the Xiaoyu Zhitong Formula combined with the Diaoshang Ointment(plaster external application)in the internal and external treatment of patients with traumatic synovitis of the knee joint caused by qizhi xueyu.【Methods】A total of 74 patients with traumatic synovitis of the knee joint with qizhi xueyu type who were diagnosed and treated in our hospital from June 2023 to July 2024 were selected and divided into the observation group(treated with Xiaoyu Zhitong Formula combined with Diaoshang ointment)and the control group(treated with loxoprofen sodium patch combined with ibuprofen sustained-release capsules)according to the random number table method,with 37 cases in each group.The synovial thickness score,Lysholms score,knee joint range of motion and knee joint circumference of the two groups were compared before treatment and 2 weeks after treatment.【Results】After 2 weeks of treatment,the synovial thickness scores and knee joint circumference in both groups were lower than those before treatment;And these measurements in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).After 2 weeks of treatment,the Lysholms scores and the range of knee flexion in both groups were higher than those before treatment;And the parameters in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】The combination of Xiaoyu Zhitong Formula and Diaoshang Ointment for both internal and external treatment of patients with traumatic synovitis of the knee joint caused by qizhi xueyu can effectively alleviate synovitis of the knee joint,effectively reduce the thickness of the knee joint synovium and the circumference of the knee joint,improve the function of the knee joint of patients,and improve the range of the knee flexion.
作者
钱晋宇
蒋恩宇
詹炜祎
邵铮
钟政贤
孙波
QIAN Jinyu;JIANG Enyu;ZHAN Weiyi(Shanghai Huangpu Area Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200025)
出处
《医学临床研究》
2025年第6期916-919,共4页
Journal of Clinical Research
基金
上海市卫生健康委员会中医药科研项目(编号:2022QN064)。
关键词
滑膜炎
膝关节
膏药疗法
植物药疗法
Synovitis
Knee Joint
Emplastrum Therapy
Phytotherapy
