| 摘要: |
| 目的:探讨自拟舒筋活血方对行关节镜下膝前交叉韧带重建术后患者早期膝关节功能、腱骨愈合及步态周期特征的影响。方法:选取本院2021年6月—2022年6月收治的关节镜下膝前交叉韧带重建术的患者72例，按照其入院顺序分为对照组与观察组各36例。对照组实施关节腔内注射玻璃酸钠联合强化康复训练，而观察组则在此基础上给予自拟舒筋活血方外洗治疗。比较两组患者临床疗效。结果:术后3个月，观察组的视觉模拟评分(VAS)低于对照组[(1.07±0.50)分 vs (3.42±0.35)分]，Lysholm膝关节功能评分高于对照组[(81.20±15.30)分 vs (62.14±13.42)分]，差异有统计学意义(P <0.05)。观察组患者患侧支持相和摆动相，步频和步幅等步态稳定性水平显著优于对照组，差异有统计学意义(P <0.05)，观察组患者螺钉隧道扩大程度、腱-骨节点T2值水平明显优于对照组患者，差异有统计学意义(P <0.05)。结论:关节镜下膝前交叉韧带重建术后接受关节腔内注射玻璃酸钠联合自拟舒筋活血方干预，对早期膝关节功能有积极的影响，可明显改善患者术后步态稳定性与腱骨愈合水平，加快膝关节功能的恢复速度。 |
| 关键词: 自拟舒筋活血方 康复训练 关节镜 前交叉韧带重建术 膝关节功能 |
| DOI：10.3969/j.issn.1007-6948.2024.06.015 |
| 投稿时间：2024-05-30 |
| 基金项目: |
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| Effect of Shujin Huoxue formula on knee function in patients after arthroscopic anterior cruciate ligament reconstruction |
| LI Xing-hua,WANG Yi-wei,CHEN Wei |
| Department of General Surgery, The First Hospital of Qinhuangdao, Qinhuangdao066000，China |
| Abstract: |
| Objective To explore the effect of this formula on early postoperative knee function, tendon bone healing and gait cycle characteristics in patients undergoing arthroscopic anterior cruciate ligament reconstruction. Methods A total of 72 patients admitted to our hospital from June 2021 to June 2022 who underwent arthroscopic anterior cruciate ligament reconstruction were selected and divided into control group and observation group, 36 patients in each group. The control group was given joint injection of sodium hyaluronate combined with intensive rehabilitation training, while the observation group was given combined treatment with self-designed Shujin Huoxue washing formula on this basis. The clinical status of the two groups was compared. Results Three months after operation, VAS score of observation group was lower than that of control group[(1.07±0.50)points vs (3.42±0.35)points], Lysholm knee function score of observation group was higher than that of control group[(81.20±15.30)points vs (62.14±13.42)points], and the comparison differences were statistically significant (P <0.05). The gait stability level of patients in the observation group with equal stride frequency, stride length, affected side support phase and affected side swing 3 months after surgery was significantly better than that in the control group, and the comparison differences were statistically significant(P <0.05). After treatment, the screw tunnel enlargement degree and tenon-bone node T2 value of patients in the observation group were significantly better than those in the control group, all the differences were statistically significant (P < 0.05). Conclusion Intraarticular injection of sodium hyaluronate combined with Shujin Huoxue formula after arthroscopic anterior cruciate ligament reconstruction has a positive image on early knee function, significantly improving postoperative gait stability and tendon and bone healing level of patients, and speed up the recovery of knee function. |
| Key words: Shujn Huoxue formula rehabilitation training arthroscopy anterior cruciate ligament reconstruction knee function |
