中药内服外用对关节镜下膝前交叉韧带重建术后早期康复的影响

目的 研究中药内服外用对关节镜下行膝前交叉韧带(ACL)重建术后膝关节功能早期恢复的疗效.方法 选取东莞市中医院骨科2015年3月—2016年4月收治的膝前交叉韧带损伤患者60例,按随机数字表法将患者分为对照组和观察组,各30例.对照组给予单纯常规功能康复训练,观察组则给予术后口服关节通片,并给予中药骨洗一方外洗辅助治疗,配合常规功能康复训练,2组均连续治疗12周.观察2组患者的临床表现改善情况,采用膝关节功能(LYSHOLM)评分进行总体疗效评估;观察术后1、2、4周的膝关节功能恢复情况.结果 治疗后第1、2、4周膝功能疼痛、膝关节围度、关节活动度观察组优于对照组,差异有统计学意义(P<0.05);2组关节稳定性治疗前后比较差异有统计学意义(P<0.01),2组Lysholm膝关节功能评分治疗前后均明显提高,差异具有统计学意义(P<0.05),且观察组优于对照组(P<0.05).结论 对关节镜下行膝ACL重建术后早期使用中药内服加外用法,并结合常规康复训练,可促进患肢疼痛缓解,对尽快恢复膝关节活动功能有重要帮助.

Traditional Chinese medicine internal and external usage of early rehabilitation after ACL reconstruction under arthroscopy

Objective To study the curative effect of internal and external Chinese traditional medicine usage of arthroscopy knee anterior cruciate ligament (ACL) reconstruction under the influence of early recovery of knee joint function.Methods Our hospital orthopaedics in March 2015 to April 2016, included in the standard of 60 patients with knee anterior cruciate ligament injury, they were randomly divided into two groups, each 30 cases. Observation group for postoperative oral joints have Guxiyi decoction, with regular function rehabilitation training, the control of simple routine function rehabilitation training, both groups of 12 weeks treatment, by adopting LYSHOLM scale to evaluate the clinical efficacy, looked at 1,2,4 weeks after surgery of knee joint function rehabilitation.Results After 1,2,4 weeks of treatment, knee pain, knee circumference and joint mobility were better in the observation group than in the control group, the difference was statistically significant(P<0.05); There was significant difference in the stability of the joint before and after treatment(P<0.01),Lysholm knee function score before and after treatment were significantly improved, the difference was statistically significant(P<0.05), and the observation group was better than the control group (P<0.05).Conclusion The arthroscopy downward early postoperative knee ACL reconstruction using internal and external Chinese medicine, combined with the conventional rehabilitation training that can promote limb swelling and relieving pain, as soon as possible to restore the function of the knee joint is very important.