膝关节镜术后应用骨通贴膏的疗效研究
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摘要
目的研究膝关节镜术后使用骨通贴膏的疗效。方法 122例患者分为2组,在膝关节镜术后分别使用骨通贴膏与安慰剂膏药局部帖敷。观察帖敷1d至28d的肿胀与疼痛,以及术前与术后半年的a Ks评分。结果 d1,d3,d7,d14时,2组疼痛程度差异有统计学意义。d28时,2组疼痛程度无统计学意义。d3,d7,d14时,2组肿胀程度有统计学意义;d1及d28时,2组肿胀程度差异无统计学意义。术前及术后半年的a Ks评分差别均无统计学意义。结论骨通贴膏可以改善膝关节镜术后疼痛与肿胀。
Objective to study the effect of Gutong plaster after knee arthroscopy. Methods one hundred and twenty-two patients were divided into two groups and treated with Gutong paste and placebo plaster separately after knee arthroscopy. swelling and pain were observed between 1 d and 28 d postoperatively, and a Ks scores of preoperative and postoperative six months. Results d1, d3, d7, d14, the two groups had statistically significant differences in the degree of pain. At d28, there was no statistically significant difference in pain between the two groups. At d3, d7 and d14, the swelling degree of the two groups was statistically significant. There was no significant difference in the swelling degree between the two groups on d1 and d28. There was no significant difference in a Ks score between preoperative and postoperative six months. Conclusion Gutong paste can improve pain and swelling after knee arthroscopy.
Objective to study the effect of Gutong plaster after knee arthroscopy. Methods one hundred and twenty-two patients were divided into two groups and treated with Gutong paste and placebo plaster separately after knee arthroscopy. swelling and pain were observed between 1 d and 28 d postoperatively, and a Ks scores of preoperative and postoperative six months. Results d1, d3, d7, d14, the two groups had statistically significant differences in the degree of pain. At d28, there was no statistically significant difference in pain between the two groups. At d3, d7 and d14, the swelling degree of the two groups was statistically significant. There was no significant difference in the swelling degree between the two groups on d1 and d28. There was no significant difference in a Ks score between preoperative and postoperative six months. Conclusion Gutong paste can improve pain and swelling after knee arthroscopy.
引文
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[2]洪笃瑞.关节立体针法配合补肾中药治疗膝关节骨关节炎50例疗效观察[J].中医临床研究,2016(30):82-83.
[3]朱杰华,陈喜悦,曾喻明.探讨独活寄生汤配合针刺治疗膝骨性关节炎138例[J].中医临床研究,2016(30):54-55.
[4]谢斌.苓桂术甘汤加减联合膝关节镜关节清理术治疗膝关节骨性关节炎的作用机制[J].中国医刊,2016(12):69-72.
[5]侯翔,黎金焕,黄庆恩,田林.髋关节一过性滑膜炎的治疗进展[J].大众科技,2016(10):51-53.
[6]闫威.点推牵伸法联合药物关节腔内注射促进膝关节镜术后康复[J].西南国防医药,2017(1):54-56.
[7]王小军,曹岐新,沈新云.中药熏洗结合CPM机训练对膝关节镜术后患膝功能恢复的影响[J].浙江中西医结合杂志,2017(5):403-404.
[8]韩廷成,祁兆建,陈大志,等.中药熏洗对膝关节镜术后并发症改善的临床观察与分析[J].齐齐哈尔医学院学报,2017(13):1523-1525.
[9]张磊.关节镜下膝前交叉韧带重建术后的康复效果观察[J].影像研究与医学应用,2017,1(4).
[10]刘晓彤,王雪娟,万开颜.膝骨关节炎关节镜清理术后疼痛综合管控的研究[J].中华保健医学杂志,2017,19(3):266-267.
[11]陈金民,曾禄逊,陈穗生,等.膝关节镜下内固定术对后外侧胫骨平台骨折患者膝关节功能的影响[J].临床医学,2017,37(5):91-92.
[12]张小钰,汪玉海,马敬祖,等.探讨关节镜治疗膝关节盘状半月板损伤的临床疗效及术后疼痛的影响因素[J].创伤外科杂志,2017,19(10):12.
[13]郝鹏.微创关节镜手术治疗膝关节半月板损伤的疗效分析[J].中外医疗,2017,36(6):16-18.
[14]许金海,王国栋,薛瑞瑞,等.骨通贴膏配合运动疗法治疗膝骨关节炎的随机对照临床研究[J].中国医药导刊,2015,17(12):1265-69.
[15]王永明.关节镜治疗膝关节损伤的临床价值[J].中国保健营养,2017,27(5).