Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 476-478
SHEN Jian-zeng, LING Yi-long, SHEN Qin-rong, CHEN Jian-mo, LIU Yun-hai, LIU Lei, ZHANG Hua-liang. Observation on the clinical effect of traditional Chinese medicine in the treatment of joint swelling and pain after arthroscopy in knee osteoarthritis[J]. Chinese Journal of General Practice, 2021, 19(3): 476-478. doi: 10.16766/j.cnki.issn.1674-4152.001839
Citation: SHEN Jian-zeng, LING Yi-long, SHEN Qin-rong, CHEN Jian-mo, LIU Yun-hai, LIU Lei, ZHANG Hua-liang. Observation on the clinical effect of traditional Chinese medicine in the treatment of joint swelling and pain after arthroscopy in knee osteoarthritis[J]. Chinese Journal of General Practice, 2021, 19(3): 476-478. doi: 10.16766/j.cnki.issn.1674-4152.001839
shu

Observation on the clinical effect of traditional Chinese medicine in the treatment of joint swelling and pain after arthroscopy in knee osteoarthritis

doi: 10.16766/j.cnki.issn.1674-4152.001839

  • Department of Joint Surgery, Shaoxing Hospital of Traditional Chinese Medicine, Zhejiang University of Traditional Chinese Medicine, Shaoxing 312000, China

Funds:

 2020ZA118

  • Received Date: 2020-08-21
    Available Online: 2022-02-19
    Abstract
  •   Objective  In this study, traditional Chinese medicine prescriptions were used to treat patients with joint swelling and pain after knee arthroscopy in knee osteoarthritis(KOA) patients, and the clinical effect was evaluated by observing the improvement of joint swelling and pain after medication, so as to provide a certain basis for the treatment of joint swelling and pain after knee arthroscopy in patients with knee arthroscopy with traditional Chinese medicine.  Methods  A total of 72 patients with joint swelling and pain after KOA arthroscopy admitted to Shaoxing Hospital of Traditional Chinese Medicine from February 2018 to February 2020 were randomly divided into observation group and control group with 36 cases in each group according to random number table method. The control group was given routine treatment after surgery, and the observation group was given oral treatment of self-designed traditional Chinese medicine prescription Xiaozhong Zhitong on the basis of routine treatment in the control group. The therapeutic effect of 2 groups was compared.  Results  On day 3, 7 and 14 after surgery, the VAS scores of the observation group were (4.91±0.73) points, (3.17±0.81) points and (1.75±0.76) points, respectively, while those of the control group were (5.68±0.72) points, (4.51±0.79) points and (3.11±0.77) points, respectively. The VAS scores of the observation group were significantly lower than those of the control group (all P < 0.05). The swelling values of knee joint in the control group on the 3, 7 and 14 days after operation were (43.12±2.16) mm, (32.23±1.37) mm and (19.73±0.85) mm respectively, while those in the observation group were (36.52±2.13) mm, (19.73±1.53) mm and (8.42±0.93) mm respectively. The swelling value of the affected knee joint in the observation group on the 3, 7 and 14 days after operation was significantly lower than that in the control group (all P < 0.01).  Conclusion  Traditional Chinese medicine has a good clinical effect on joint swelling and pain after knee arthroscopy in patients with KOA, and can significantly improve the joint swelling and pain after knee arthroscopy. It is worthy of clinical application.

     

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    • References(16)
  • [1]
    徐纬, 孙丹, 陈娜, 等. 揿针埋针镇痛联合康复训练对膝关节骨性关节炎功能障碍的疗效影响[J]. 中华全科医学, 2017, 15(12): 2141-2144. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201712044.htm
    [2]
    苏军, 欧宗明, 项江骊, 等. 膝骨性关节炎行关节镜术后联合中医辨证治疗对膝关节功能恢复的影响[J]. 北方药学, 2018, 15(9): 8-10. https://www.cnki.com.cn/Article/CJFDTOTAL-BFYX201809006.htm
    [3]
    滕居赞, 李志鸿, 谢伟良, 等. 鸡尾酒式镇痛混合剂对关节镜术后肿痛的影响[J]. 武警后勤学院学报(医学版), 2019, 28(6): 39-41. https://www.cnki.com.cn/Article/CJFDTOTAL-WUXB201906010.htm
    [4]
    俞飞, 费骏, 赖震. 膝关节骨性关节炎中医药研究进展[J]. 浙江中西医结合杂志, 2016, 26(1): 92-95. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZH201601040.htm
    [5]
    中华医学会骨科学分会关节外科学组. 骨关节炎诊疗指南(2018年版)[J]. 中华骨科杂志, 2018, 38(12): 705-715. doi: 10.3760/cma.j.issn.0253-2352.2018.12.001
    [6]
    国家中医药管理局. 中医临床病证诊断疗效标准[M]. 中国中医药出版社, 2017: 204.
    [7]
    盛红枫, 张魁, 陆建伟, 等. 消肿止痛防方治疗膝关节镜术后早期肿痛临床研究[J]. 新中医, 2019, 51(3): 176-178. https://www.cnki.com.cn/Article/CJFDTOTAL-REND201903053.htm
    [8]
    刘向春, 叶超, 李春根, 等. 中药熏蒸治疗膝关节镜术后肿痛临床研究[J]. 辽宁中医药大学学报, 2016, 18(4): 116-119. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201604037.htm
    [9]
    何桃, 陈洪文, 杨毅, 等. 右美托咪定不同给药方式对膝关节炎全膝关节置换术后镇痛效果及炎性反应的影响[J]. 解放军医药杂志, 2018, 30(4): 96-99. https://www.cnki.com.cn/Article/CJFDTOTAL-HBGF201804026.htm
    [10]
    毛矛, 季卫锋, 胡伟龙, 等. 芒硝外敷预防全膝关节置换术后膝关节肿痛及深静脉血栓30例观察[J]. 浙江中医杂志, 2017, 52(2): 112-113. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZZ201702027.htm
    [11]
    魏明超. 膝骨性关节炎关节镜术后关节肿痛的中药治疗[D]. 北京: 北京中医药大学, 2018.
    [12]
    张辉, 汪宝军, 王竹风. 苏红洗剂治疗骨性关节炎关节镜术后关节肿痛[J]. 中国实验方剂学杂志, 2016, 22(13): 161-164. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX201613035.htm
    [13]
    李玉文, 米琨, 朱少廷, 等. 桃红四物汤加二妙散治疗膝关节镜术后早期肿胀的疗效观察[J]. 时珍国医国药, 2016, 27(9): 2210-2211. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY201609058.htm
    [14]
    李双双, 郭春燕. 桃红四物汤化学成分及药理作用研究进展[J]. 神经药理学报, 2016, 6(4): 42-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJKB201604007.htm
    [15]
    陈恋戈, 李孔正, 朱炯端. 桃红四物汤辨证加减配合中医骨伤手法治疗腰椎间盘突出症(气滞血瘀证)的疗效分析[J]. 中医临床研究, 2019, 11(4): 53-56. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY201904023.htm
    [16]
    孙彩霞. 五苓散同方汤剂关键缺失成分入血吸收研究及其抗脑水肿活性评价[D]. 北京: 中国中医科学院, 2019.
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