摘要
目的:分析补肾壮筋汤熏蒸治疗联合肌力训练在髌股关节炎(PFOA)关节镜术后的效果。方法:选取80例PFOA患者为研究对象,按照治疗方案不同将患者分为联合组和对照组,每组各40例。对照组接受常规康复训练和肌力训练,共训练12周;联合组在对照组训练基础上增用补肾壮筋汤熏蒸治疗,熏蒸治疗持续4周。对比两组患者治疗后Lysholm膝关节功能评分、骨性关节炎评分(WOMAC)、股内侧肌和股外侧肌RMS值、红细胞沉降率(ESR)、C反应蛋白(CRP)及并发症发生情况。结果:术后1、4、12周,两组患者Lysholm评分均高于术前,且随时间增加而升高(P<0.05),且联合组Lysholm评分均高于对照组(P<0.05);两组患者WOMAC评分均较术前降低,且均随时间增加而降低,联合组WOMAC评分均低于对照组(P<0.05);两组患者RMS值均较术前升高,且随时间增加而升高,术后1周,联合组患者RMS值高于对照组(P<0.05),术后4、12周,两组患者RMS值比较,差异均无统计学意义(P>0.05);术后12周,两组患者ESR和CRP水平均较术前降低,且联合组低于对照组(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论:补肾壮筋汤治疗联合肌力训练可有效缓解PFOA患者关节镜术后疼痛症状,促进膝关节功能的恢复,增强肢体肌肉活动能力,并改善炎症反应。
Objective:To analyze the effect of Bushen Zhuangjin Decoction combined with muscle strength training in arthroscopic surgery for patellofemoral arthritis(PFOA).Methods:80 patients with PFOA were divided into combined group and control group according to different treatment regimens,with 40 cases in each group.The control group received routine rehabilitation training and muscle strength training for 12 weeks.The combined group was treated with Bushen Zhuangjin Decoction fumigation on the basis of this training for 4 weeks.Lysholm knee function,osteoarthritis score(WOMAC),RMS value of vastus medialis and vastus lateralis,erythrocyte sedimentation rate(ESR),C reactive protein(CRP)and complications were compared between the two groups after treatment.Results:At 1,4 and 12 weeks after operation,the Lysholm scores of the two groups were higher than those before operation and increased with time(P<0.05),and the Lysholm scores of the combined group were higher than those of the control group(P<0.05).The WOMAC scores of the two groups were lower than those before operation,and both gradually decreased over time.The WOMAC scores of the combined group were lower than those of the control group(P<0.05).The RMS value of both groups increased compared to before operation and increased over time.1 week after operation,the RMS value of the combined group was higher than that of the control group(P<0.05).At 4 and 12 weeks after operation,there was no statistically significant difference in RMS values between the two groups(P>0.05).At 12 weeks after operation,the ESR and CRP levels of patients in the two groups were lower than those before surgery,and those in the combination group were lower than those in the control group(P<0.05).There was no significant difference in incidence of complications between the two groups(P>0.05).Conclusion:Bushen Zhuangjin Decoction treatment combined with muscle strength training can effectively alleviate the pain symptoms of patients with PFOA after arthroscopy,promote the recovery of knee joint
作者
朱洪
吴前程
袁才斌
杨其锋
黄明昭
ZHU Hong;WU Qian-cheng;YUAN Cai-bin;YANG Qi-feng;HUANG Ming-zhao(Orthopedic Traumatology Ward No.1,Fangchenggang Traditional Chinese Medicine Hospital,Fangchenggang 538021,Guangxi,China)
出处
《川北医学院学报》
CAS
2023年第7期949-952,共4页
Journal of North Sichuan Medical College
基金
广西壮族自治区中医药管理局自筹经费科研项目(GZZC2020276)。
关键词
髌股关节炎
关节镜术后
补肾壮筋汤
肌力训练
Lysholm评分
Patellofemoral arthritis
After arthroscopy
Tonify the kidneys and strengthen the tendon soup
Muscle strength training
Lysholm scored
