摘要
目的:观察当归活血合剂联合关节腔内注射玻璃酸钠对肩袖修复术后患者的疗效。方法:选取长沙市中医医院收治的60例肩袖撕裂患者为研究对象,随机分为药物组和对照组,每组各30例,均行镜下肩袖修补术。对照组接受关节腔内玻璃酸钠注射治疗,药物组则在此基础上加服当归活血合剂。评价两组的临床效果,以及术前、术后4、8、12周的FIM、Constant-Murley、VAS评分,术前、术后1、2、3周的血清C-反应蛋白(CRP)、外周血中性粒细胞与淋巴细胞比值(Neutrophil-to-lymphocyte ratio,NLR)、D-二聚体水平。结果:对照组的优良率为73.33%,其显著低于药物组的93.33%,差异具有统计学意义(P<0.05);术前,两组FIM、Constant-Murley、VAS评分均无明显差异(P>0.05);术后4、8、12周,两组FIM、Constant-Murley评分均显著高于术前,VAS评分均显著低于术前(P<0.05),且药物组的FIM、Constant-Murley评分均高于对照组,VAS评分均低于对照组,差异均有统计学意义(P<0.05)。术前,两组CRP、NLR、D-二聚体水平均无明显差异(P>0.05);术后1、2、3周,两组CRP、NLR、D-二聚体水平均降低,且对照组的CRP、NLR、D-二聚体水平均高于药物组,差异均有统计学意义(P<0.05)。结论:当归活血合剂不仅活血化瘀止痛效果优良,副作用较小,联合关节腔内注射玻璃酸钠对肩袖修补术后患者治疗效果显著,可进一步减轻疼痛,改善肩袖功能,减少复发,一定程度减轻了患者经济负担。
Objective:To observe the efficacy of angelica blood-activating combination combined with intra-articular injection of sodium vitrate on patients after rotator cuff repair.Methods:Sixty patients with rotator cuff tears admitted to Changsha City Hospital of Traditional Chinese Medicine were selected as study subjects and randomly divided into drug group and control group,each with 30 cases,all of whom underwent microscopic rotator cuff repair.The control group was treated with intra-articular sodium vitreous acid injection,while the drug group was treated with angelica blood-vitalizing combination on the basis of this treatment.The clinical outcomes of the two groups were evaluated,as well as the FIM,Constant-Murley,and VAS scores preoperatively and at 4,8,and 12 weeks postoperatively,and the serum C-reactive protein(CRP),peripheral blood neutrophil-to-lymphocyte ratio(NLR),and D-dimer levels preoperatively and at 1,2,and 3 weeks postoperatively.Results:The good rate of the control group was 73.33%,which was significantly lower than 93.33%of the drug group,and the difference was statistically significant(P<0.05);preoperatively,there was no significant difference in the FIM,Constant-Murley,and VAS scores of the two groups(P>0.05);at 4,8,and 12 weeks postoperatively,the FIM and Constant-Murley scores of the two groups were significantly higher than preoperatively,and the VAS scores were significantly lower than preoperatively(P<0.05).FIM,Constant-Murley scores of both groups were significantly higher than that of preoperative and VAS scores were significantly lower than that of preoperative(P<0.05),and FIM,Constant-Murley scores of the drug group were higher than that of the control group and VAS scores were lower than that of the control group,and the difference was statistically significant(P<0.05).Preoperatively,there was no significant difference in CRP,NLR,and D-dimer levels between the two groups(P>0.05);at 1,2,and 3 weeks postoperatively,CRP,NLR,and D-dimer levels were reduced in both groups,and CRP,NLR,and D-
作者
周井
谈立明
Zhou Jing;Tan Liming(Hunan University of Chinese Medicine,Changsha 410036,China;Changsha Hospital of Traditional Chinese Medicine,Changsha 410100,China)
出处
《亚太传统医药》
2024年第5期75-80,共6页
Asia-Pacific Traditional Medicine
基金
湖南省中医药管理局项目(2023004)。
关键词
肩袖损伤
当归活血合剂
肩袖修补术
玻璃酸钠
Rotator Cuff Injury
Angelica Blood-Activating Combination
Rotator Cuff Repair
Sodium Vitrate
