摘要
目的探讨自拟健脾理湿汤治疗慢性创伤性滑囊炎的临床效果。方法选取2022年1月至2023年5月我院收治的120例慢性创伤性滑囊炎患者作为研究对象,以投掷硬币法将其分为参照组和研究组,各60例。参照组给予封闭疗法治疗,研究组在参照组治疗基础上施以自拟健脾理湿汤治疗。比较两组的治疗效果、膝关节屈伸活动度、膝关节疼痛情况、治疗满意度及炎症因子水平。结果研究组的治疗总有效率显著高于参照组(P<0.05)。治疗前,两组的膝关节屈伸活动度、视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,研究组的膝关节屈伸活动度大于参照组,VAS评分低于参照组(P<0.05)。研究组的治疗指导、活动度提高、疼痛缓解以及总体疗效评分高于参照组(P<0.05)。治疗前,两组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)及基质金属蛋白酶-1(MMP-1)水平比较,差异无统计学意义(P>0.05);治疗后,研究组的IL-6、TNF-α及MMP-1水平低于参照组(P<0.05)。结论自拟健脾理湿汤治疗慢性创伤性滑囊炎患者的效果显著,可提高关节活动度,减轻疼痛及炎症反应,还能提高患者的治疗满意度,值得临床应用与推广。
Objective To explore the clinical effect of self-made Jianpi Lishi decoction in the treatment of chronic traumatic bursitis.Methods A total of 120 patients with chronic traumatic bursitis admitted in our hospital from January 2022 to May 2023 were selected as the research objects.The patients were divided into reference group and study group by coin tossing method,with 60 cases in each group.The reference group was treated with closed therapy,and the study group was treated with self-made Jianpi Lishi decoction on the basis of the reference group.The treatment effect,knee flexion and extension activity,knee pain,treatment satisfaction and inflammatory factors levels were compared between the two groups.Results The total effective rate of treatment in the study group was significantly higher than in the reference group(P<0.05).Before treatment,there were no significant differences in knee flexion and extension activity and Visual Analogue Scales(VAS)score between the two groups(P>0.05);after treatment,the knee flexion and extension activity in the study group was greater than that in the reference group,and the VAS score was lower than that in the reference group(P<0.05).The scores of treatment guidance,activity improvement,pain relief and overall efficacy in the study group were higher than those in the reference group(P<0.05).Before treatment,there were no significant differences in the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and matrix metalloproteinase-1(MMP-1)between the two groups(P>0.05);after treatment,the levels of IL-6,TNF-αand MMP-1 in the study group were lower than those in the reference group(P<0.05).Conclusion The self-made Jianpi Lishi decoction in the treatment of patients with chronic traumatic bursitis has a significant effect.It can improve joint mobility,reduce pain and inflammatory response,and elevate patients'satisfaction with treatment.It is worthy of clinical application and promotion.
作者
高志更
刘光辉
李彦昭
柴永振
李卫海
GAO Zhigeng;LIU Guanghui;LI Yanzhao;CHAI Yongzhen;LI Weihai(Traumatic Orthopaedics Department,Huaiyang Chu Shi Department of Orthopedics Hospital,Zhoukou 466723,China;Hand-Foot Microsurgery Department,Huaiyang Chu Shi Department of Orthopedics Hospital,Zhoukou 466723,China)
出处
《临床医学研究与实践》
2024年第34期143-146,共4页
Clinical Research and Practice
关键词
健脾理湿汤
慢性创伤性滑囊炎
封闭疗法
关节活动度
疼痛程度
炎症反应
Jianpi Lishi decoction
chronic traumatic bursitis
closed therapy
joint mobility
pain degree
inflammatory response
