摘要
目的:探讨关节镜下复位与内固定术配合中药口服治疗膝关节内骨折的临床疗效。方法:将46例膝关节内骨折患者随机分为治疗组与对照组各23例,治疗组患者使用关节镜下复位与内固定术配合中药口服,同时加恢复锻炼治疗;对照组患者使用常规复位与内固定术,伴随恢复锻炼的常规治疗。在治疗的过程中记录两组患者的恢复情况与治疗效果,观察关节镜下治疗膝关节内骨折的临床疗效。结果:治疗组与对照组患者的疗效比较,差异有统计学意义P<0.05,治疗组恢复情况更为理想。ROM评定治疗组优18例、良3例、中2例,差0例;对照组患者优7例、良5例、中3例、差8例。结论:关节镜下复位与围内固定术配合中药口服治疗膝关节内骨折疗效显著。
Objective：To investigate the the clinical effect of arthroscopic reset and internal fixation combined with oral administration of Chinese medicine for the treatment of fracture within the knee joint.Methods：46 cases of fracture within the knee joint were randomly divided into the treatment group and the control group with 23 cases in each group.Patients in the treatment group were treated with arthroscopic reset and internal fixation combined with oral administration of Chinese medicine,at the same time combined with exercise care treatment;patients of the control group were treated with arthroscopic reset and internal fixation combined with conventional treatment of recovery exercise.In the treatment process,the recovery condition and the therapeutic efficacy of patients in both groups were recorded to observe the clinical effect of arthroscopic treatment of knee fracture.Results：Comparison between the therapeutic efficacy of patients in the treatment group and the control group,showed that the difference was statistically significant,P0.05,and recovery of the treatment group was more desirable.ROM assessment in the treatment group showed 18 cases achieved excellent therapeutic efficacy,3 cases achieved good therapeutic efficacy,and 2 cases achieved medium therapeutic efficacy,no case with poor therapeutic efficacy;ROM assessment in the control group showed 7 cases achieved excellent therapeutic efficacy,5 cases achieved good therapeutic efficacy,3 cases achieved medium therapeutic efficacy and 8 cases achieved poor therapeutic efficacy.Conclusion：Arthroscopic treatment of fracture within the knee joint can effectively help patients achieve the desired therapeutic effect.
出处
《中医学报》
CAS
2013年第8期1137-1138,共2页
Acta Chinese Medicine
关键词
膝关节内骨折
关节镜下复位与内固定术
消肿止痛
通络止痛
续筋接骨
滋养肝肾
fracture within the knee joint
arthroscopic reset and internal fixation
reducing swelling and relieving pain
removing obstruction in channels to relieve pain
promoting reunion of fractured bones
nourishing liver and kidney
