摘要
目的:观察关节镜下单排缝合配合术后中药内服治疗肩袖损伤的临床疗效。方法:随机选取符合标准的60例我院骨一科中小型肩袖撕裂患者,随机数字分表法分为观察组30例、对照组30例,2组均行肩关节镜下单排缝合术,观察组加用自拟活血利水汤口服14d;分别比较2组患者术前、术后2周、术后3个月、半年的疼痛VAS评分、Constant-Mur Ley肩关节功能评分、美国肩肘外科评分、UCLA肩评分。结果:2组患者行肩关节镜下单排缝合术后疼痛VAS评分、Constant-Mur Ley肩关节功能评分、美国肩肘外科评分、UCLA肩评分标准均较术前改善,差异具有统计学意义(P<0.05),观察组在术后2周、术后3个月、术后半年的疼痛VAS评分、Constant-Mur Ley肩关节功能评分、美国肩肘外科评分、UCLA肩评分较对照组改善明显,差异有统计学意义(P<0.05)。结论:关节镜下单排缝合术治疗中小型肩袖损伤的效果确切可靠,自拟中药活血利水方可改善术后肩关节功能、促进软组织修复。
Objective:To observe the clinical effect of single-row suture under arthroscope combined with oral administration of traditional Chinese medicine in the treatment of rotator cuff injury.Methods:Randomly select 60 small and medium-sized rotator cuff tear patients in the department of Orthopedics our hospital who meet the criteria,and divide them into observation group 30 cases and control group 30 cases according to the random number table method.Both groups underwent single row under shoulder arthroscopy.Suture,the observation group was treated with self-made Huoxue Lishui decoction for 14 days;the pain VAS score,Constant-Mur Ley shoulder joint function score,and the United States were compared between the two groups before operation,2 weeks after operation,3 months after operation,and half a year.Shoulder and elbow surgery score,UCLA shoulder score.Results:The pain VAS score,Constant-Mur Ley shoulder joint function score,American shoulder and elbow surgery score,and UCLA shoulder score standard were all improved compared with preoperatively,and the difference was statistically significant (P<0.05).The pain VAS score,Constant-Mur Ley shoulder function score,American shoulder and elbow surgery score,and UCLA shoulder score of the observation group at 2 weeks,3 months,and half a year after surgery were significantly improved compared with the control group.There is statistical significance (P<0.05).Conclusion:The effect of single-row suture under arthroscopy in treating small and medium rotator cuff injuries is accurate and reliable.Self-prepared traditional Chinese medicine Huoxue Lishui can improve postoperative shoulder joint function and promote soft tissue repair.
作者
王林林
陈浩
赵德宇
郭红理
王华
王正
WANG Linlin;CHEN Hao;ZHAO Deyu;GUO Hongli;WANG Hua;WANG Zheng(Anhui University of Chinese Medicine,Anhui Hefei 230031,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2021年第8期1562-1565,共4页
Clinical Journal of Traditional Chinese Medicine
基金
安徽中医药大学校级探索性科研项目(NO.2016TS052)。
关键词
单排缝合术
中药内服
肩袖损伤
临床疗效
Single row suture
Oral administration of traditional Chinese medicine
Rotator cuff injury
Clinical efficacy
