新伤汤及活血祛瘀散治疗膝关节急性创伤性滑膜炎的疗效观察

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1、新伤汤及活血祛瘀散治疗膝关节急性创伤性滑膜炎的疗效观［摘要］目的观察新伤汤及活血祛瘀散治疗膝关节急性创伤性滑膜炎的疗效。方法2014年8月〜2015年12月期间入院及门诊治疗的膝关节急性创伤性滑膜炎患者共60例。将该60例患者作为研究对象随机分为治疗组和对照组，每组30例。两组患者均给予基础治疗。除此之外，治疗组给予本院中医骨伤科验方新伤汤内服及活血祛瘀散外用；对照组给予中医经典方桃红四物汤内服及双柏散外敷。两组患者治疗疗程均为1个月。评价两组患者的临床治疗疗效。比较两组患者治疗前、治疗过程中第2周、治疗结束后VAS评分、Bristol评分及用药安全性。与治疗结束后评定两组患者的Li

2、ket评分、LLiket评分。观察并记录两组患者治疗过程中的不良反应情况。结果治疗前及治疗过程中第2周，两组患者的VAS评分、Bristol膝关节评分差异不明显（P〉0.05）。治疗结束后，两组患者的VAS评分、Bristol膝关节评分差异具有统计学意义（P0.05）。结论中医药治疗相比经典中药治疗疗效显著，患者治疗后疼痛程度减轻，安全可靠，值得在临床推广使用。［关键词］新伤汤；活血祛瘀散；膝关节；急性；创伤性；滑膜炎［中图分类号］R684.3［文献标识码］A［文章编号］2095-0616(2016)09-17-04[Abstract]ObjectiveToexploretheeff

3、ectsofXinshangDecoctionandHuoxuequyuPowderinthetreatmentofkneejointacutetraumaticsynovitis.Methods60patientswithkneejointacutetraumaticsynovitiswhowereinourhospitalorreceivedtreatmentintheoutpatientclinicofourhospitalfromAugust2014toDecember2015wererandomlydividedintotreatmentgroupandcontrolgro

4、up,30casesineachgroup.Allpatientsreceivedbasictreatments,inaddition,thetreatmentgroupwastreatedwithoralXinshangDecoctionandexternalHuoxuequyuPowder,whichisaprovedrecipeoftheTCMorthopedicsandtraumatologydepartmentinourhospital,whilethecontrolgroupwastreatedwithclassicalTCMrecipeoforalTaohongsiwu

5、DecoctionandexternalShuangbaiPowder.Thetherapeuticprocessesofthetwogroupsalllastedforonemonth,andtheclinicaleffectsofthetwogroupswereestimated.TheVASscores,Bristolscores,andmedicationsafetyofthetwogroupsbeforetreatment,atthe2ndweekoftreatment,andaftertreatmentwerecompared.TheLiketscoresandLLike

6、tscoresoftwogroupsaftertreatmentwereevaluatedandcompared.Theadversereactionsofthetwogroupsduringtreatmentwererecorded.ResultsTheVASscoresandkneejointBristolscoresofthetwogroupsbeforeandatthe2ndweekoftreatmentwerenotstatisticallydifferent(P>0.05).Aftertreatment,theVASscoresandkneejointBristolsco

7、resofthetwogroupswerestatisticallydifferent(P0.05).ConclusionOurprovedrecipeiseffectivethantheclassicalTCMrecipe,whichalleviatespatients’post-treatmentpainandissafe.Itisworthyofclinicalpromotion.[Keywords]Xinshangdecoction；Huoxueq