广东医学2025，Vol.46Issue(4)：615-621,7.DOI:10.13820/j.cnki.gdyx.20243260
术前预康复结合中药熏浴和定向透药对前交叉韧带重建术后疼痛及膝关节功能的影响
摘要
Abstract
Objective To investigate the combined application value of preoperative pre-rehabilitation,tradi-tional Chinese medicine fumigation bath and targeted drug penetration through the evaluation of postoperative pain and knee joint function rehabilitation after anterior cruciate ligament reconstruction surgery.Methods 78 patients who underwent anterior cruciate ligament reconstruction surgery from January 2023 to June 2024 were selected.According to the preopera-tive and postoperative intervention plan,the patients were divided into study group(preoperative pre rehabilitation+pre-operative and postoperative traditional Chinese medicine fumigation bath and targeted drug penetration+postoperative rou-tine intervention,n=27),traditional Chinese medicine group(preoperative and postoperative traditional Chinese medi-cine fumigation bath and targeted drug penetration+preoperative and postoperative routine intervention,n=23),and con-trol group(preoperative and postoperative routine intervention,n=51).The patients were evaluated for efficacy according to the relevant efficacy standards in the"Evaluation Criteria for Therapeutic Efficacy of Orthopedic Diseases",and the ef-fective rates of the 3 groups were statistically compared.The knee pain,knee range of motion(ROM),knee function and Barthel score between 3 groups before surgery,1 month and 3 months after surgery were collected and compared.And the incidence of complications in 3 groups were collected and analyzed.Results The therapeutic effective rate of the study group(92.59％)was higher than toseof the was higher than that of the traditional Chinese medicine group(65.22％)and the control group(60.71％)(P＜0.05);There was no statistically significant difference in the treatment effective-ness between the traditional Chinese medicine group and the control group(P＞0.05).Compared with those of before treatment,The 1 month and 3 months after surgery VAS scores of 3 groups were decreased,with that of the study group was the lowest,followed by the traditional Chinese medicine group,and that of the control group was the highest(P＜0.05).Compared with those of before treatment,The 1 month and 3 months after surgery Lysholm Score,ROM,Interna-tional Knee Documentation Committee(IKDC)Knee Grading Score,and Barthel Score of 3 groups were increased,with those of the study group were the highsest,followed by the traditional Chinese medicine group,and that of the control group was the lowest(P＜0.05).There were no significant complications occurred during the treatment period in 3 groups,which meant the treatment safety was good.Conclusion The combined application of preoperative pre-rehabili-tation,traditional Chinese medicine fumigation bath and targeted drug penetration can promote pain relief,knee joint func-tion rehabilitation and daily living ability recovery after anterior cruciate ligament reconstruction surgery,and the treatment is safe and reliable,which is worthy of clinical application.关键词
术前预康复/中药熏浴/定向透药/前交叉韧带重建/疼痛/膝关节功能Key words
preoperative pre-rehabilitation/Chinese herbal fumigation bath/targeted drug penetration/anterior cruciate ligament reconstruction/pain/knee joint function分类
医药卫生引用本文复制引用
胡文锋,洪钟源,邓怀东..术前预康复结合中药熏浴和定向透药对前交叉韧带重建术后疼痛及膝关节功能的影响[J].广东医学,2025,46(4):615-621,7.基金项目
2023年度广东省中医药局科研项目(20231365) （20231365）
