艾灸联合中药外敷对膝关节半月板损伤的康复疗效观察.docxVIP

艾灸联合中药外敷对膝关节半月板损伤的康复疗效观察 　　[摘要]目的探討艾灸联合中药外敷对膝关节半月板损伤的治疗效果。方法选取2017年1月～2018年12月我院收治的膝关节半月板损伤患者40例为研究对象，将40例确诊为膝关节半月板损伤且中医辨证为瘀血阻滞型患者随机分为治疗组和对照组各20例。对照组使用单纯的康复治疗，治疗组在对照组基础上使用艾灸联合中药外敷治疗，比较两组患者的临床恢复情况、日常生活能力、徒手肌力、vas疼痛评分。结果治疗组患者的临床恢复情况为100%，对照组患者的康复效果为50%，治疗组优于对照组，差异有统计学意义（p0.05），经过3个月的随访后，两组患者治疗后vas评分均有所下降，治疗组患者疼痛评分下降程度显著高于对照组（p0.05）。治疗组患者的日常生活能力和徒手肌力评分明显优于对照组，差异均有统计学意义（p0.05）。结论对于膝关节半月板损伤患者应用艾灸联合中药外敷可以获得良好的治疗效果，值得在临床中推广。 　　[关键词]艾灸;中药外敷;膝关节半月板损伤 　　[中图分类号]r684[文献标识码]a[文章编号]1673-9701（2019）36-0008-03 　　rehabilitationeffectofmoxibustioncombinedwithexternalapplicationoftraditionalchinesemedicineonkneejointmeniscusinjury 　　luolinghua1xutao2 　　1.departmentofrehabilitation，thethirdaffiliatedhospitalofnanchanguniversity，nanchang330008，china;2.departmentofneurosurgery，thethirdaffiliatedhospitalofnanchanguniversity，nanchang330008，china 　　[abstract]objectivetoexplorethetherapeuticeffectofmoxibustioncombinedwithtraditionalchinesemedicineonkneejointmeniscusinjury.methodsfortypatientswithkneejointmeniscusinjurywhowereadmittedtoourhospitalfromjanuary2017todecember2018wereenrolledinthisstudy.patientswhowerediagnosedwithkneemeniscusinjuryandbloodstasisbytraditionalchinesemedicinewererandomlydividedintothetreatmentgroupandthecontrolgroup，with20patientsineachgroup.thecontrolgroupweregivenconventionalrehabilitationtreatment.thetreatmentgroupweregivenmoxibustioncombinedwithexternalapplicationoftraditionalchinesemedicineonthebasisofthecontrolgroup.theclinicalrecovery，dailylivingability，manualmusclestrengthandvaspainscorewerecomparedbetweenthetwogroups.resultstheclinicalrecoveryofthepatientsinthetreatmentgroupwas100%，whiletherehabilitationeffectofthecontrolgroupwas50%.thetreatmentgroupwassuperiortothecontrolgroup，withstatisticallysignificantdifference（p0.05）.after3monthsoffollow-up，thescoresofvasbetweenthetwogroupsweredecreasedaftertreatment.thedegreeofdecreaseofthepainscoresinthetreatmentgroupwassignificantlyhigherthanthatinthecontrolgroup（p0.05）.thedailylivingabil