[1]阳景峰,杨凤云.独活寄生汤+关节镜手术对退行性半月板损伤患者Lysholm膝关节功能评分及预后的影响[J].医学信息,2026,39(10):109-113.[doi:10.3969/j.issn.1006-1959.2026.10.018]
　YANG Jingfeng,YANG Fengyun.Effects of Duhuo Jisheng Decoction+Arthroscopic Surgery on Lysholm Knee Joint Function Scoreand Prognosis in Patients with Degenerative Meniscus Injury[J].Journal of Medical Information,2026,39(10):109-113.[doi:10.3969/j.issn.1006-1959.2026.10.018]
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独活寄生汤+关节镜手术对退行性半月板损伤患者Lysholm膝关节功能评分及预后的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
109-113
栏目:
临床证据信息
出版日期:
2026-05-15

文章信息/Info

Title:
Effects of Duhuo Jisheng Decoction+Arthroscopic Surgery on Lysholm Knee Joint Function Scoreand Prognosis in Patients with Degenerative Meniscus Injury
文章编号:
1006-1959（2026）10-0109-05
作者:
阳景峰1; 杨凤云2
1.万载县中医院骨伤科，江西 万载 336100；2.江西中医药大学附属医院骨伤科，江西 南昌 330000
Author(s):
YANG Jingfeng1;  YANG Fengyun2
1.Department of Orthopedics and Traumatology, Wanzai Hospital of Traditional Chinese Medicine, Wanzai 336100, Jiangxi, China;2.Department of Orthopedics and Traumatology, Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330000, Jiangxi, China
关键词:
退行性半月板损伤; 关节镜手术; 独活寄生汤; 膝关节功能
Keywords:
Degenerative meniscus injury;  Arthroscopic surgery;  Duhuo Jisheng decoction;  Knee joint function
分类号:
R684
DOI:
10.3969/j.issn.1006-1959.2026.10.018
文献标志码:
A
摘要:
目的 探讨独活寄生汤+关节镜手术对退行性半月板损伤患者Lysholm膝关节功能评分及预后的影响。方法 选取2022年1月-2024年6月万载县中医院收治的82例退行性半月板损伤患者为研究对象，采用随机数字表法将其分为对照组和观察组，每组41例。两组均行关节镜手术治疗，对照组术后行常规补液治疗及康复锻炼，观察组在此基础上使用中药独活寄生汤加减。比较两组治疗总有效率、术后康复情况（VAS疼痛评分、肿胀评分、压痛指数评分）、膝关节活动度（ROM）、膝关节功能（跛行、支撑、交锁、不稳定、肿胀、爬楼梯、下蹲、疼痛）。结果 随访6个月，观察组治疗总有效率高于对照组（P＜0.05）。术后1个疗程、2个疗程，观察组疼痛评分、肿胀评分和压痛指数评分均低于对照组（P＜0.05）。术后2周、4周、6个月，观察组的ROM活动度均大于对照组， Lysholm膝关节功能评分均高于对照组（P＜0.05）。结论 独活寄生汤+关节镜手术在退行性半月板损伤患者中的应用效果确切，能够改善患者术后康复效果，提高患者预后水平、膝关节活动度以及膝关节功能，值得临床应用。
Abstract:
Objective To investigate the effect of Duhuo Jisheng decoction+arthroscopic surgery on Lysholm knee joint function score and prognosis in patients with degenerative meniscus injury. Methods A total of 82 patients with degenerative meniscus injury admitted to Wanzai County Hospital of Traditional Chinese Medicine from January 2022 to June 2024 were selected as the research objects. They were divided into control group and observation group by random number table method, with 41 patients in each group. Both groups were treated with arthroscopic surgery. The control group was treated with routine rehydration therapy and rehabilitation exercise after operation, and the observation group was treated with modified Duhuo Jisheng decoction on the basis of the control group. The total effective rate of treatment, postoperative rehabilitation (VAS pain score, swelling score, tenderness index score), knee range of motion (ROM), knee joint function (claudication, support, interlocking, instability, swelling, climbing stairs, squatting, pain) were compared between the two groups. Results After 6 months of follow-up, the total effective rate of the observation group was higher than that of the control group (P<0.05). After 1 course and 2 courses of treatment, the pain score, swelling score and tenderness index score of the observation group were lower than those of the control group (P<0.05). At 2 weeks, 4 weeks and 6 months after operation, the ROM activity of the observation group was higher than that of the control group, and the Lysholm knee joint function score was higher than that of the control group (P<0.05). Conclusion Duhuo Jisheng decoction+arthroscopic surgery is effective in patients with degenerative meniscus injury, which can improve their postoperative rehabilitation effect, the prognosis level, knee joint activity and knee joint function, and is worthy of clinical application.

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更新日期/Last Update: 1900-01-01