|
|
Meta analysis of the effectiveness of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction |
LI Pin1 HAN Yanhong2 YANG Weiyi2 CHEN Hongyun2 HUANG Xiujun1 CHEN Liyi1▲ |
1.Department of Knee Osteoarthritis, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangdong Province, Guangzhou 510120, China; 2.Department of Sport Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangdong Province, Guangzhou 510120, China |
|
|
Abstract Objective To systematically assess the clinical effect of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction. Methods From the establishment of the database to June 2020, the databases of PubMed, Wanfang Data, CNKI, VIP and CBM were searched by computer. All the randomized controlled trials conducted after surgery were collected that experimental group using traditional Chinese medicine fumigation and none using traditional Chinese medicine fumigation as control group. Cochrane Handbook was used to analyze the quality of included literature. RevMan 5.3 software was used to evaluate total effective rate, visual analogue scale (VAS) and Lysholm score. Results Seven articles that contained 544 patients were included. Meta analysis results suggested that compared with control group, total effective rate of experimental group increased (OR = 10.43, 95%CI[4.98, 21.83], P < 0.000 01), VAS of experimental group decreased (MD = -0.47, 95%CI[-0.62, -0.31], P < 0.000 01), Lysholm score of experimental group increased (MD = 8.24, 95%CI [5.41, 11.07], P < 0.000 01). Conclusion The application of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction has good clinical efficacy. However, due to the low quality of the included literature and limitations of the included researches, more rigorously designed and high quality clinical studies are required for confirmation in the future.
|
|
|
|
|
[1] Gianotti SM,Marshall SW,Hume PA,et al. Incidence of anterior cruciate ligament injury and other knee ligament injuries:a national population-based study [J]. J Sci Med Sport,2009,12(6):622-627.
[2] Robbins SM,Raymond N,Abram F,et al. The effect of alignment on knee osteoarthritis initiation and progression differs based on anterior cruciate ligament status:data from the osteoarthritis initiative [J]. Clin Rheumatol,2019, 38(12):3557-3566.
[3] 王建,敖英芳.前交叉韧带损伤的临床流行病学研究[J].中国运动医学杂志,2001,20(4):380-382.
[4] 姚望,潘剑英,曾春.保残重建前交叉韧带对膝关节运动学特征的影响[J].中华关节外科杂志:电子版,2020,14(1):24-32.
[5] 程治平,毛子木,余家阔.青少年前交叉韧带双束重建的研究进展[J].中国修复重建外科杂志,2019,33(9):1060-1063.
[6] Huston LJ,Greenfield MV,Wojtys EM. Anterior cruciate ligament injuries in the female athlete. Potential risk factors [J]. Clin Orthop Relat Res,2000,1(372):50-63.
[7] 陈拿云,敖英芳.前交叉韧带重建术后关节感染的风险因素、病理、诊断和治疗研究进展[J].中国运动医学杂志,2019,38(1):54-60.
[8] 孙学斌,岐飞,曹力.关节镜下不同股骨隧道钻取方式前交叉韧带重建的短期疗效研究[J].中国内镜杂志,2020, 26(5):55-60.
[9] 郑峒,冯华,张辉,等.前十字韧带重建术中修复外侧半月板后根部损伤的早期疗效[J].中华骨科杂志,2020,40(7):424-425.
[10] 李健,石辉,徐闯,等.快速康复外科在膝关节半月板损伤关节镜治疗中的应用研究[J].中国矫形外科杂志,2017, 25(12):1091-1095.
[11] 刁新清,林少辉,林海东,等.膝关节镜手术辅以中药熏洗治疗膝关节骨性关节炎[J].中国矫形外科杂志,2004, 12(15):1192-1193.
[12] 闵重函,周瑛,荆琳,等.手法加中药熏蒸对前交叉韧带断裂重建术后膝关节功能康复的病例对照研究[J].中国骨伤,2016,29(5):397-403.
[13] 伏春华,米琨,俸志斌,等.中药外洗对关节镜下ACL重建术后早期康复的作用[J].中国中医骨伤科杂志,2015,23(7):42-43.
[14] 林小英,何素玲,张丽琴.中药熏洗对膝关节前交叉韧带重建术后功能恢复的影响[J].中西医结合护理:中英文,2018,4(10):78-80.
[15] 胡珊珊,周艳艳,周敏捷,等.中药熏洗配合康复训练对前交叉韧带重建术后关节功能恢复的影响[J].中国中医药科技,2020,27(1):105-107.
[16] 周游.前交叉韧带重建术后早期高强度锻炼配合中药熏洗的康复效果[D].广州:南方医科大学,2016.
[17] 鲁胜平.关节镜微创手术配合中药熏洗治疗膝关节前交叉韧带损伤的临床研究[D].济南:山东中医药大学,2018.
[18] 李爱珍,刘颖.中药熏洗在关节镜下前交叉韧带重建术后的护理观察[J].中国社区医师:医学专业半月刊,2008(12):124.
[19] 谢海莲,闫丽,邹燕芳,等.中药熏洗对关节镜下前交叉韧带重建术后康复治疗的疗效观察[J].中国保健营养:中旬刊,2013(6):495-496.
[20] Failla MJ,Arundale AJ,Logerstedt DS,et al. Controversies in knee rehabilitation:anterior cruciate ligament injury [J]. Clin Sports Med,2015,34(2):301-312.
[21] 王豪,陈国键,梁海波,等.膝关节前交叉韧带合并内侧副韧带损伤的诊疗新进展[J].中国组织工程研究,2019, 23(20):3220-3228.
[22] 刘凤珍,宁阿妹,莫敏.膝关节镜下前交叉韧带重建术术后的康复护理进展[J].世界最新医学信息文摘,2019, 19(18):29-30.
[23] 林丽芳,熊玉凤,秦庆友.加速康复外科护理对膝关节前交叉韧带重建术的功能影响[J].中国医药科学,2020, 10(10):86-88,107.
[24] 宋洋,蒋欢,杜庆钧,等.同种异体肌腱双束单隧道及单束单隧道重建膝关节前交叉韧带[J].中国组织工程研究,2017,21(34):5519-5525.
[25] Hooper DM,Hill H,Drechsler WI,et al. Range of motion specificity resulting from closed and open kinetic chain resistance training after anterior cruciate ligament reconstruction [J]. J Strength Cond Res,2002,16(3):409-415.
[26] 陈连旭,付立功.前交叉韧带断裂和重建的临床流行病学分析[J].中国组织工程研究,2016,20(24):3602-3608.
[27] 王顺炳,熊勇.中药熏洗联合经辅助前内侧入口残端定位单束解剖重建前交叉韧带[J].湖北中医药大学学报,2017,19(5):78-81. |
|
|
|