杨鑫 单文亚 张建福 李帅垒

【摘 要】 目的：观察臭氧联合栀黄止痛散外敷治疗膝关节创伤性滑膜炎的临床疗效。方法：选取31例膝关节创伤性滑膜炎患者为研究对象，均采用外膝眼行关节腔穿刺抽出关节腔积液后注入40ug/mL的医用臭痒20mL，5d1次；加用院内制剂栀黄止痛散外敷患处，每日1次，连续治疗2周。治疗期间嘱患者减少下肢的负重活动，抬高患肢多进行足背伸跖曲锻炼。比较治疗前后患者膝关节Lysholm评分、VAS评分和距髌骨上极2cm患膝周径的变化评价疗效。结果：治疗前膝关节Lysholm评分（55.19±7.20）分，VAS评分（7.00±1.10）分，髌骨上极2cm患膝周径（41.97±2.88）。治疗后1月膝关节Lysholm评分（85.77±5.39）；VAS评分为（2.58±0.85）；髌骨上级2cm患膝周径分别为（38.45±2.13）；痊愈7例，好转20例，总有效率为87.1%。结论：臭氧联合栀黄止痛散外敷可以有效地缓解疼痛、减轻肿胀、早日恢复正常功能，疗效明显。

【关键词】 创伤性滑膜炎；臭氧；栀黄止痛散

【中图分类号】R681.2 【文献标志码】 A【文章编号】1007-8517（2018）06-0108-03

Abstract：Objective To explore the clinical efficacy of ozone combined with Zhihuang Analgesic powder in the treatment of traumatic synovitis of knee joint.Methods 31 patients with traumatic synovitis of knee joint were selected as the subjects. All of them were treated with external gynecological lumen puncture and injected with 40ug/ml medical itchy 20ml， once every 5 days.Hospital preparation Zhihuang analgesic powder application of the affected area， once a day， continuous treatment for 2 weeks.During treatment to allow patients to reduce the weight of the lower limb activities， raising the limb more than the foot extensor plantar flexion exercise.The Lysholm score， the VAS score， and the knee circumference of the upper and lower extremities of the patella were compared before and after treatment.Result Lysholm score （54.57±8.08） before treatment， VAS score （7.12±0.87）， and knee circumference （41.48±2.36）. （44.60±4.92）； the VAS score was （2.38±0.90）； the knee circumference of the upper 2cm of the patella was （38.96±1.29）， respectively.7 cases were cured， improved 11， excellent rate of 85.7%.Conclusion Ozone combined with Zhihuang pain powder topical can effectively relieve pain， reduce swelling， early return to normal function， the effect is outstanding.

Keywords： Traumatic Synovitis；Ozone；Zhihuang Analgesic Powder

膝關节创伤性滑膜炎可分为急性创伤性滑膜炎和慢性创伤性滑膜炎，是骨科临床上常见病、多发病[1]，多因膝关节外伤、慢性劳损等刺激引起滑膜内毛细血管扩张，血浆、血细胞渗出，炎性介质释放，产生大量滑液等无菌性炎症反应[2]，好发于膝关节剧烈活动的中青年，主要表现为膝关节肿胀、疼痛、关节腔积液、浮髌实验阳性、屈伸活动受限，若治疗不及时或治疗方法不当极易造成膝关节内滑膜增厚、粘连，严重影响患者的生活与工作。临床治疗以消除炎症、减少滑膜渗出、缓解膝关节疼痛、恢复膝关节正常功能为主[3]。……