薛雷

[關鍵詞] 膝關節(jié);半月板損傷;早期冷敷;關節(jié)鏡手術

[中圖分類號] R684.76? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）19-0092-04

The effect of early cold compress and arthroscopic surgery on meniscus injury and its influence on joint function

XUE Lei

Ward 1， Department of Orthopedics， Jiamusi Central Hospital in Heilongjiang Province， Jiamusi? ?154002， China

[Abstract] Objective To investigate the clinical effect of early cold compress and arthroscopic surgery for meniscus injury and its influence on patients' joint function. Methods A total of 50 meniscal injury patients admitted to our hospital from July 2018 to July 2020 were selected as the research objects. The patients were divided into the study group and the control group by random number grouping method， with 25 cases in each group. The control group patients were given arthroscopic surgery. Patients in the study group were given arthroscopic surgery after early cold compresses before surgery. The treatment effect，surgery-related indicators，knee swelling degree， joint range of motion， and joint function scores of the two groups were compared. Results The total effective rate of treatment for patients in the study group was 96.0%， which was higher than that of（72.0%） in the control group， with significant difference（P<0.05）. The degree of joint swelling in the study group was lower than that in the control group at each time point after treatment， with significant difference（P<0.05）. The operation time and postoperative functional activity time in the observation group were shorter than those in the control group， with significant difference（P<0.05）. The knee joint function score and knee joint range of motion in the study group were higher than those in the control group three months after surgery， with significant difference（P<0.05）. Conclusion Early cold compress combined with arthroscopic surgery for patients with meniscus injury can significantly improve the clinical symptoms of the patients， improve the treatment effect， reduce the knee swelling of the patients， and promote the recovery of the joint function of the patients. It has important clinical application value.

[Key words] Knee joint; Meniscus injury; Early cold compress; Arthroscopic surgery

在脛骨關節(jié)面上有內側和外側半月形狀骨，稱為半月板，其邊緣部較厚，與關節(jié)囊緊密連接，中心部薄，呈游離狀態(tài)，半月板承擔著吸收震蕩、穩(wěn)定膝關節(jié)的重要作用[1]。出現(xiàn)半月板損傷的患者除邊緣部分損傷后可以自行修復外，半月板破裂后不能自行修復，且半月板切除后，可由滑膜再生一個纖維軟骨性的又薄又窄的半月板。隨著臨床科學技術的發(fā)展，越來越多的患者選擇關節(jié)鏡手術治療半月板損傷，同時也能夠規(guī)避傳統(tǒng)手術術后康復時間長、創(chuàng)傷大等不足，治療效果較理想[2]。同時，在術前配合早期冷敷治療，能夠進一步促進患者關節(jié)功能恢復，減少患者的疼痛感與肢體腫脹程度。因此本研究選取2018年7月至2020年7月我院共收治的50例半月板損傷患者作為研究對象，旨在探討早期冷敷及關節(jié)鏡手術治療半月板損傷的治療效果及對患者關節(jié)功能的影響，現(xiàn)報道如下。