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北京市健宫医院 脑病科, 北京, 100054
收稿日期:2025-05-01,
录用日期:2025-07-02,
网络出版日期:2025-08-07,
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张然. 1例创伤性膝关节僵直患者中西医结合护理体会[DB/OL].中西医结合临床案例库, 2025.
ZHANG Ran. Nursing Experience with Integrated Traditional Chinese and Western Medicine for a Patient with Post-traumatic Knee Stiffness[DB/OL].Clinical archives of integrative medicine, 2025.
张然. 1例创伤性膝关节僵直患者中西医结合护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202505010002.
ZHANG Ran. Nursing Experience with Integrated Traditional Chinese and Western Medicine for a Patient with Post-traumatic Knee Stiffness[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202505010002.
本文总结1例副韧带撕裂后膝关节僵直患者选择保守治疗方案,护理人员为患者制定针对性中西医结合护理方案。利用中医护理技术中药熏洗、中药塌渍及耳穴压丸联合康复锻炼,已改善患者膝关节僵直症状。经治疗,患者视觉模拟评分法(Visual Analogue Scale, VAS)评分由4分降至1分,膝关节功能(HSS)评分由80分上升至84分,汉密尔顿焦虑评估量表(Hamilton Anxiety Rating Scale, HAMA)由14分降至8分,匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)评分由16分降至10分,左侧膝关节屈曲由治疗前90°改善至35°,左侧膝关节伸直由治疗前160°改善至180°,左下肢肌力由Ⅳ改善至Ⅴ。中医护理特色护理联合康复锻炼,对于缓解膝关节僵直的效果明显,且操作简单,效果显著,有效提高患者生活质量。
This article summarizes the integrated Traditional Chinese and Western Medicine (TCM-WM) nursing protocol for a patient with knee joint stiffness following a collateral ligament tear, who opted for conservative treatment. The nursing team developed a tailored intervention combining TCM nursing techniques—including herbal fumigation and washing, herbal compression, and auricular acupoint pressing—with rehabilitative exercises to alleviate knee stiffness. Post-intervention outcomes demonstrated significant improvements: Visual Analogue Scale (VAS) score decreased from 4 to 1. Hospital for Special Surgery (HSS) knee function score increased from 80 to 84. Hamilton Anxiety Rating Scale (HAMA) score reduced from 14 to 8.Pittsburgh Sleep Quality Index (PSQI) score declined from 16 to 10. Left knee flexion improved from 90° to 35° (active range). Left knee extension advanced from 160° to 180° (full extension).Left lower limb muscle strength enhanced from grade IV to V. The integration of TCM-specific nursing techniques with rehabilitative exercise markedly alleviated knee stiffness, simplified clinical operations, and effectively improved the patient’s quality of life.
王月 , 张萍 , 张金晨 , 等 . 内热针联合康复手法治疗创伤性膝关节僵直的观察 [J]. 宁夏医科大学学报 , 2024 , 46 ( 2 ): 161 - 165 .
WANG Y , ZHANG P , ZHANG J C , et al . Observation on the treatment of post-traumatic knee stiffness with internal heat acupuncture combined with rehabilitation manipulation [J]. J Ningxia Med Univ , 2024 , 46 ( 2 ): 161 - 165 . (in Chinese)
胡结林 , 何韵 , 晏小华 , 等 . 关节粘连传统松解术联合运动疗法治疗创伤后膝关节功能障碍的疗效观察 [J]. 现代诊断与治疗 , 2020 , 31 ( 24 ): 3921 - 3923 .
HU J L , HE Y , YAN X H , et al . Clinical observation on the treatment of post-traumatic knee joint dysfunction by traditional arthrolysis combined with exercise therapy [J]. Mod Diagn Treat , 2020 , 31 ( 24 ): 3921 - 3923 . (in Chinese)
娄路馨 , 顾建明 , 梁伟 , 等 . MRI对体外冲击波联合康复运动治疗膝关节骨性关节炎短期疗效的评估 [J]. 临床放射学杂志 , 2024 , 43 ( 10 ): 1767 - 1771 .
LOU L X , GU J M , LIANG W , et al . Evaluation of short-term rfficacy of extracorporeal shock wave combined with rehabilitation exercise for knee osteoarthritis by MRI [J]. J Clin Radiol , 2024 , 43 ( 10 ): 1767 - 1771 . (in Chinese)
张月兰 , 高玉芳 , 王笑林 , 等 . 早期康复干预对肩袖损伤患者经手法松解术治疗后功能恢复的影响 [J]. 中华物理医学与康复杂志 , 2024 , 46 ( 01 ): 47 - 49 .
ZHANG Y L , GAO Y F , WANG X L , et al . The influence of early rehabilitation intervention on functional recovery of patients with rotator cuff injury after manual release [J]. Chinese Journal of Physical Medicine and Rehabilitation , 2024 , 46 ( 01 ): 47 - 49 . (in Chinese)
薄纯露 , 章笑天 , 翟静 , 等 . 成人疼痛评估多维度量表的研究进展 [J]. 护理管理杂志 , 2018 , 18 ( 3 ): 218 - 221, 225 .
BO C L , ZHANG X T , ZHAI J , et al . A review of multidimensional scales for adult pain assessment [J]. J Nurs Adm , 2018 , 18 ( 3 ): 218 - 221, 225 . (in Chinese)
成剑文 , 梁润林 , 陈浩鹏 , 等 . 关节镜手术联合腔内药物注射治疗半月板损伤的疗效及对疼痛因子、HSS量表、IKDC评分的影响 [J]. 中外医疗 , 2022 , 41 ( 3 ): 72 - 75 .
CHENG J W , LIANG R L , CHEN H P , et al . Efficacy of arthroscopic surgery combined with intracavitary drug injection in the treatment of meniscus injury and its effect on pain factors, HSS scale and IKDC score [J]. China Foreign Med Treat , 2022 , 41 ( 3 ): 72 - 75 . (in Chinese)
DISSANAYAKA N N W , TORBEY E , PACHANA N A . Anxiety rating scales in Parkinson’s disease: a critical review updating recent literature [J]. Int Psychogeriatr , 2015 , 27 ( 11 ): 1777 - 1784 .
龚为群 , 阎萍 , 杨世权 , 等 . Epworth嗜睡量表联合匹兹堡睡眠质量指数量表在不同程度鼻源性OSAHS患者中的临床应用 [J]. 重庆医学 , 2016 , 45 ( 32 ): 4549 - 4551 .
GONG W Q , YAN P , YANG S Q , et al . Clinical application of Epworth Sleepiness Scale combined with Pittsburgh Sleep Quality Index Scale in patients with different degrees of rhinogenous OSAHS [J]. Chongqing Med , 2016 , 45 ( 32 ): 4549 - 4551 . (in Chinese)
谢海娟 , 姚菊峰 . 中药塌渍疗法在临床应用中的研究进展 [J]. 按摩与康复医学 , 2021 , 12 ( 12 ): 90 - 92 .
XIE H J , YAO J F . Research progress in clinical application of traditional Chinese medicine collapse therapy [J]. Chin Manip Rehabil Med , 2021 , 12 ( 12 ): 90 - 92 . (in Chinese)
朱丽娟 . 中药熏蒸联合个体化锻炼对膝骨关节炎患者膝关节功能及预后的临床研究 [J]. 山西医药杂志 , 2021 , 50 ( 11 ): 1853 - 1855 .
ZHU L J . Clinical study on the function and prognosis of knee joint in patients with knee osteoarthritis by fumigation of traditional Chinese medicine combined with individualized exercise [J]. Shanxi Med J , 2021 , 50 ( 11 ): 1853 - 1855 . (in Chinese)
王军威 , 袁普卫 , 董博 , 等 . 膝关节置换术后应用中西医结合护理模式对患者膝关节疼痛及功能恢复的影响 [J]. 长春中医药大学学报 , 2020 , 36 ( 4 ): 825 - 828 .
WANG J W , YUAN P W , DONG B , et al . Effect of integrated Chinese and Western medicine nursing mode on knee joint pain and functional recovery after knee arthroplasty [J]. J Changchun Univ Chin Med , 2020 , 36 ( 4 ): 825 - 828 . (in Chinese)
唐肇祥 , 倪乾坤 , 吕晶同 , 等 . 关节外肌腱固定术对合并高度轴移现象的前交叉韧带损伤患者术后膝关节稳定性的影响 [J]. 中华创伤骨科杂志 , 2025 , 27 ( 05 ): 395 - 402 .
TANG Z X , NI Q K , LV J T , et al . The effect of extra-articular tendon fixation on postoperative knee stability in patients with anterior cruciate ligament injury combined with high-grade pivot shift [J]. Chinese Journal of Trauma and Orthopaedics , 2025 , 27 ( 05 ): 395 - 402 . (in Chinese)
丁罗宾 , 赵佳 , 关健 , 等 . 电针对膝关节前交叉韧带重建术后膝关节运动功能康复的影响 [J]. 中国针灸 , 2020 , 40 ( 2 ): 142 - 146 .
DING L B , ZHAO J , GUAN J , et al . Effect of electroacupuncture on rehabilitation of knee joint movement after anterior cruciate ligament reconstruction [J]. Chin Acupunct Moxibustion , 2020 , 40 ( 2 ): 142 - 146 . (in Chinese)
黄觅 , 曾宇 , 杜世阳 , 等 . 同源点针刺法治疗膝痹病(骨关节炎)的临床疗效评价研究 [J]. 时珍国医国药 , 2022 , 33 ( 3 ): 656 - 658 .
HUANG M , ZENG Y , DU S Y , et al . Evaluation of clinical efficacy of homologous point acupuncture in treating knee arthritis (osteoarthritis) [J]. Lishizhen Med Mater Med Res , 2022 , 33 ( 3 ): 656 - 658 . (in Chinese)
冯涛 , 彭洪 , 胡波涌 , 等 . 推拿手法对胫骨平台骨折术后膝关节功能康复影响的临床研究思路总结 [J]. 中国社区医师 , 2021 , 37 ( 2 ): 94 - 95 .
FENG T , PENG H , HU B Y , et al . Summary of clinical research ideas on the influence of manipulation on knee joint functional rehabilitation after tibial plateau fracture [J]. Chin Community Dr , 2021 , 37 ( 2 ): 94 - 95 . (in Chinese)
林志宏 , 许巩固 . 中药熏蒸治疗膝关节骨性关节炎疗效观察 [J]. 亚太传统医药 , 2020 , 16 ( 2 ): 120 - 122 .
LIN Z H , XU G G . Observation on therapeutic effect of fumigation with traditional Chinese medicine on knee osteoarthritis [J]. Asia Pac Tradit Med , 2020 , 16 ( 2 ): 120 - 122 . (in Chinese)
高松年 , 李民 , 王海 , 等 . 中药熏浴联合PNF治疗ACLR术后膝关节功能障碍的临床疗效研究 [J]. 实用中西医结合临床 , 2021 , 21 ( 24 ): 1 - 3, 7 .
GAO S N , LI M , WANG H , et al . Clinical efficacy of traditional Chinese medicine fumigation combined with PNF in the treatment of knee dysfunction after ACLR [J]. Pract Clin J Integr Tradit Chin West Med , 2021 , 21 ( 24 ): 1 - 3, 7 . (in Chinese)
许琬茹 , 张恒 , 刘海霞 , 等 . 中药塌渍联合归原灸疗法治疗膝骨关节炎寒湿阻络证临床研究 [J]. 新中医 , 2024 , 56 ( 18 ): 162 - 166 .
XU W R , ZHANG H , LIU H X , et al . Clinical study on Chinese medicine collapse stains combined with original qi-returning moxibustion for knee osteoarthritis with syndrome of cold-damp obstructing collaterals [J]. New Chin Med , 2024 , 56 ( 18 ): 162 - 166 . (in Chinese)
林淑晶 . 金匮肾气丸加减联合中药塌渍治疗糖尿病周围神经病变的临床疗效分析 [J]. 中国现代药物应用 , 2023 , 17 ( 1 ): 155 - 157 .
LIN S J . Analysis of clinical efficacy of modified Jinkui Shenqi Pill combined with Chinese herbal medicine soaking in the treatment of diabetic peripheral neuropathy [J]. Chin J Mod Drug Appl , 2023 , 17 ( 1 ): 155 - 157 . (in Chinese)
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