薛雷
[关键词] 膝关节;半月板损伤;早期冷敷;关节镜手术
[中图分类号] R684.76 [文献标识码] B [文章编号] 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
在胫骨关节面上有内侧和外侧半月形状骨，称为半月板，其边缘部较厚，与关节囊紧密连接，中心部薄，呈游离状态，半月板承担着吸收震荡、稳定膝关节的重要作用[1]。出现半月板损伤的患者除边缘部分损伤后可以自行修复外，半月板破裂后不能自行修复，且半月板切除后，可由滑膜再生一个纤维软骨性的又薄又窄的半月板。随着临床科学技术的发展，越来越多的患者选择关节镜手术治疗半月板损伤，同时也能够规避传统手术术后康复时间长、创伤大等不足，治疗效果较理想[2]。同时，在术前配合早期冷敷治疗，能够进一步促进患者关节功能恢复，减少患者的疼痛感与肢体肿胀程度。因此本研究选取2018年7月至2020年7月我院共收治的50例半月板损伤患者作为研究对象，旨在探讨早期冷敷及关节镜手术治疗半月板损伤的治疗效果及对患者关节功能的影响，现报道如下。
