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中医熏洗护理对膝骨关节炎关节镜清理术后的疗效:系统评价和荟萃分析方案。

The effectiveness of traditional Chinese medicine fumigation and washing nursing care after arthroscopic debridement of Knee Osteoarthritis: A protocol for systematic review and meta-analysis.

机构信息

Department of supply room, Weifang Yidu Central Hospital.

People's Hospital of Weifang, Weifang, Shandong province, China.

出版信息

Medicine (Baltimore). 2021 Mar 19;100(11):e24752. doi: 10.1097/MD.0000000000024752.

Abstract

BACKGROUND

Knee Osteoarthritis (KOA) is a degenerative osteoarthrosis with knee joint pain as the main symptom. In recent years, arthroscopic removal of loose body and repair of meniscus have become common methods for the treatment of KOA. However, postoperative pain, swelling and limited joint movement affect the functional recovery of knee joint and the effect of surgical treatment. Early postoperative control of pain and swelling is of great significance to improve the curative effect of arthroscopic debridement and promote the recovery of knee joint function. In recent years, many clinical studies have reported that the nursing method of fumigation and washing with Chinese medicine after arthroscopic debridement of KOA can relieve pain, promote the recovery of joint function and improve the clinical curative effect, but there is a lack of evidence-based medicine. The purpose of this study is to evaluate the efficacy and safety of fumigation and washing with traditional Chinese medicine after KOA arthroscopy.

METHODS

Computer retrieval English database (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese database (China National Knowledge Infrastructure, Wanfang, VIP Database for Chinese Technical Periodicals, China Biology Medicine disc), moreover manual retrieval academic, Google and baidu from building to since December 2020, traditional Chinese medicine fumigation applied to KOA arthroscopy postoperative nursing of randomized controlled clinical research, by two researchers independently evaluated the quality of the included study and extracted the data. Meta-analysis of the included literatures was performed using RevMan5.3 software.

RESULTS

The main observation index of this study was the effective rate, and the secondary indexes included Visual Analogue Scale Score, the Western Ontario and McMaster university orthopedic index, Lysholms score and adverse reactions, so as to evaluate the efficacy and safety of traditional Chinese medicine fumigation nursing after KOA arthroscopy.

CONCLUSION

This study will provide reliable evidence for the clinical application of Fumigation and washing nursing of traditional Chinese medicine after KOA arthroscopy.

ETHICS AND DISSEMINATION

Private information from individuals will not be published. This systematic review also does not involve endangering participant rights. Ethical approval will not be required. The results may be published in a peer-reviewed journal or disseminated at relevant conferences.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/THZP4.

摘要

背景

膝骨关节炎(KOA)是以膝关节疼痛为主要症状的退行性骨关节炎。近年来,关节镜下游离体取出和半月板修复已成为治疗 KOA 的常用方法。但是,术后疼痛、肿胀和关节活动受限影响膝关节的功能恢复和手术治疗效果。术后早期控制疼痛和肿胀对提高关节镜清理术的疗效、促进膝关节功能恢复具有重要意义。近年来,许多临床研究报道,膝骨关节炎关节镜术后中药熏洗护理可缓解疼痛、促进关节功能恢复、提高临床疗效,但缺乏循证医学证据。本研究旨在评价中药熏洗用于膝骨关节炎关节镜术后的疗效及安全性。

方法

计算机检索英文数据库(PubMed、Embase、Web of Science、The Cochrane Library)和中文数据库(中国知网、万方、维普中文期刊服务平台、中国生物医学文献数据库),并手检学术会议、Google 和百度等,自建库至 2020 年 12 月,关于中药熏洗应用于膝骨关节炎关节镜术后护理的随机对照临床研究,由 2 位研究者独立评价纳入研究的质量并提取资料。采用 RevMan5.3 软件进行 Meta 分析。

结果

本研究的主要观察指标为有效率,次要指标包括视觉模拟评分(VAS)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、Lysholms 评分和不良反应,以评价膝骨关节炎关节镜术后中药熏洗护理的疗效及安全性。

结论

本研究将为膝骨关节炎关节镜术后中药熏洗护理的临床应用提供可靠依据。

伦理与传播

本研究不会公布个人信息。本系统评价也不会危及参与者的权利。不需要伦理批准。研究结果可能发表在同行评议期刊上或在相关会议上传播。

OSF 注册号:DOI 10.17605/OSF.IO/THZP4。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d968/7982246/1564e2628b9d/medi-100-e24752-g001.jpg

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