Abstract:

Objective Observe the clinical curative effects for the treatment of degenerative meniscus injury by self⁃made decoction of activating blood and dieresis combining with knee arthroscopy. Methods From February 2018 to February 2020，60 patients with degenerative meniscus injuries who will undergo knee arthroscopy at Danyang Hospital of Traditional Chinese Medicine will be divided into two groups：control and treatment，with 30 patients in each. After the knee art hroscopy，the control group received the treatment of anticoagulation and fluid replacement；while based on the treatment of anticoagulation and fluid replacement，the treatment group also orally took medicine of activating blood and dieresis prepared the hospital for 4 weeks continuously，the follow⁃up survey took 6 months. Postoperative curative effects，anticoagulation index，swelling value，changes in Lyscholm knee score scale，and VAS score are compared for 2 weeks before and after the operation，as well as 6 months after the operation. Results The total effective rate of the treatment group is higher thanthat of the control group（P < 0.05）； two groups of anticoagulation index one week after the operation（PT，APTT）are postponed than the pre⁃operation ones，and duration of the treatment group is longer than the control group（P < 0.05）；two groups of swelling value were reduced continuously on the 3rd and 7th day after the operation than the first day after the operation（P < 0.05）. On the 3rd and 7th day after the operation，the value of treatment group is lower than those of the control group（P < 0.05）；two groups of Lyscholm knee score scale and VAS score（2 weeks and 4 weeks after the opera⁃ tion，6 months after the operation）are obviously better than the value before the treatment，the differences have statistical significance，and treatment group（2 weeks and 4 weeks after the operation）is better than the control group.（P < 0.05）. Conclusion The treatment of degenerative meniscus injury by means of knee arthroscopy is effective，the application of activating blood and dieresis can effectively reduce the early swelling postoperative of knee arthroscopy，improve coagulation function and promote recovery of knee joint function. 

Key words:

decoction of activating blood and dieresis, knee arthroscopy, degenerative meniscus inju? ry, clinical curative effects