[1]鲁林 张汉庆 王智△.痹痛汤方加减联合玻璃酸钠对膝关节骨关节炎患者关节镜清理术后运动能力及炎症因子的影响[J].中国中医骨伤科杂志,2020,28(02):38-42.
　LU Lin ZHANG Hanqing WANG Zhi.The Clinical Effect of Bitong Decoction Combined with SodiumHyaluronate on Knee Osteoarthritis after Arthroscopic Debridement[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(02):38-42.
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痹痛汤方加减联合玻璃酸钠对膝关节骨关节炎患者关节镜清理术后运动能力及炎症因子的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年02期
页码:
38-42
栏目:
临床研究
出版日期:
2020-02-10

文章信息/Info

Title:
The Clinical Effect of Bitong Decoction Combined with SodiumHyaluronate on Knee Osteoarthritis after Arthroscopic Debridement
文章编号:
1005-0205(2020)02-0038-05
作者:
鲁林1 张汉庆1 王智1△
1武汉市中医院骨科(武汉,430014)
Author(s):
LU Lin1 ZHANG Hanqing1 WANG Zhi1△
1Department of Orthopaedics,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,China.
关键词:
痹痛汤方;  玻璃酸钠;  关节镜清理术;  膝关节骨关节炎;  运动能力
Keywords:
Bitong decoction;  sodium hyaluronate;  arthroscopic debridement;  knee osteoarthritis;  motor ability
分类号:
R684.3
文献标志码:
A
摘要:
目的:分析痹痛汤方加减对膝关节骨关节炎患者关节镜清理术后运动能力及炎症因子的影响。方法:随机选择2014年3月至2018年12月收治的60例实施关节镜清理术的膝关节骨关节炎患者进行分析,并按随机数字表法均分为对照组和观察组(各30例)。对照组采用单一的玻璃酸钠治疗方案,观察组采用痹痛汤方加减联合玻璃酸钠治疗。根据患者运动能力及炎症因子评估临床治疗效果。结果:观察组治疗的总有效率93.33%(28/30)明显高于对照组76.66%(23/30),差异有统计学意义(P<0.05)。统计治疗前、治疗后1个月、6个月及12个月的FMA评分与Barthel评分,两组患者的运动能力得到改善,且观察组患者的改善情况明显好于对照组,差异有统计学意义(P<0.05)。治疗后1个月各组疼痛评分改善,观察组优于对照组,差异有统计学意义(P<0.01)。治疗后各组评分改善,观察组优于对照组,差异有统计学意义(P<0.01); 两组患者不良反应率均较低,差异无统计学意义(P>0.05)。观察组患者治疗满意率高于对照组,差异有统计学意义(P<0.05)。结论:采用痹痛汤方联合玻璃酸钠对实施关节镜清理术的膝关节骨关节炎患者的临床治疗效果得到提高,降低了患者炎症因子含量,提高了患者运动能力,值得临床参考借鉴。
Abstract:
Objective:To analyze the effect of Bitong decoction add or subtract on exercise ability and inflammatory factors of knee osteoarthritis patients after arthroscopy.Methods:60 patients with knee osteoarthritis who underwent arthroscopic debridement in our hospital from March 2014 to December 2018 were randomly selected for the study.They were divided into control group and observation group according to random number method,30 cases in each group.The control group was treated with a single sodium hyaluronate regimen,while the observation group was treated with Bitong decoction combined with sodium hyaluronate.The patients’ motor ability,inflammatory factors and the clinical effect were recorded.Results:The total effective rate of the observation group was 93.33%(28/30)significantly higher than that of the control group 76.66%(23/30)(P< 0.05).FMA score and Barthel score before treatment,1 month,6 months and 12 months after treatment improved the motor ability of the two groups,and the improvement of the observation group was significantly higher than that of the control group(P< 0.05).The pain score of each group was improved at the 1 month after treatment,and the observation group was better than the control group(P<0.01).After treatment,the scores of each group were improved,and the observation group was better than the control group(P<0.01).Both groups had lower adverse reactions,and there was no significantly difference in two groups(P>0.05).The satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion:Dialectical Chinese Bitong decoction combined with sodium hyaluronate in the treatment of knee osteoarthritis patients undergoing arthroscopic debridement can improve the clinical efficacy,reduce the content of inflammatory factors and improve the exercise ability of patients,which is worthy of clinical reference.

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备注/Memo

备注/Memo:
(收稿日期:2019-08-07)
更新日期/Last Update: 2020-02-10