[1]李晓明△ 赵云超 郭东辉 马世强 侯秀秀.坚骨胶囊对胫骨高位截骨术后膝关节功能的近期疗效观察[J].中国中医骨伤科杂志,2019,27(12):22-25.
 LI Xiaoming ZHAO Yunchao GUO Donghui MA Shiqiang HOU Xiuxiu.Observation on Short-term Efficacy of Jian Gu Capsule on Knee Function after High Tibial Osteotomy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(12):22-25.
点击复制

坚骨胶囊对胫骨高位截骨术后膝关节功能的近期疗效观察()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年12期
页码:
22-25
栏目:
临床研究
出版日期:
2019-12-04

文章信息/Info

Title:
Observation on Short-term Efficacy of Jian Gu Capsule on Knee Function after High Tibial Osteotomy
文章编号:
1005-0205(2019)12-0022-04
作者:
李晓明1△ 赵云超1 郭东辉1 马世强1 侯秀秀1
1河北省沧州中西医结合医院(河北 沧州,061001)
Author(s):
LI Xiaoming1△ ZHAO Yunchao1 GUO Donghui1 MA Shiqiang1 HOU Xiuxiu1
1Hebei Cangzhou Hospital Combine Traditional Chinese and Western Medicine,Cangzhou 061001,Hebei China.
关键词:
坚骨胶囊 胫骨高位截骨术 膝关节骨性关节炎 膝关节功能
Keywords:
Jian Gu capsule high tibial osteotomy knee osteoarthritis knee function
分类号:
R684
文献标志码:
A
摘要:
目的:探讨坚骨胶囊治疗胫骨高位截骨术后近期膝关节功能的临床疗效。方法:选取2017年1月至2018年1月河北省沧州中西医结合医院行胫骨高位截骨术后的患者,术后辨证,选取瘀血阻滞证型患者80例,采用随机数字表法分为两组,对照组40例,试验组40例。对照组术后常规治疗,试验组在此基础上,服用坚骨胶囊,术后4周停用坚骨胶囊,术后3个月、6个月应用VAS评分、Lysholm评分及WOMAC评分评定膝关节功能。结果:术后3个月试验组VAS评分、Lysholm评分及WOMAC评分高于对照组,差异有统计学意义(P<0.05); 术后6个月试验组VAS评分、Lysholm评分及WOMAC评分高于对照组,差异有统计学意义(P<0.05); 两组VAS评分与Lysholm评分差异无统计学意义(P>0.05)。结论:坚骨胶囊对胫骨高位截骨术后膝关节功能近期恢复具有临床疗效。
Abstract:
Objective:To investigate the short-term clinical efficacy of Jian Gu capsule on knee function after high tibial osteotomy.Methods:From January 2017 to January 2018,we selected 80 patients with blood stasis syndrome after high tibial osteotomy in Hebei Cangzhou hospital combine traditional Chinese and western medicine.The patients were divided into two groups by random number table,the control group(40 cases)and the experimental group(40 cases).The control group received routine treatment postoperative,and the experimental group took Jian Gu capsule postoperation.Four weeks after surgery,patients stopped taking Jian Gu capsule.We used VAS score,Lysholm score and WOMAC score to evaluate knee function at 3,6 months postoperatively.Results:VAS score,Lysholm score and WOMAC score of the experimental group were higher than those of the control group 3 months after surgery(P<0.05).VAS score,Lysholm score and WOMAC score in the experimental group were higher than those in the control group 6 months after surgery(P<0.05).There was no statistical difference on VAS score and Lysholm score for two groups(P>0.05).Conclusion:Jian Gu capsule has a clinical efficacy on the short-term recovery of knee joint function after high tibial osteotomy.

参考文献/References:

[1] 黄野.胫骨高位截骨术治疗膝关节骨关节炎的现状[J].中华关节外科杂志(电子版),2016,10(5):470-471. [2] 侯延超,魏杰,贾中伟,等.胫骨高位截骨治疗膝骨性关节炎中长期疗效分析[J].中国骨伤,2016,29(9):795-797. [3] 王兴山,黄野.开放楔形胫骨高位截骨术的研究进展[J].中华关节外科杂志(电子版),2016,10(5):525-527. [4] RITTER M A,FECHTMAN R A.Proximal tibial osteotomy:a survivorship analysis[J].J Arthroplasty,1998,3(4):309-311. [5] 闫国强,陈淑兰,董晶晶.等.坚骨胶囊治疗髌骨软化症140例临床研究[J].河北中医,2011,33(9):1309-1310. [6] 赵德春,瑞新智,闫国强.坚骨胶囊治疗膑股关节过载症350例临床观察[J].中国中西医结合外科杂志,1999,5(5):327-328. [7] 邢宝瑞,郭东辉,李晓明.等.坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗的应用研究[J].世界中医药,2018,13(6):1401-1403. [8] 李晓明,赵云超,侯秀秀,等.胫骨高位截骨术治疗膝关节骨关节炎围手术期中医证型临床研究[J].中国中医骨伤科杂志,2019,27(5):24-27. [9] 王建华.关节失稳与应力集中在膝关节骨关节炎发病过程中的作用[J].中华老年骨科与康复电子杂志,2017,3(4):253-255. [10] 姬林松,李彦林,黄赞,等.三维有限元分析内侧半月板全部切除后不同软骨缺损面积对膝关节应力的影响[J].中国现代医学杂志,2016,26(8):67-69. [11] 孟涛,苏晨.玻璃酸钠联合臭氧治疗膝关节骨性关节炎的近期临床疗效观察[J].重庆医学,2018,47(24):3186-3188. [12] 包学智,赵蓬,刘培来,等.胫骨内侧开放楔形高位截骨治疗膝关节内侧间室骨关节炎的短期疗效[J].山东大学学报(医学版),2016,54(10):85-89. [13] 王兴山,黄野.开放楔形胫骨高位截骨术的研究进展[J].中华关节外科杂志(电子版),2016,10(5):528-531. [14] 李程豪,任春贞,刘永琦,等.黄芪多糖对IL-6和TNF-α模拟炎性微环境中BMSCs增殖及TAFs分化的影响[J].中华中医药杂志,2018,33(7):3039-3041. [15] 郑福增,范围,孟庆良,等.红花注射液对活动期类风湿关节炎纤维蛋白原及 D-二聚体的影响[J].河南中医,2018,38(10):1596-1598. [16] 廖亮英,李点,伍参荣.黄芪虫藤饮对类风湿关节炎大鼠关节滑膜细胞生长增殖的影响[J].湖南中医药大学学报,2018,38(1):35-38. [17] 杨俏雯,李秀兰,黄清春,等.黄芪桂枝五物汤治疗类风湿关节炎患者的疗效[J].世界中医药,2018,13(4):864-866. [18] 王涛,林静,狄舒男,等.乌头汤及其拆方对60例寒湿型类风湿性关节炎TNF-α、IL-6的临床疗效观察[J].中医药学报,2016,44(1):85-87. [19] 万琦兵 杨惠琴.独活寄生汤对膝骨性关节炎患者关节液hs-CRP和MMP-3含量的影响[J].放射免疫学杂志,2012,25(5):531-532. [20] 芦琨,蒋建平,郭辉,等.川芎嗪对胶原性关节炎大鼠血清炎性因子与关节滑膜组织的影响[J].医药导报,2016,35(2):149-153. [21] 杨丽华.红花的现代研究进展[J].中国老年学杂志,2007,27(14):45-47.

备注/Memo

备注/Memo:
基金项目:河北省中医药管理局中医药类科研计划课题 (2018477)通信作者 E-mail:lixiaomingdoctor@163.com(收稿日期:2019-06-02)
更新日期/Last Update: 2019-12-04