【摘要】 目的研究临床关节镜清理联合伸筋透骨方治疗膝骨性关节炎的临床效果。方法选取2012年2月～2017年2月就诊于湖北省鄂州市中心医院骨科526例轻中度膝关节骨性关节炎的患者,按随机数字表法分为观察组263例和对照组263例,观察组采用关节镜清理术辅以外用伸筋透骨方熏洗,对照组则单独采用关节镜清理术,采用日本骨科协会评估治疗分数(JOA)和美国特种外科医院膝关节评分(HSS)分别在术后第49、91、175天时对两组患者膝关节进行临床疗效评分。结果术后第49天两组患者HSS和JOA评分优良率比较,差异无统计学意义(P> 0.05);术后第91天及第175天,观察组HSS和JOA评分优良率高于对照组,差异均有统计学意义(P <0.05)。两组均未出现严重不良反应。结论应用关节镜下清理联合伸筋透骨方熏洗治疗膝骨性关节炎远期疗效明显优于单独使用关节镜清理术,长期应用伸筋透骨方可以减轻患膝疼痛,减缓关节退变过程,明显提高患者的生活质量。更多还原

【Abstract】 Objective To study the clinical effect of arthroscopic debridement combined with Shenjin Tougu Decoction in the treatment of knee osteoarthritis. Methods A total of 526 cases with mild-to-moderate knee osteoarthritis in Ezhou Central Hospital from February 2010 to February 2015, which were randomly divided into observation group 263 cases and control group 263 cases by random number table method. The observation group was treated with arthroscopy debridement combined with the fumigation and washing with Shenjin Tougu Decoction, the control group was treated with arthroscopy debridement simply. Criteria for judging the therapeutic effect of knee osteoarthritis Japanese orthopaedic association scores(JOA) and hospital for special surgery knee score(HSS) knee scoring criteria were used to evaluate curative effect postoperative 49, 91, 175 days. Results There was no significant difference in HSS and JOA excellent and good rates between the two groups at 49 th day after surgery(P > 0.05). At 91 st and 175 th day after surgery, HSS and JOA excellent and good rates in the observation group were higher than those in the control group, and the differences were statistically significant(P < 0.05). There were no severe adverse reactiows in the two groups. Conclusion Application of combined arthroscopy debridement and Shenjin Tougu Decoction fumigation in the treatment of knee osteoarthriti had better long-term curative effect than simply using arthroscopy debridement. Shenjin Tougu Decoction in long term can relieve patients′ pain and delay the progress of articular degeneration, and improve patients′ quality of life.更多还原