【作者】 徐兵；

【导师】 董启榕；

【作者基本信息】 苏州大学 ， 骨科学， 2005， 硕士

【摘要】 一．目的：通过临床分组治疗的比较，探讨不同方法治疗膝骨关节炎的疗效，指导临床工作。 二．方法：回顾性分析膝骨关节炎179例。A组应用中医中药治疗治疗。B组应用玻璃酸钠关节腔内注射。C组在中医中药治疗基础上加用膝关节镜手术治疗。观察治疗前后病人的疼痛、膝关节活动情况。治疗后每月随访一次。 三．结果：116例患者获得随访，随访时间9～37个月，平均13.3个月。采用关节综合评分表进行疗效评价。三组均有效缓解症状，其中A组与B组间无显著性差别，C组效果最好。 四．结论：中医中药结合膝关节镜手术是治疗膝骨关节炎的较好方法。更多还原

【Abstract】 Objective:To review the results of different methods in the treatments of knee osteoarthritis(OA).Method: One hundred and seventy-nine cases of knee osteoarthritis were reviewed. A group was treated merely with unoperative way. B group only used the SH intraarticular injection, and C group was treated with traditional Chinese herbal drugs combing with arthroscopy on the homolatered knee. The data of pain degree and ability of movement in all cases were collected before and after treatment . The follow-up time was once a month in the post-operative(-treatment) period.Result: One hundred and sixteen patients were followed up for 9 to 37 months (averaged 13.3 months). The data was evaluated by comprehensive knee joint accessing scale. All the above treating methods did work in improving the patients’ symptoms, however, the difference of effect between A and B is out of statistical significence. The C group has the most satisfied effect. Conclusion: It may be the most benefit methed, as the traditional Chinese herbal drugs combing with knee arthroscopy, to treat knee osteoarthritis更多还原