【摘要】 目的：观察骨伤Ⅰ号方热熨合关节镜清理术治疗膝骨性关节炎的临床疗效。方法：将64例膝骨性关节炎住院患者随机分为治疗组(32例)和对照组(32例)，治疗组予以骨伤Ⅰ号方热熨合关节镜清理术进行治疗，对照组单纯予以关节镜清理术治疗。结果：2组患者症状均得到明显缓解，膝关节功能得到改善，治疗组总有效率为93.8%，对照组总有效率为84.4%，2组治疗前后膝关节Lysholm功能评分自身比较及组间比较差别均有统计学意义(P均<0.05);2组治疗后疗效比较差别有统计学意义(P<0.05);治疗期间未发现因药物引起的明显不良反应。结论：关节镜清理术后配合外用骨伤Ⅰ号方热熨治疗早中期膝骨性关节炎的疗效显著。其作用机制及远期疗效尚有待于通过动物实验研究和临床观察进一步验证和阐明。
【关键词】 膝骨性关节炎; 骨伤Ⅰ号方; 关节镜; 临床疗效
Gushang 1 side with arthroscopic knee surgery forosteoarthritis of clinical observation
DENG Ying-jie, MENG Qing-cai, LU Yong, et al
(Department of Orthopedics, Affiliated Traditional Chinese Medical Hospital,
Xinjiang Medical University, Urumqi 830000, China)
Abstract: Objective: To observe the clinical efficacy of Gushang 1 with arthroscopic knee surgery for osteoarthritis. Method: Sixty four cases of knee osteoarthritis patients were randomly divided into treatment and control groups. The treatment group received Gushang 1 with arthroscopic operation in the treatment and the control group simply given arthroscopic operation for the treatment. Results: Two groups of patients significantly eased off the symptoms,and improve function of knee. The total efficiency of the treatment group was 93.8%, meanwhile, the control group to 84.4%. Two groups function before and after treatment lysholm knee score and their comparison between group differences were statistically significant (P<0.05). After treatment of the two groups had statistically significant difference (P<0.05). No adverse drug reactions was fund. Conclusion: Gushang 1 with arthroscopic knee surgery for osteoarthritis is significant effect. However, its mechanism and long-term effect is still to be further animal experiments through research and clinical observation to verify and clarify.
Key words: knee osteoarthritis; Gushang 1; arthroscopy; clinical observation
膝骨性关节炎(knee osteoarthritis，KOA)是指关节的症状和体征与节软骨的完整性受损、软骨下骨板与关节边缘骨病变有关的退行性疾病，即关节软骨的退变和继发
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