健膝汤联合关节镜治疗膝关节慢性滑膜炎的临床研究

Clinical research of knee soup combined with arthroscopy in treatment for knee joint chronic synovitis

目的探讨健膝汤联合关节镜治疗膝关节慢性滑膜炎的效果。方法膝关节慢性滑膜炎患者136例采用随机数字表法分为两组,68例患者采用关节镜治疗为对照组,68例患者采用健膝汤联合关节镜治疗为观察组,于治疗前后行VAS评分、Lysholm评分,比较两组治疗前后炎症因子改变、相关指标改善、临床疗效、并发症。结果治疗后,两组炎症因子(IL-6,TNFα,CRP)、浮髌试验阳性率、VAS评分降低。两组膝关节屈曲度、Lysholm评分增加。观察组炎症因子(IL-6,TNFα,CRP)、浮髌试验阳性率、VAS评分、并发症发生率低于对照组。观察组膝关节屈曲度、Lysholm评分、总有效率高于对照组(P<0.05)。结论健膝汤联合关节镜是治疗膝关节慢性滑膜炎的有效方法,可降低炎症水平,缓解疼痛,改善临床病症,疗效显著且安全性高。

Objective To investigate effect of knee soup combined with arthroscopy in treatment for knee joint chronic synovitis. Methods One hundred and thirty-six cases with knee joint chronic synovitis were randomly divided into two groups. Sixty-eight patients treated arthroscopy as control group. Sixty-eight cases treated knee soup combined with arthroscopy as observation group,VAS score and Lysholm score performed before and after treatment. Changes of inflammatory factors,improvement of relative indexes, clinical efficacy and complications were compared between two groups. Results After treatment, inflammatory factors （IL-6, TNFα, CRP）, positive rate of floating patella test, VAS score decreased in two groups. Knee joint flexion and Lysholm score increased in two groups. Inflammatory factors （IL-6, TNFα, CRP）, positive rata of floating patella test , VAS score, complication rate in observation group were lower than control group. Knee joint flexion, Lysholm score, total effective rate in observation group were higher than control group （P 〈 0.05）. Conclusion Knee soup combined with arthroscopy is~ an effective i . method in treatment for knee joint chronic synovitis,which can reduce the level of inflammation and reheve pain, which can also improve clinical symptoms.That has significant effect and high safety.