化痰消瘀、穴位埋线结合关节镜下关节腔清理术治疗早中期膝骨关节炎

Clinical observation on the curative effect of dissipating phlegm and blood stasis and catgut implantation at acupoint combined with arthroscopic debridement of articular cavity on osteoarthritis of knee in earlier and intermediate stage

目的:观察化痰消瘀、穴位埋线结合关节镜下关节腔清理术治疗早中期膝骨关节炎的临床疗效。方法:将符合标准的45例患者(52膝)随机分为2组。实验组22例(26膝)采用关节镜下关节腔清理术并自拟化痰消瘀蠲痹汤辨证施治、双侧足三里埋线治疗;对照组23例(26膝)采用关节镜下关节腔清理术并芬必得口服治疗。治疗后6个月,运用Lysholm功能评定标准评定两组患者的关节功能及总体疗效。结果:实验组膝关节功能及总体疗效优于对照组,差异有统计学意义(t=14.260,P=0.000;u=2.236,P=0.010)。结论:运用中药化痰消瘀、穴位埋线结合关节镜下关节腔清理术是治疗早中期膝骨关节炎的有效方法。

Objective：To observe and evaluate the curative effect of dissipating phlegm and blood stasis and catgut implantation at acupoint combined with arthroscopic debridement of articular cavity on osteoarthritis of knee in earlier and intermediate stage. Methods： Fourty - five patients（52 knees） with osteoarthritis of knee joints in earlier and intermediate stage were randomly divided into 2 groups. Twenty - two patients（26 knees） in experimental group were administered with arthroscopic debridement of articular cavity combined with Huatan Xiaoyu Juanbi Decoction and catgut implantation at bilateral Zusanli aeupoint, while 23 patients （26 knees ） in control group were treated with arthroscopic debridement of articular cavity and Fenbid oral administration. All the patients were followed up for 6 months and Lysholm function scoring was used to evaluate the curative effect. Results：There was no significant difference in Lysholm function scores between the two groups before the treatment, while the statistical difference appeared after the treatment. The curative effect of experimental group was better than that of control group （ t = 14. 260,P = 0. 000 ; u = 2. 236,P = 0.010）. Conclusion ： Dissipating phlegm and blood stasis and eatgut implantation at acupoint combined with arthroscopic debridement of articular cavity is effective in the treatment on osteoarthritis of knee joints in earlier and intermediate stage.