中西医结合治疗膝关节骨性关节炎56例临床观察

Treatment of knee osteoarthritis by combination of traditional Chinese medicine and western medicine

目的观察中西医结合治疗膝关节骨性关节炎的临床疗效。方法将112例膝关节骨性关节炎患者随机分为2组,治疗组56例予中西医结合治疗方法,采用小针刀松解术、关节腔冲洗、注射玻璃酸钠注射液和中药离子导入方法治疗;对照组56例予单纯西医治疗,采用关节腔冲洗和注射玻璃酸钠注射液治疗。2组均治疗5周后进行临床症状和体征分级量化评分比较,观察疗效。结果治疗组治愈率17.86%,总有效率92.86%;对照组治愈率5.36%,总有效率76.79%。2组治愈率及总有效率比较差异均有统计学意义(P<0.05),治疗组疗效优于对照组。治疗组治疗后临床症状和体征分级量化评分均低于本组治疗前和对照组治疗后(P<0.05)。结论中西医结合治疗膝关节骨性关节炎能在短期内取得理想疗效,具有疗效好、不易复发等优点,值得临床推广应用。

Objective To observe the effect of combination of traditional Chinese medicine and western medicine on osteoarthritis of the knee（KOA）.Methods 112 patients with KOA were randomly allocated treatment group and control group.The patients of treatment group were treated by combination of traditional Chinese medicine（Scalpel lysis） and western medicine（joint cavity flushing,sodium hyaluronate injection and traditional Chinese medicine iontophoreisis）.The patients of control group were treated by joint cavity flushing and sodium hyaluronate injection.The course was 5 weeks in two groups.Results The cure rate and total effective rate of treatment group were 17.86% and 92.85 %,the control group was 5.36 %and 76.79 %.The cure rate and total effective rate of treatment group were better significantly than control group.There were statistical significance（P0.05）.The quantitative classification scores of clinical signs and symptoms in treatment group were lower than the control group after treatment（P0.05）.Conclusion Combination of traditional Chinese medicine and western medicine can obtain perfect effectiveness in a short time on treating KOA,which it is effectiveness and,and it＇s difficult to recrudescence.So it＇s worthy of popularization in clinic.