玻璃酸钠关节腔内注射联合中药外敷治疗膝骨性关节炎临床观察

Clinical Observation on Intra-articular Injection of Sodium Hyaluronate Combined with External Application of Traditional Chinese Medicine in Treatment of Knee Osteoarthritis

目的：观察膝骨性关节炎应用玻璃酸钠关节腔内注射与中药外敷联合治疗的临床效果。方法选取我院2013年2月～2014年2月间收治的膝骨性关节炎患者37例，对照组单纯应用玻璃酸钠关节腔内注射治疗，观察组应用玻璃酸钠关节腔内注射与中药外敷联合治疗，比较两组ROM变化、膝关节功能Lysholm评分与治疗效果。结果观察组ROM变化与膝关节功能Lysholm评分改善显著，总有效率（94.44%）与对照组（78.95%）比较相对较高，两组治疗效果差异显著，有统计学意义（P〈0.05）。结论膝骨性关节炎应用玻璃酸钠关节腔内注射与中药外敷联合治疗效果满意，安全性高，切实可行，值得推广。

Objective Clinical efficacy of intra-articular injection of sodium hyaluronate combined with external application of traditional Chinese medicine in treatment of knee osteoarthritis is to be observed. Methods Choose 37 patients suffering from knee osteoarthritis who are treated in hospital from February 2013 to February 2014 to study; patients in control group are given intra-articular injection of sodium hyaluronate treatment only; while patients in study group are given intra-articular injection of sodium hyaluronate combined with external application of traditional Chinese medicine treatment;and then observe and compare ROM changes,Lysholm score of keen function and treatment efficacy in these two groups . Results Patients’ ROM changes and Lysholm score of knee function in study group have a better improvement than those in control group;and in addition,treatment efficacy in study group（94.44%）is much higher than that in control group（78.95%）;there is a treatment differential between two groups,and such a differential has statistic value（P〈0.05）. Conclusions Intra-articular injection of sodium hyaluronate combined with external application of traditional Chinese medicine is of efficacy and medical safety in treatment of knee osteoarthritis with achieving desirable treatment results;therefore,such a reliable and practical treatment approach is quite worthwhile to be promoted.