温经通络方熏洗配合玻璃酸钠关节腔注射治疗膝关节骨性关节炎的疗效观察

Wenjing Tongluo decoction combined with Intra-articular injection of sodium hyaluronate in the treatment of osteoarthritis of knee joint

目的:探讨温经通络方熏洗配合玻璃酸钠关节腔注射对膝关节骨性关节炎的临床治疗效果。方法:选取我院收治的膝关节骨性关节炎患者52例,随机分配为对照组和治疗组,每组各26例。对照组患者给予玻璃酸钠关节腔注射治疗,治疗组在对照组的基础上施加温经通络方熏洗,6个月后,观察对比两组患者的关节功能改善情况、疼痛评分(VAS)及总有效率。结果:治疗前两组患者的膝关节功能的Lequesne指数、疼痛VAS评分差异无统计学意义(P>0.05),治疗后,两组的疼痛程度及膝关节功能均有一定的改善,但治疗组的改善程度均明显优于对照组(P<0.05),且治疗总有效率更加显著(P<0.001)。结论:采用温经通络方熏洗配合玻璃酸钠关节腔注射治疗膝关节骨性关节炎,安全可靠,临床效果显著。

Objective ：To investigate the clinical effect of Wenjing Tongluo decoction fumigation combined with Intra-articular injection of sodium hyaluronate in the treatment of osteoarthritis of knee joint .Methods ：52 cases of knee osteoarthritis patients in our hospital were selected .All patients were randomly divided into the control group and the treatment group ,26 cases in each group .The control group was treated with Intra-articular injection of sodium hyalur-onate .The treatment group was treated with intra-articular injection of sodium hyaluronate and Wenjing Tongluo decoc-tion fumigation .After 6 months ,the improvement of joint function ,pain score （VAS） and total effective rate of the two groups were observed and compared .Results ：Before treatment ,the difference between the knee joint function of two groups of patients with Lequesne index ,VAS pain scores were not statistically significant （P 〉 0 .05） .After treatment , the knee joint function and pain degree of the two groups of patients were improved .However ,the improvement of the treatment group was significantly better than that of the control group （P〈 0 .05） ,and the total effective rate was more significant（P〈 0 .001） .Conclusion ：It is safe and reliable to use Wenjing Tongluo decoction fumigation combined with so -dium hyaluronate injection in the treatment of osteoarthritis of the knee joint .It can be replenished each other perfectly , its clinical effect is remarkable .