独活寄生汤内服配合关节腔冲洗治疗膝骨关节炎

Duhuo Jisheng Decoction for Oral Administration combined with Joint Cavity Flushing in the Treatment of Knee Osteoarthritis

目的观察独活寄生汤配合关节腔冲洗治疗膝骨关节炎的临床疗效。方法将我院骨科2013年10月—2015年3月收治的107例膝骨关节炎患者分为对照组和观察组,两组患者均补充钙质及维生素D,并进行适当的功能训练,对照组给予关节腔冲洗,观察组给予独活寄生汤配合关节腔冲洗,疗程结束后观察两组患者治疗效果。结果观察组总有效率90.74%,明显高于对照组的75.47%(P<0.05),WOMAC骨关节炎指数评分和VAS法膝关节压痛评分的降幅也明显优于对照组(P<0.05)。结论独活寄生汤可通过阵痛、抗炎、预防骨骼老化等作用提高膝骨关节炎的治疗效果,值得临床应用。

Objective To observe the clinical curative effect of Duhuo Jisheng decoction combined with joint cavity flushing in the treatment of knee osteoarthritis. Methods 107 cases of knee osteoarthritis patients in department of orthopedics of our hospital from October 2013 to March 2015were divided into observation group and control group. Two groups of patients were with given calcium and vitamin D and appropriate functional training. The control group was treated by joint cavity flushing. The observation group was given Duhuo Jisheng decoction combined with joint cavity flushing. After treatment, the clinical curative effect of two groups was observed. Results The total effective rate of the observation group was 90. 74% which was significantly higher than 75.47% of the control group （P 〈 0. 05 ） , and the WOMAC osteoarthritis index score and the VAS knee tenderness score of the observation group were significantly better than those of the control group （P 〈 0.05）. Conclusion Duhuo Jisheng decoction can improve the curative effect of knee osteoarthritis through the pain, inflammation, preventing bone aging effects, and is worthy of clinical application.