玻璃酸钠合中药塌渍治疗踝关节骨性关节炎25例

Clinical Observation on Sodium Hyaluronate Combined with Chinese Herbal Medicine Soak in the Treatment of Ankle Osteoarthritis 25 cases

目的观察玻璃酸钠配合中药塌渍治疗踝关节骨性关节炎的临床疗效。方法选取踝关节骨性关节炎患者50例,随机数字表法分为对照组和治疗组各25例,对照组予关节腔注射玻璃酸钠,治疗组在对照组的基础上,加用中药塌渍及特定电磁波谱治疗仪(TDP)治疗。治疗前及治疗后1个月后,采用美国足踝外科学会(AOFAS)后足踝评分进行评定。结果治疗组优良率明显高于对照组(P<0.05),两组治疗后AOFAS评分较治疗前均提高(P<0.05),且治疗组与对照组评分有统计学差异(P<0.05)。结论玻璃酸钠配合中药塌渍及TDP治疗踝关节骨性关节炎有较好疗效。

Objective To observe the clinical effects of sodium hyaluronate combined with Chinese herbal medicine soak in the treatment of ankle osteoarthritis. Methods 50 cases of patients with ankle osteoarthritis were randomly divided into the control group（ 25 cases） and the treatment group（ 25 cases）. Patients in the control group received the sodium hyaluronate via intra-articular injection,and patients in the treatment group received Chinese herbal medicine soak and TDP therapy on the basis of the sodium hyaluronate. The ankle and hind foot scoring system of the American Orthopedic Foot and Ankle Society（ AOFAS） was applied before the treatment and one month later after the treatment. Results There was no statistical significant difference in AOFAS values between the groups before treatment,however,the excellent rate in the treatment group showed statistically significant in comparing with the control group（ P〈0.05）. Both the treatment and control groups improved AOFAS values after the treatment protocol（ P〈0.05）,and the scores of the treatment group and the group were statistically different（ P〈0.05）. Conclusion Sodium hyaluronate combined with Chinese herbal medicine soak showed excellent effects in the treatment of the ankle osteoarthritis.