中西医结合治疗肝肾亏虚型膝关节骨性关节炎40例

Clinical effect of integrated traditional Chinese and Western medicine therapy in treatment of knee osteoarthritis with deficiency of liver and kidney: An analysis of 40 cases

目的:观察中西医结合治疗肝肾亏虚型膝关节骨性关节炎的临床疗效。方法:将肝肾亏虚型膝关节骨性关节炎患者80例随机分为治疗组和对照组各40例。对照组采用西医常规治疗;治疗组在对照组治疗的基础上加壮骨通络丸联合中药熏蒸治疗,观察治疗前后膝关节功能(LKSS)评分、中医证候积分及综合疗效。结果:总有效率治疗组为85.00%,对照组为60.00%,2组比较,差异有统计学意义(P<0.05);2组LKSS评分、中医证候积分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:中西医结合治疗膝关节骨性关节炎疗效肯定,优于单纯西医治疗。

To investigate the clinical effect of integrated traditional Chinese and Western medicine therapy in the treatment of knee osteoarthritis with deficiency of liver and kidney. Methods： A total of 80 patients with knee osteoarthritis with deficiency of liver and kidney were randomly divided into treatment group and control group,with 40 patients in each group. The patients in the control group were given conventional Western medicine treatment,and those in the treatment group were given Zhuanggu Tongluo pills combined with traditional Chinese medicine（TCM） fumigation and steaming therapy. Lysholm knee score and TCM syndrome score were observed before and after treatment,and the comprehensive outcome was observed after treatment. Results： There was a significant difference in overall response rate between the treatment group and the control group（85. 0% vs 60. 0%,P〈0.05）. Both groups had significant changes in Lysholm knee score and TCM syndrome score after treatment,and there were significant differences between the two groups after treatment（P〈0.05）. Conclusion： Integrated traditional Chinese and Western medicine therapy has a better clinical effect than Western medicine treatment alone in the treatment of knee osteoarthritis.