精准富血小板血浆联合中药烫熨治疗膝骨关节炎的临床效果研究

Clinical Study on the Efficacy of Precision Platelet-rich Plasma Combined with Traditional Chinese Medicine Ironing in the Treatment of Knee Osteoarthritis

目的:分析精准富血小板血浆(PRP)联合中药烫熨治疗膝骨关节炎的临床应用效果。方法:选取玉林市中医医院2023年7月至2023年12月期间收治的60例轻度至中度的膝骨关节炎患者,根据治疗方式将其均分为观察组(采用精准(PRP)联合中药烫熨治疗)与对照组(采用玻璃酸钠联合中药烫熨治疗),各30例。比较两组患者疗效情况。结果:治疗后观察组患者觉模拟评分法(VAS)评分低于对照组、Lysholm量表评分高于对照组,差异具有统计学意义(P<0.05)。治疗后观察组患者膝关节活动度(ROM)、日常生活活动(ADL)评分高于对照组,差异具有统计学意义(P<0.05)。治疗后观察组患者西安大略和麦克马斯特大学骨关节炎指数(WOMAC)低于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。观察组患者的总满意度高于对照组,差异具有统计学意义(P<0.05)。结论:在条件允许下,采取精准(PRP)联合中药治疗膝骨关节炎能够获得更好的临床疗效,可明显减轻疼痛,恢复患者的日常活动能力。

Objective To analyze the clinical application effect of precision platelet-rich plasma combined with traditional Chinese medicine ironing in the treatment of knee osteoarthritis.Methods A total of 60 patients with mild to moderate knee osteoarthritis admitted to Traditional Chinese Medicine Hospital of Yulin from July 2023 to December 2023 were selected and divided into an observation group(treated with precision platelet-rich plasma combined with traditional Chinese medicine ironing)and a control group(treated with sodium hyaluronate combined with traditional Chinese medicine ironing),with 30 cases in each group.The efficacy of the two groups was compared.Results After treatment,the visual analogue scale(VAS)score of the observation group was lower than that of the control group,and the Lysholm scale score was higher than that of the control group,with statistically significant differences(P<0.05).After treatment,the knee joint range of motion(ROM)and activity of daily living(ADL)scores of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).After treatment,the Western Ontario and Mcmaster Universities osteoarthritis index(WOMAC)of the observation group was lower than that of the control group,with a statistically significant difference(P<0.05).The total effective rate of the observation group was higher than that of the control group,with a statistically significant difference(P<0.05).The overall satisfaction of the observation group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion When conditions permit,the use of precision platelet-rich plasma combined with traditional Chinese medicine for the treatment of knee osteoarthritis can achieve better clinical outcomes,significantly reducing pain and restoring patients’ability to perform daily activities.