胫骨高位截骨术治疗膝关节骨关节炎围手术期中医证型研究

Clinical Study on Perioperative TCM Syndrome Type of High Tibial Osteotomy for Knee Osteoarthritis

目的:观察膝关节骨关节炎围手术期中医辨证分型,为膝关节骨关节炎行胫骨高位截骨术围手术期中医诊治提供思路。方法:取自2017年8月至2018年8月河北省沧州中西医结合医院60例(60侧)接受胫骨高位截骨术的膝关节骨性关节炎病人,对上述病人进行中医辨证分析,分类并记录术前、术后1周及术后2周的证型。结果:术前、术后1周及术后2周中医证型发生变化。结论:膝骨关节炎证型在胫骨高位截骨术手术前后发生改变,需临床医师依据证型施治。

Objective:To study the differentiation of TCM syndrome in operation stage of osteoarthritis of the knee and to provide ideas for the diagnosis and treatment of high tibial osteotomy in Chinese medicine.Methods:From August 2017 to August 2018,60 patients(60 knees)of knee osteoarthritis were treated with high tibial osteotomy in Hebei cangzhou hospital combined with traditional Chinese and western medicine.We treated patients with TCM syndrome differentiation and then recorded the data.Results:There were differentiation performed before the operation,1 week after the operation and 2 weeks after the operation.Conclusion:The syndrome type of knee osteoarthritis should be treated by clinician according to the syndrome type before and after the high tibial osteotomy operation.