膝关节镜下清理术联合中药热敷治疗骨性关节炎的临床疗效分析

Clinical effect of knee arthroscopic debridement combined with traditional Chinese medicine hot compress in treatment of osteoarthritis

目的:探讨给予膝骨性关节炎(knee osteoarthritis,KOA)患者膝关节镜下清理术联合中药热敷治疗的临床效果及价值。方法:选取本院在2017年2月至2018年3月收治的68例KOA患者随机分为2组,参照组(n=34)给予膝关节镜下清理术治疗,研究组(n=34)给予膝关节镜下清理术联合中药热敷治疗,观察患者疼痛缓解、关节功能及生活质量改善情况等。结果:经治疗后2、4周及3、6个月,与参照组比较,研究组患者视觉模拟评分法(Visual Analogue Scale,VAS)评分明显更低,Lysholm膝关节功能评分(Lysholm)评分则明显更高(P<0.05);研究组治疗总有效率为94.12%,相比参照组的76.47%明显更高(P<0.05);观察组治疗后SF-36总评分为(70.45±7.82)分,明显高于参照组的(52.76±7.63)分(P<0.05)。结论:给予OA患者膝关节镜下清理术+中药热敷治疗,可使患者减轻疼痛,提高膝关节功能,改善生活质量,提高治疗有效性。

Objective:To investigate the clinical effect and value of knee arthroscopic debridement combined with traditional Chinese medicine(TCM)hot compress in the treatment of knee osteoarthritis(KOA).Methods:A total of 68 KOA patients who were admitted to our hospital from February 2017 to March 2018 were enrolled and randomly divided into control group and experimental group,with 34 patients in each group.The patients in the control group were treated with knee arthroscopic debridement,and those in the experimental group were treated with knee arthroscopic debridement combined with TCM hot compress.The two groups were observed in terms of pain relief,joint function,and quality of life.Results:Compared with the control group at 2 and 4 weeks and 3 and 6 months after treatment,the experimental group had a significantly lower Visual Analogue Scale score and a significantly higher Lysholm knee joint function score(P<0.05).The experimental group had a significantly higher overall response rate than the control group(94.12%vs.76.47%,P<0.05).After treatment,the experimental group had a significantly higher total score of 36-Item ShortForm Health Survey than the control group(70.45±7.82 vs.52.76±7.63,P<0.05).Conclusion:In patients with KOA,knee arthroscopic debridement combined with TCM hot compress can effectively alleviate pain and improve knee joint function,quality of life,and treatment outcome.