透明质酸钠关节腔注射联合中药熏洗治疗原发性膝关节骨性关节炎疗效分析  

Intra-articular injection of sodium hyaluronate combined with traditional Chinese medicine fumigation treatment of primary osteoarthritis of the knee efficacy analysis

作　　者：白伟[1] 靳丹[1] 王斌[1] 郭甲瑞[1] 李博云[1] 

机构地区：[1]河南省焦作市第二人民医院,河南焦作454000

出　　处：《中国伤残医学》2016年第24期10-12,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探究针对原发性膝关节骨性关节炎应用透明质酸钠关节腔注射联合中药熏洗治疗的临床疗效。方法：选择2013年1月～2015年6月于我院就诊收治的双侧原发性膝关节骨性关节炎病患80例，随机分为2组，包括对照组40例，在常规康复锻炼的基础上单纯给予透明质酸钠关节腔内注射治疗。观察组40例，在对照组治疗步骤的基础上再辅以中药熏洗治疗。对比观察不同组病患治疗后的膝关节功能评分及治疗有效率并作统计学分析。结果：经规律周期治疗后，观察组膝关节功能评分优的20例，良的14例，尚可的6例，差的0例，优良率为85．00％；对照组膝关节功能评分优的10例，良的14例，尚可的16例，差的0例，优良率为65．00％。观察组膝关节功能评分优良率较之对照组显著要高，P＜0．05。观察组治愈的34例，好转6例，无限0例；对照组治愈的23例，好转17例，无效0例。观察组治愈情况较对照组明显要优，其疼痛改善和功能改善方面较之对照组更佳，P＜0．05。结论：透明质酸钠关节腔注射联合中药熏洗在应对原发性膝关节骨性关节炎的治疗上效果颇优，值得临床推广应用。Objective：To Explore for application of primary osteoarthritis of the knee articular injection of sodium hyaluronate com -bined with the clinical efficacy of herbal fumigation .Methods：Select from January 2013 to June 2015 bilateral primary knee osteoarthritis patients admitted to our hospital , 80 patients were randomly divided into two groups , including a control group of 40 patients, on the basis of conventional rehabilitation exercises given the purely intra -articular injections of sodium hyaluronate .Observation group , 40 patients in the control group based on the treatment procedures supplemented by herbal fumigation treatment .Comparative effects of different groups of patients after treatment of knee function score and treatment efficiency and statistically analyzed .Results：By law period of treat-ment, the observation group knee function score excellent 20 cases, good in 14 cases, six cases of acceptable difference 0 cases, the fine rate was 85.00%;control group knee function score of excellent in 10 cases, good in 14 cases, 16 cases of acceptable difference 0 cases, the fine rate was 65.00%.Observation group knee function score excellent rate compared with the control group was significantly higher , P 〈0.05.Observation of 34 cases were cured, improved in 6 cases, unlimited 0 cases;control group cured 23 cases, improved in 17 ca-ses, 0 cases.Observation group were cured cases were markedly superior to that pain relief and function improvement better than the con -trol group, P 〈0.05.Conclusion：Intra-articular injection of sodium hyaluronate combined with herbal fumigation in the response of pri -mary knee osteoarthritis treatment effect should be quite good , worthy of clinical application .

关 键 词：原发性膝关节骨性关节炎 透明质酸钠关节腔内注射 中药熏洗 

分 类 号：R684.3[医药卫生—骨科学]