消肿利节方治疗膝关节急性创伤性滑膜炎(瘀水互结证)的临床观察  

Clinical Observation of Xiaozhong Lijie Decotion(消肿利节方)in Treatment of Acute Traumatic Synovitis of the Knee(Blood-water Stasis Syndrome)

作　　者：高山[1] 马珑[2] 郭艳幸[2] 

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]河南省洛阳正骨医院,河南洛阳471000

出　　处：《中医药导报》2017年第6期86-88,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河南省科技厅项目(No.112102310008);国家中医药管理局"平乐郭氏正骨流派传承工作室"建设项目(No.[2012]228);河南省中医药管理局"河南省中医临床学科领军人才培育计划"项目(No.HNZYLJ20131009)

摘　　要：目的:评价消肿利节方治疗膝关节急性创伤性滑膜炎(瘀水互结证)的临床疗效。方法:纳入43例本病患者,随机分为治疗组(21例,服用消肿利节方)和对照组(22例,服用滑膜炎颗粒),治疗2周。记录两组治疗前、后KOOS各项评分及关节腔积液等级。结果:两组临床疗效比较,治疗组优于对照组,差异有统计学意义(P<0.05);治疗后,两组内各项观测数据均不同程度降低,差异有统计学意义(P<0.05),且治疗组KOOS总分、症状评分、日常活动评分均低于对照组,差异有统计学意义(P<0.05),其余评分及关节腔积液等级比较,差异无统计学意义(P>0.05)。结论:消肿利节方治疗膝关节急性创伤性滑膜炎有较好疗效,可改善关节肿胀,恢复患膝功能及日常活动。Objective： To observe the clinical efficacy of Xiaozhong Lijie Decotion in treatment of the pa- tients with acute traumatic synovitis of the knee （Blood-water stasis syndrome）. Methods： The 43 patients diag- nosed with acute traumatic synovitis of the knee （Blood-water stasis syndrome） were divided randomly into treat- ment group （21 cases） and control group （22 cases）. The treatment group was treated with the Xiaozhong Lijie Decotion for 2 weeks while the control group was treated with the synovitis granules for 2 weeks. Meanwhile, record the KOOS score including five aspects and measure the joint effusion grade ultrasonically. Results： Com- pared with the control group, the clinical efficacy of treatment group was better （P〈0.05）. After treatment, the in- dexes of the two groups all decreased with different degrees （P〈0.05）. The KOOS scores, symptoms scores and function scores in daily living of treatment group were all lower than the control group （P〈0.05）, while the other scores and joint effusion had no significant difference （P〉0.05）. Conclusion： Xiaozhong Lijie Decotion have an exact effect on treatment of the patients with acute traumatic synovitis of the knee （Blood-water stasis syn- drome）, it can improve joint swell degree and recover the function and daily activities of knee.

关 键 词：膝关节急性创伤性滑膜炎 瘀水互结证 消肿利节方 滑膜炎颗粒 KOOS 

分 类 号：R255.6[医药卫生—中医内科学]