膝关节镜手术合补肾壮骨汤治疗膝关节骨关节炎  

Treating knee osteoarthritis by knee arthroscopic surgery plus the Bushen Zhuanggu decoction

作　　者：张峰恺[1] 

机构地区：[1]湖南中医药高等专科学校附属第一医院|湖南省直中医医院,湖南株洲412000

出　　处：《中医临床研究》2017年第19期90-91,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究膝关节镜手术合补肾壮骨汤治疗膝关节骨关节炎的临床疗效。方法:2014年7月-2015年7月,随机抽取85例于我院治疗膝关节骨关节炎的患者作为本研究的研究对象,并按照其病房号码的奇偶数将其分为治疗组43例与参照组42例。对所有患者均实施膝关节镜手术,治疗组再采用补肾壮骨汤进行治疗。治疗后,观察并对比两组患者的临床疗效、膝关节评分与不良反应发生率。结果:参照组治疗总有效率(69.05%)显著低于治疗组(88.37%),差异存在统计学意义(χ~2=4.75,P<0.05);参照组患者治疗后的关节活动度、疼痛、晨僵等膝关节评分均高于治疗组,组间差异显著(P<0.05);参照组与治疗组的不良反应发生率分别为16.67%,0.00%,后者低于前者,且χ~2=7.81,P<0.05,差异有统计学意义。结论:膝关节镜手术合补肾壮骨汤治疗膝关节骨关节炎的临床疗效比单纯采用膝关节镜手术较高,前者能够有效改善患者的临床症状,并具有较高的安全性,能够对患者疾病的康复起到促进作用。Objective:To study the curative effect of the knee arthroscopic surgery plus the Bushen Zhuanggu decoction on kneeosteoarthritis.Methods:85patients were randomly divided into the treatment group(n=43)and reference group of42cases.All patientsunderwent arthroscopic arthroplasty,while the treatment group was treated with the Bushen Zhuanggu decoction more.Results:The totalefficiency(69.05%)in the reference group was significantly lower than88.37%in the treatment group;the difference was statisticallysignificant(χ2=4.75,P<0.05).The incidence of adverse reactions in the reference group and the treatment group were16.67%and0.00%,respectively,P<0.05.Conclusion:The curative effect of the knee arthroplasty plus the Bushen Zhuanggu decoction on knee osteoarthritis ishigher than that of knee arthroscopy alone.

关 键 词：膝关节镜手术 膝关节骨关节炎 补肾壮骨汤 治疗效果 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学]