坚骨胶囊对胫骨高位截骨术后膝关节功能的近期疗效观察  

Observation on Short-term Efficacy of Jian Gu Capsule on Knee Function after High Tibial Osteotomy

作　　者：李晓明[1] 赵云超[1] 郭东辉[1] 马世强[1] 侯秀秀[1] LI Xiaoming;ZHAO Yunchao;GUO Donghui;MA Shiqiang;HOU Xiuxiu(Hebei Cangzhou Hospital Combine Traditional Chinese and Western Medicine,Cangzhou 061001,Hebei China)

机构地区：[1]河北省沧州中西医结合医院

出　　处：《中国中医骨伤科杂志》2019年第12期22-25,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：河北省中医药管理局中医药类科研计划课题(2018477)

摘　　要：目的:探讨坚骨胶囊治疗胫骨高位截骨术后近期膝关节功能的临床疗效。方法:选取2017年1月至2018年1月河北省沧州中西医结合医院行胫骨高位截骨术后的患者,术后辨证,选取瘀血阻滞证型患者80例,采用随机数字表法分为两组,对照组40例,试验组40例。对照组术后常规治疗,试验组在此基础上,服用坚骨胶囊,术后4周停用坚骨胶囊,术后3个月、6个月应用VAS评分、Lysholm评分及WOMAC评分评定膝关节功能。结果:术后3个月试验组VAS评分、Lysholm评分及WOMAC评分高于对照组,差异有统计学意义(P<0.05);术后6个月试验组VAS评分、Lysholm评分及WOMAC评分高于对照组,差异有统计学意义(P<0.05);两组VAS评分与Lysholm评分差异无统计学意义(P>0.05)。结论:坚骨胶囊对胫骨高位截骨术后膝关节功能近期恢复具有临床疗效。Objective:To investigate the short-term clinical efficacy of Jian Gu capsule on knee function after high tibial osteotomy.Methods:From January 2017 to January 2018,we selected 80 patients with blood stasis syndrome after high tibial osteotomy in Hebei Cangzhou hospital combine traditional Chinese and western medicine.The patients were divided into two groups by random number table,the control group(40 cases)and the experimental group(40 cases).The control group received routine treatment postoperative,and the experimental group took Jian Gu capsule postoperation.Four weeks after surgery,patients stopped taking Jian Gu capsule.We used VAS score,Lysholm score and WOMAC score to evaluate knee function at 3,6 months postoperatively.Results:VAS score,Lysholm score and WOMAC score of the experimental group were higher than those of the control group 3 months after surgery(P<0.05).VAS score,Lysholm score and WOMAC score in the experimental group were higher than those in the control group 6 months after surgery(P<0.05).There was no statistical difference on VAS score and Lysholm score for two groups(P>0.05).Conclusion:Jian Gu capsule has a clinical efficacy on the short-term recovery of knee joint function after high tibial osteotomy.

关 键 词：坚骨胶囊 胫骨高位截骨术 膝关节骨性关节炎 膝关节功能 

分 类 号：R684[医药卫生—骨科学]