摘要
目的探讨独活寄生汤联合胫骨高位截骨术在治疗膝关节骨性关节炎治疗中的应用效果。方法选用2016年10月至2018年10月北京市丰台中西医结合医院收治的膝关节骨性关节炎26例(26膝),其中均为单膝,均为内侧膝部疼痛为重;男12例,女14例;年龄42~58岁,平均(46.8±8.9)岁。采用随机数字表的方法,将26例患者分为对照组和观察组,各13例。对照组患者,入院完善检查后排出手术禁忌证,选择胫骨高位截骨术治疗,并在术后给予和观察组相同的功能锻炼。观察组给予独活寄生汤联合胫骨高位截骨治疗。评价效果的标准采用如下指标:疼痛评分(VAS)、膝关节功能评分(HSS)、生命质量评分(SF-36)。结果治疗前对照组和观察组的疼痛评分、膝关节功能评分、生命质量评分差异无统计学意义;治疗后,观察组的VAS小于对照组,HSS评分大于对照组,SF-36大于对照组,三者差异均有统计学意义(P<0.05)。结论本研究方案治疗膝关节骨性关节炎疗效显著,值得临床推广。
Objective To explore the application effect of Duhuo Jisheng decoction combined with high tibial osteotomy in the treatment of knee osteoarthritis.Methods Twenty-six patients(26 knees)with knee osteoarthritis admitted to Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine from October 2016 to October 2018,including one knee,all with medial knee pain,12 males There were 14 females,aged 42-58 years,with an average of(46.8±8.9)years.Twenty-six patients were divided into control group and observation group in 13 cases by random number table.The control group was treated with high tibial osteotomy.The observation group was given Duhuo Jisheng Decoction combined with high tibial osteotomy.The criteria for evaluating the effect were as follows:pain score(VAS),knee function score(HSS),and quality of life score(SF).Results There was no significant difference in pain score,knee function score and quality of life score between the control group and the observation group before treatment.After treatment,the pain score of the observation group was lower than that of the control group,and the difference was statistically significant.The knee joint function score of the observation group was significantly lower than that of the control group.The difference was statistically significant(P<0.05).Conclusion The treatment of knee osteoarthritis with Duhuo Jisheng Decoction combined with high tibial osteotomy is significant and worthy of clinical promotion.
作者
刘春杨
朱云龙
李永恒
游浩
Liu Chunyang;Zhu Yunlong;Li Yongheng;You Hao(Department of Orthopedics,Beijing Fengtai Hospital of Integrated Traditional andWestern Medicine,Beijing,100072China)
出处
《当代医学》
2019年第24期51-53,共3页
Contemporary Medicine
