摘要
目的:研究关节镜术联合补肾坚骨汤对中老年踝关节骨性关节炎病人疼痛、肿胀及活动度的影响。方法:选择中老年踝关节骨性关节炎病人96例,采用随机数字法分为对照组和观察组,各48例。对照组病人行关节镜术治疗,观察组病人以此为基础,结合口服补肾坚骨汤进行治疗。比较2组病人疗效,同时对比治疗前和治疗后踝关节疼痛、肿胀及活动度评分;术后随访1年,对比改良McGuire、Mazur及美国矫形外科足踝协会(AOFAS)评分。结果:观察组与对照组治疗总有效率分别为97.91%和83.33%,差异有统计学意义(P<0.01);治疗后,2组治疗后关节疼痛、肿胀及活动度评分均显著高于治疗前(P<0.01),观察组病人的踝关节疼痛、肿胀及活动度评分均明显高于对照组(P<0.01);随访1年后,2组改良McGuire、Mazur及AOFAS评分均显著高于治疗前(P<0.01),观察组病人改良McGuire、Mazur及AOFAS评分均显著高于对照组(P<0.01)。结论:关节镜术联合补肾坚骨汤对于中老年踝关节骨性关节炎疗效显著,可明显改善踝关节疼痛、肿胀等症状,增快踝关节功能恢复,而且治疗安全性较高,适合在临床实践中进行推广。
Objective:To study the effects of arthroscopic surgery combined with Bushenjiangu decoction on the ankle joint pain,swelling and activity in middle and old age patients with osteoarthritis.Methods:Ninety-six elderly patients with osteoarthritis of the ankle joint were randomly divided into the control group and observation group(48 cases in each group).The control group was treated with arthroscopic surgery,and the observation group was treated with Bushenjiangu decoction on the basis of control group.The curative effect was compared between two groups,and the scores of ankle joint pain,swelling and activity in two groups were compared between before and after treatment.All cases were followed-up for 1 year.The improved McGuire,Mazur and AOFAS scores were compared.Results:The total effective rates of treatment in observation group and control group were 97.91%and 83.33%,respectively,and the difference of which was statistically significant(P<0.01).The joint pain,swelling and activity scores in two groups after treatment were significantly higher than those before treatment(P<0.01),and the joint pain,swelling and activity scores in observation group after treatment were significantly higher than those in control groups(P<0.01).After 1 year of following-up,the improved McGuire,Mazur and AOFAS scores in two groups were significantly higher than before treatment(P<0.01),and the improved McGuire,Mazur and AOFAS scores in observation group were significantly higher than those in control group(P<0.01).Conclusions:The curative effect of arthroscopic surgery combined with Bushenjiangu decoction on senile osteoarthritis of the ankle joint is significant,which can significantly improve the ankle pain,swelling and other symptoms,promote the recovery of ankle function,and is highly secure and worthy of promotion in clinic.
作者
袁学峰
任珩
刘雅静
杨益民
YUAN Xue-feng;REN Heng;LIU Ya-jing;YANG Yi-min(Department of Orthopedics,Tangshan Union Hospital,Tangshan Hebei 063000,China;Electromyogram Room,Tangshan Union Hospital,Tangshan Hebei 063000,China)
出处
《蚌埠医学院学报》
CAS
2019年第12期1628-1630,1633,共4页
Journal of Bengbu Medical College
基金
河北省卫生和计划生育委员会医学科学研究重点课题(20151000)。
关键词
骨性关节炎
踝关节
关节镜手术
补肾坚骨汤
中老年
踝关节功能
osteoarthritis
ankle joint
arthroscopic surgery
Bushenjiangu decoction
middle and old age
ankle jiont function
