首页> 中文期刊> 《浙江创伤外科》 >关节镜清理联合中药熏洗与单纯关节镜治疗膝关节骨性关节炎的临床效果比较研究

关节镜清理联合中药熏洗与单纯关节镜治疗膝关节骨性关节炎的临床效果比较研究

         

摘要

目的:观察分析关节镜清理术联合中药熏洗对膝关节骨性关节炎的临床疗效。方法选取2011年10月至2013年10月本院膝关节骨性关节炎患者80例,按照治疗方法不同随机平分为两组,分别行关节镜膝关节清理术结合中药熏洗(观察组)和单纯关节镜膝关节清理术(对照组)治疗。观察比较两组治疗前后膝关节活动度、Lysholm膝关节功能评分、VAS评分及临床疗效评估。结果术后通过电话或上门方式进行随访约(16.53±1.68)个月,各组组内术后膝关节活动度、VAS评分、Lysholm评分均较术前有显著差异,比较具有统计学意义,(P<0.05)。观察组术后术后膝关节活动度、VAS评分、Lysholm评分均优于对照组,比较具有统计学意义,(P<0.05)。两组术后无严重并发症发生。观察组疗效评估,临床控制14例,显效19例,有效6例,无效1例,有效率为97.5%。对照组疗效评估,临床控制11例,显效15例,有效9例,无效5例,有效率为87.5%。结论关节镜清理术联合中药熏洗治疗膝关节骨性关节炎临床疗效优于单纯关节镜清理术,方法安全可靠,适应临床广泛应用。%Objective To bserve and analyze the clinical effect of treating knee osteoarthritis by arthroscopic debridement combining with herbal fumigation. Methods 80 patients suffered from knee osteoarthritis in our hospital from October 2011 to October 2013 were selected, and di-vided into two groups according to different treating methods: arthroscopic debridement combining herbal fumigation (observation group), single arthroscopic debridement (control group). The range of motion, Lysholm knee function score, VAS score and clinical effects evaluation before and after the treatment were recorded. Results Patients were follow-up for 16.53 ±1.68 months. There was no serious complications in the 2 groups. The range of motion, VAS score and Lysholm score in the two groups after operation had significant difference than those before operation (P<0.05). After operation, the range of motion, VAS score and Lysholm knee function score,in the observation group were significantly better than those in the control group (P<0.05) . In observation group, according to the evaluation of clinical effects, clinical control 14 cases, excellent 19 cases, effective 6 cases, inefficient 1 case, the effective rate was 97.5%. In control group, clinical control 11 cases, excellent 15 cases, effective 9 cases, inefficient 5 cases, the effective rate was 87.5%. Conclusion compared with single arthroscopic debridement, arthroscopic debridement combining herbal fumigation had a better clinical effect on treating knee osteoarthritis, and the method was safe and reliable.

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