CAJ | 학술논문

目的：探讨关节镜结合中药热敷治疗早中期膝骨关节炎（KOA）的疗效。方法：将100例KOA患者，分为两组，治疗组予局麻下行关节镜清理术，结合中药热敷等治疗，对照组予中药热敷及抗炎镇痛药物治疗，观察两组的临床疗效及膝关节功能Lysholm评分。结果：治疗组总有效率91%，对照组为80%，（P＜0.05），治疗组Lysholm评分为（89.95±0.87）分，对照组为（76.37±1.28）分，（P＜0.05）。结论：局麻下关节镜清理术结合中药热敷治疗早中期膝骨关节炎，疗效较单独中药热敷更显著。
목적：탐토관절경결합중약열부치료조중기슬골관절염（KOA）적료효。방법：장100례KOA환자，분위량조，치료조여국마하행관절경청리술，결합중약열부등치료，대조조여중약열부급항염진통약물치료，관찰량조적림상료효급슬관절공능Lysholm평분。결과：치료조총유효솔91%，대조조위80%，（P＜0.05），치료조Lysholm평분위（89.95±0.87）분，대조조위（76.37±1.28）분，（P＜0.05）。결론：국마하관절경청리술결합중약열부치료조중기슬골관절염，료효교단독중약열부경현저。
Objective To investigate the efficacy of early and mid-stage knee osteoarthritis (KOA) treated by arthroscopy combined with traditional Chinese medicine fomentation. Methods One hundred pa-tients with KOA were divided into two groups.The treatment group was treated by arthroscopic debridement un-der local anesthesia combined with traditional Chinese medicine fomentation. The control group was treated by traditional Chinese medicine fomentation and anti-inflammatory analgesic drugs. The clinical efficacy and Lysholm knee function score were observed. Results The total efficiency of treatment group was 91%,and that of the control group was 80%.The Lysholm knee function score of of treatment group was 89.95±0.87 points, and that of the control group was 76.37±1.28 points,(P<0.05). Conclusion The efficacy of treatment of ar-throscopic debridement under local anesthesia combined with traditional Chinese medicine fomentation is more effective than that of the treatment of singly Chinese medicine fomentation.