中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
30期
77-79
,共3页
膝骨性关节炎%玻璃酸钠%通痹消肿颗粒%内服外洗%功能训练
膝骨性關節炎%玻璃痠鈉%通痺消腫顆粒%內服外洗%功能訓練
슬골성관절염%파리산납%통비소종과립%내복외세%공능훈련
Knee osteoarthritis%Sodium hyaluronate%Tongbi Xiaozhong%Oral administration and external washing%Functional exercise
目的：观察玻璃酸钠+曲安奈德关节腔注射，配合自拟中药内服及熏蒸加功能锻炼治疗膝关节早、中期骨性关节炎的临床疗效。方法：共收治58例膝关节早、中期骨性关节炎患者，在行玻璃酸钠+曲安奈德关节腔内注射的同时，予以自拟通痹消肿颗粒内服，配合滑膜炎洗剂熏蒸，另外积极进行膝关节功能训练，进行综合治疗。结果：所有患者经综合治疗后，临床症状都得到不同程度的改善，按日本骨科学会膝关节JOA评分标准中，评分明显改善，按《中药新药治疗骨性关节炎的临床研究指导原则》进行评估，总有效率96.5%。结论：自拟中药内服、外洗配合玻璃酸钠+曲安奈德关节腔注射，外加膝关节功能训练等综合疗法治疗早、中期膝关节骨性关节炎，临床疗效满意，可有效缓解疼痛，改善关节功能，且有效延缓了膝关节退变进程的加剧和关节畸形的发生，从而避免了膝关节置换手术干预的年轻化。
目的：觀察玻璃痠鈉+麯安奈德關節腔註射，配閤自擬中藥內服及熏蒸加功能鍛煉治療膝關節早、中期骨性關節炎的臨床療效。方法：共收治58例膝關節早、中期骨性關節炎患者，在行玻璃痠鈉+麯安奈德關節腔內註射的同時，予以自擬通痺消腫顆粒內服，配閤滑膜炎洗劑熏蒸，另外積極進行膝關節功能訓練，進行綜閤治療。結果：所有患者經綜閤治療後，臨床癥狀都得到不同程度的改善，按日本骨科學會膝關節JOA評分標準中，評分明顯改善，按《中藥新藥治療骨性關節炎的臨床研究指導原則》進行評估，總有效率96.5%。結論：自擬中藥內服、外洗配閤玻璃痠鈉+麯安奈德關節腔註射，外加膝關節功能訓練等綜閤療法治療早、中期膝關節骨性關節炎，臨床療效滿意，可有效緩解疼痛，改善關節功能，且有效延緩瞭膝關節退變進程的加劇和關節畸形的髮生，從而避免瞭膝關節置換手術榦預的年輕化。
목적：관찰파리산납+곡안내덕관절강주사，배합자의중약내복급훈증가공능단련치료슬관절조、중기골성관절염적림상료효。방법：공수치58례슬관절조、중기골성관절염환자，재행파리산납+곡안내덕관절강내주사적동시，여이자의통비소종과립내복，배합활막염세제훈증，령외적겁진행슬관절공능훈련，진행종합치료。결과：소유환자경종합치료후，림상증상도득도불동정도적개선，안일본골과학회슬관절JOA평분표준중，평분명현개선，안《중약신약치료골성관절염적림상연구지도원칙》진행평고，총유효솔96.5%。결론：자의중약내복、외세배합파리산납+곡안내덕관절강주사，외가슬관절공능훈련등종합요법치료조、중기슬관절골성관절염，림상료효만의，가유효완해동통，개선관절공능，차유효연완료슬관절퇴변진정적가극화관절기형적발생，종이피면료슬관절치환수술간예적년경화。
Objective:To observe the clinical curative efficacy of integrated treatment of Traditional Chinese Medicine and western medicine on treating knee osteoarthritis at early and medial stages. The treatment included intra-articular injection of sodium hyaluronate and triamcinolone acetonid, oral administration of Chinese medicine, Chinese herbal fumigation and functional exercise. Methods: 58 patients with knee osteoarthritis were given intra-articular injection of sodium hyaluronate and triamcinolone acetonid. At the same time, the self-made Tongbi Xiaozhong granules were orally taken by the patients. The patients also took fumigation with lotion for synovitis and functional exercise. Results:After the comprehensive treatment, the clinical symptoms of all patients were improved in different level. For the Japanese orthopaedics association score, all scores of the patients were significantly improved. In the evaluation according to the Guiding Principles for Clinical Research on Treatment of Knee Osteoarthritis with New Chinese Medicine, the total effective rate was 96.5%. Conclusion:The comprehensive treatment including oral administration of self-made Chinese medicine, fumigation, intra-articular injection of sodium hyaluronate and triamcinolone acetonid and functional exercise of knee for knee osteoarthritis at early and medial stages has satisfying clinical effect. It can relieve pain, improve joint function, delay the degeneration and malformation of knee joint, so the younger trend of knee replacement can be avoided.
