CAJ | 학술논문

目的：观察活血化瘀汤联合玻璃酸钠治疗老年膝骨关节炎的临床疗效。方法：将80例老年膝骨关节炎患者随机分为治疗组和对照组，每组40例。对照组给予患膝关节玻璃酸钠注射液2 mL关节腔注射，每周1次，连续4周；治疗组在对照组治疗基础上加用活血化瘀汤口服。两组均以4周为1个疗程。观察两组Lequesne指数，并评价疗效。结果：治疗后，两组患者的临床症状均得到改善，两组Lequesne指数比较，差异有统计学意义（P<0.05）。治疗组有效率为90.67%，对照组有效率为75.00%，两组比较，差异有统计学意义（P<0.05）。结论：活血化瘀汤内服联合玻璃酸钠关节内注射治疗老年膝骨关节炎较单纯玻璃酸钠关节内注射疗效显著。
목적：관찰활혈화어탕연합파리산납치료노년슬골관절염적림상료효。방법：장80례노년슬골관절염환자수궤분위치료조화대조조，매조40례。대조조급여환슬관절파리산납주사액2 mL관절강주사，매주1차，련속4주；치료조재대조조치료기출상가용활혈화어탕구복。량조균이4주위1개료정。관찰량조Lequesne지수，병평개료효。결과：치료후，량조환자적림상증상균득도개선，량조Lequesne지수비교，차이유통계학의의（P<0.05）。치료조유효솔위90.67%，대조조유효솔위75.00%，량조비교，차이유통계학의의（P<0.05）。결론：활혈화어탕내복연합파리산납관절내주사치료노년슬골관절염교단순파리산납관절내주사료효현저。
Objective:To investigate the clinical effect of Huoxue Huayu Tang(a decoction of promoting blood circulation and removing blood stasis)combined with sodium hyaluronate in the treatment of senile knee osteoarthritis.Methods:80 cases of elderly patients with knee osteoarthritis were randomly divided into a treatment group and a control group,40 cases in each group.The control group was given intra-articular injections of 2 ml Sodium Hyaluronate,once a week for 4 weeks;while the treatment group,based on the treatment of the control group,was given Huoxue Huayu Tang orally,4 weeks for 1 course.The Lequesne total index of the two groups was observed and the effects were evaluated.Results:After treatment,the clinical symptoms of the two groups of patients were improved.The difference of Lequesne index between the two groups was statistically signiifcant(P<0.05).The effective rate of the treatment group was 90.67%,and that of the control group was 75%,the difference being statistically signiifcant(P<0.05).Conclusion:Huoxue Huayu Tang combined with intra-articular injection of sodium hyaluronate is more signiifcant for the treatment of senile knee osteoarthritis than the simple intra-articular injection of sodium hyaluronate.