CAJ | 학술논문

目的：探究应用滑膜炎颗粒对膝骨性关节炎关节镜清理手术后进行辅助治疗的临床效果。方法162例已经进行关节镜清理手术的患者，随机分为观察组和对照组，各81例。观察组患者采用滑膜炎颗粒进行术后辅助治疗，对照组患者采用酮基布洛芬进行术后治疗。观察并分析两组患者的临床治疗效果。结果两组术后视觉模拟量表(VAS)评分比较，差异无统计学意义(P>0.05)；随访期间观察组的VAS评分低于对照组，差异有统计学意义(P<0.05)；两组随访期间VAS评分较术后均明显降低，差异有统计学意义(P<0.05)；观察组总有效率96.3%明显高于对照组82.7%，差异有统计学意义(P<0.05)；观察组在治疗过程中没有出现不良反应，对照组在治疗过程中有8例患者出现轻度的胃部不适，及时治疗后，症状均消失。结论应用滑膜炎颗粒对膝骨性关节炎关节镜清理手术后进行辅助治疗临床效果显著，起效较快而且不良反应较少，值得在临床上推广。
목적：탐구응용활막염과립대슬골성관절염관절경청리수술후진행보조치료적림상효과。방법162례이경진행관절경청리수술적환자，수궤분위관찰조화대조조，각81례。관찰조환자채용활막염과립진행술후보조치료，대조조환자채용동기포락분진행술후치료。관찰병분석량조환자적림상치료효과。결과량조술후시각모의량표(VAS)평분비교，차이무통계학의의(P>0.05)；수방기간관찰조적VAS평분저우대조조，차이유통계학의의(P<0.05)；량조수방기간VAS평분교술후균명현강저，차이유통계학의의(P<0.05)；관찰조총유효솔96.3%명현고우대조조82.7%，차이유통계학의의(P<0.05)；관찰조재치료과정중몰유출현불량반응，대조조재치료과정중유8례환자출현경도적위부불괄，급시치료후，증상균소실。결론응용활막염과립대슬골성관절염관절경청리수술후진행보조치료림상효과현저，기효교쾌이차불량반응교소，치득재림상상추엄。
Objective To investigate clinical effect by Huamoyan granule after arthroscopy debridement in adjuvant therapy of knee osteoarthritis.Methods There were 162 patients receiving arthroscopy debridement. They were randomly divided into observation group and control group, with 81 cases in each group. The observation group received Huamoyan granule for adjuvant therapy after arthroscopy debridement, and the control group received ketoprofen for postoperative treatment. Clinical effects of the two groups were observed and analyzed.Results There was no statistically significant difference of postoperative visual analogue scale (VAS) scores between the two groups (P>0.05). During follow-up, the observation group had lower VAS score than the control group, and their difference had statistical significance (P<0.05). Both groups had lower VAS scores during follow-up than those after operation, and their difference had statistical significance (P<0.05). The observation group had much higher total effective rate as 96.3% than 82.7% of the control group, and their difference had statistical significance (P<0.05). There was no case with adverse reactions in the observation group, while in the control group there were 8 cases with mild stomach discomfort. After timely treatment, all adverse symptoms were healed.Conclusion Implement of Huamoyan granule for adjuvant therapy after arthroscopy debridement provides precisely clinical effect for knee osteoarthritis. This method has quick onset time and few adverse reactions, and it is worthy of clinical promotion.