CAJ | 학술논문

目的：观察风湿液联合玻璃酸钠治疗老年膝骨关节炎的临床疗效。方法：将90例老年膝骨关节炎患者随机分为治疗组和对照组，每组45例。对照组给予玻璃酸钠膝关节腔内注射，每次20 mg，每周1次。治疗组在对照组治疗基础上加服风湿液，每次10 mL，每日3次。两组均以5周为1个疗程。观察两组治疗前后视觉模拟评分法（VAS）评分、Lequesne 指数及实验室指标。结果：治疗后，两组患者 VAS 评分、Lequesne 指数、红细胞沉降率和 C-反应蛋白较治疗前均有改善（P <0.05），且治疗组优于对照组（P <0.05）。结论：风湿液联合玻璃酸钠治疗老年膝骨关节炎能够有效地缓解关节疼痛、改善关节功能，值得临床推广应用。
목적：관찰풍습액연합파리산납치료노년슬골관절염적림상료효。방법：장90례노년슬골관절염환자수궤분위치료조화대조조，매조45례。대조조급여파리산납슬관절강내주사，매차20 mg，매주1차。치료조재대조조치료기출상가복풍습액，매차10 mL，매일3차。량조균이5주위1개료정。관찰량조치료전후시각모의평분법（VAS）평분、Lequesne 지수급실험실지표。결과：치료후，량조환자 VAS 평분、Lequesne 지수、홍세포침강솔화 C-반응단백교치료전균유개선（P <0.05），차치료조우우대조조（P <0.05）。결론：풍습액연합파리산납치료노년슬골관절염능구유효지완해관절동통、개선관절공능，치득림상추엄응용。
Objective:To observe the clinical effect of treating elderly patients with knee osteoarthritis by combining rheumatism liquid and sodium hyaluronate.Methods:90 cases of knee osteoarthritis were randomly divided into a treatment group and a control group,45 cases in each.The control group was given intraarticular injection of sodium hyaluronate,20 mg per time and once a week.Based on the treatment of the control group,the treatment group was orally given rheumatism liquid,10 mL per time and 3 times a day.They were treated for 5 weeks as 1 course,observing the visual analog scale (VAS) score,Lequesne index and laboratory index of the two groups before and after treatment.Results:After treatment,VAS score,Lequesne index,erythrocyte sedimentation rate,C-reactive protein of the two groups were more improved than those before treatment (P < 0.05),and the treatment group was better than the control group (P < 0.05).Conclusion:Combining rheumatism liquid and sodium hyaluronate in the treatment of elderly patients with knee osteoarthritis can more effectively relieve joint pain and improve joint function,worthy of clinical application.