关节镜下清理术联合中草药外敷治疗中老年膝骨性关节炎疗效观察.docVIP

关节镜下清理术联合中草药外敷治疗中老年膝骨性关节炎疗效观察 　　[摘要] 目的 探讨关节镜下清理术联合中草药外敷治疗中老年膝骨性关节炎的临床疗效。 方法 将2014年7月～2015年6月在我院住院治疗的67例膝骨性关节炎患者作为研究对象，根据患者是否自愿在术后接受外敷中草药治疗分为对照组和治疗组。对照组行关节镜下清理，术后关节腔内注射玻璃酸钠；治疗组在对照组治疗的基础上再外敷自制中草药膏，比较两组的疗效。 结果 两组患者术前的Lysholm评分比较，差异无统计学意义（P0.05）；治疗组总有效率91.43%显著高于对照组的71.88%，组间疗效比较差异有统计学意义（P0.05）。 结论 关节镜下清理术联合中草药外敷治疗对中老年膝骨性关节炎疗效确切，值得推广。 　　[关键词] 关节镜；外敷；中草药；膝骨性关节炎 　　[中图分类号] R684.3 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0155-03 　　[Abstract] Objective To explore the clinical effects of debridement under arthroscopy combined with Chinese herbal medicine external treatment in treating senile knee osteoarthritis. Methods 67 knee osteoarthritis patients from July 2014 to June 2015 in our hospital were selected as study object.Patients were divided into control group and treatment group according to whether willing to accept Chinese herbal medicine external treatment after operation.Patients in control group were treated by debridement under arthroscopy and sodium hyaluronate was injected into articular cavity.Patients in treatment group were futher given homemade Chinese herbal medicine unguent external treatment on the basis of control group.The effects of two groups were compared. Results Before operation，the Lysholm score of two groups had no statistical significance （P0.05）.The total effective rate of treatment group was 91.43%，higher than that was 71.88% in control group，and the difference was statistical significance between two groups （P0.05）. Conclusion Debridement under arthroscopy combined with Chinese herbal medicine external treatment in treating senile knee osteoarthritis has exact effects and is worth to popularize. 　　[Key words] Arthroscopy；External treatment；Chinese herbal medicine；Knee osteoarthritis 　　膝骨性关节炎（knee osteoarthritis，KOA）是一种累及关节软骨、软骨下骨、关节滑膜等组织的疾病，其病理基础主要是软骨的改变[1-2]。中老年人发病率较高，KOA是主要表现为膝关节反复疼痛、肿胀、活动障碍乃至行走困难的一种临床综合征。膝骨性关节炎可引起老年人严重的并发症，如抑郁、不适、劳动力下降，甚至丧失独立的生活能力[3]。 　　我们正寻找比胫骨高位截骨术更容易操作、手术损伤更小的临时治疗措施[4]，一种针对早中期膝骨性关节炎能减缓其退变速度，从而延长其自体关节使用寿命的方法：利用关节