三七伤药胶囊口服加中药熏洗联合玻璃酸钠关节腔内注射治疗膝骨关节炎临床观察.docVIP

三七伤药胶囊口服加中药熏洗联合玻璃酸钠关节腔内注射治疗膝骨关节炎临床观察 　　【摘 要】目的：观察三七伤药胶囊口服加中药熏洗联合玻璃酸钠关节腔内注射治疗膝骨关节炎的临床疗效。方法：将90例膝骨关节炎患者随机分为治疗组和对照组，每组45例。对照组采用玻璃酸钠关节腔内注射治疗，治疗组在对照组的基础上加用三七伤药胶囊口服及中药熏洗治疗。2组均以5周为1个疗程。观察2组临床疗效及KSS评分、WOMAC评分。结果：治疗组治愈31例，好转13例，未愈1例，总有效率为97.77%；对照组治愈16例，好转16例，未愈13例，总有效率为71.11%。2组比较，差异有统计学意义（P 0.05）。治疗后，2组KSS评分及WOMAC评分较治疗前均有改善（P 0.05），且治疗组优于对照组（P 0.05）。结论：三七伤药胶囊口服加中药熏洗联合玻璃酸钠关节腔内注射可明显缓解膝骨关节炎患者的临床症状，值得临床推广应用。 　　【关键词】 骨关节炎，膝；骨痹；三七伤药胶囊；中药熏洗；玻璃酸钠 　　【ABSTRACT】Objective：To observe the clinical curative effect of Sanqi Shangyao Jiaonang（三七伤药胶囊）and herbal fumigating and washing combined with intraarticular injection of sodium hyaluronate in the treatment of kneeosteoarthritis.Methods：90 cases of knee osteoarthritis were randomly divided into two groups：a treatment group and a control group，45 cases in each group.The control group was treated with intraarticular injection of sodium hyaluronate，while the treatment group was treated with Sanqi Shangyao Jiaonang and herbal fumigating and washing base on the treatment for the control group.The 2 groups were treated for 5 weeks as a course of treatment，observing their clinical efficacy，KSS score and WOMAC score.Results：In the treatment group，31 cases were cured，13 cases were improved，and 1 case was ineffective，the total efficiency being 97.77%；while in the control group，16 cases were cured，16 cases were improved，and 13 cases were ineffective，the total efficiency being 71.11%.The difference was statistically significant between the 2 groups（P 0.05）.After treatment，KSS score and WOMAC score of the 2 groups were improved （P 0.05） than before treatment，and the treatment group was better than the control group（P 0.05）.Conclusion：Sanqi Shangyao Jiaonang and herbal fumigating and washing combined with intraarticular injection of sodium hyaluronate can relieve the clinical symptoms of patients with knee osteoarthritis，worthy of clinical application. 　　【Keywords】 osteoarthritis，knee；bone rheumatism；Sanqi Shangyao Jiaonang（三七伤药胶囊）；herba