中药熏洗治疗慢性膝关节滑膜炎临床疗效观察.docVIP

中药熏洗治疗慢性膝关节滑膜炎的临床疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.22.52 　　摘要目的：观察中药熏洗治疗慢性膝关节滑膜炎的临床疗效。方法：2010年8月-2012年8月收治慢性膝关节滑膜炎患者85例，给予中药熏洗治疗，回顾性分析其临床资料，治疗前后运用KSS膝关节评分法进行临床疗效评价。结果：85例患者均获临床随访，时间为出院后1～12个月，平均9个月。KSS评分由治疗前的（54.21±10.23）分升高到（87.36±12.47）分，所有患者临床效果满意。结论：中药熏洗治疗慢性膝关节滑膜炎具有简、便、效、廉的独特优势，无不良反应，适应人群广，值得临床优势选择。 　　关键词中药熏洗；慢性膝关节滑膜炎；痹症；疗效观察 　　Clinical curative effect observation of herbal fumigation in the treatment of chronic knee joint synovitis 　　Zhu Shaoxin，Gao Lili 　　The People’s Hospital of Chongxin County，Gansu 744200 　　AbstractObjective：To observe the clinical curative effect of herbal fumigation in the treatment of chronic knee joint synovitis. Methods：85 cases with chronic knee joint synovitis were selected from August 2010 to August 2012.They were given the herbal fumigation treatment，and their clinical data were retrospectively analyzed.The clinical curative effcets before and after the treatment were evaluated by KSS knee score method.Results：85 cases were clinical follow-up.The time was discharged after 1～12 months，and the average time was 9 months.The KSS score was （54.21±10.23） score before treatment.It rised to （87.36±12.47） score.The clinical effects of all cases were satisfied.Conclusion：The herbal fumigation in the treatment of chronic knee joint synovitis has unique advantages，such as simple，convenient，efficient，cheap.It has no adverse reaction.It adapts to the wide crowd.It is worth of the clinical advantage selection. 　　Key wordsHerbal fumigation；Chronic knee joint synovitis；Arthralgia；Curative effect observation 　　慢性膝关节滑膜炎主要由膝关节创伤或者慢性劳损发展而来，以膝关节疼痛、肿胀、活动不利为特征，治疗不及时容易导致关节粘连，活动障碍，进而股四头肌萎缩，膝关节肥大，形成“鹤膝风”，严重影响患者的生活质量。其病程长，易反复，采用西药治疗服药时间长，药物不良反应大，尤其对于老年肝肾不足的患者药物不良反应更加明显。而中药熏洗作为治疗慢性膝关节滑膜炎的中医特色疗法现已被广泛应用于骨科临床，可以起到通经络、活气血、消肿痛、利关节、扶正气等作用，而且无不良反应，临床随访疗效满意，现报告如下。 　　资料与方法 　　2010年8月-2012年8月收治慢性膝关节滑膜炎患者85例，男41例，女44例，年龄25～72岁，平均50.5岁。 　　诊断及纳入标准：采用国家中医药管理局《中医病证诊断疗效标准》。①有外伤史或慢性劳损史；②膝关节疼痛、肿胀，患肢活动受限；③膝关节广泛压痛，浮髌试验阳性；④血沉、类风湿因子、抗“O”、尿酸等实验室检查正常；⑤X线检查排除骨、关节及软骨