腓骨近端截骨术联合丹紫康膝冲剂内服治疗肾虚髓亏型膝骨关节炎的疗效观察
作者:
作者单位:

1. 湘潭市第一人民医院,湖南 湘潭 411101;2. 湖南中医药大学,湖南 长沙 410208;3. 湖南中医药大学第二附属医院,湖南 长沙 410005

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中图分类号:

R274.9

基金项目:

* 基金项目: 湖南省自然科学基金(S2013J5043)
收稿日期: 2017 - 06- 23
作者简介: 周彪(1986-),男,湖南湘潭人,博士,主治医师,研究方向:筋伤与骨病的中医药防治。
△通信作者:陆小龙,E-mail:1730657921@qq.com


Clinical Observation on the Treatment of Knee Osteoarthritis with Proximal FibulaOsteotomy Combined with Danzi Kangxi Granules
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Affiliation:

1. The First People’s Hospital of Xiangtan, Xiangtan 411101, China;2. Hunan University of Chinese Medicine, Changsha, 410208, China;3. The Second Hospital Affiliated to Hunan University of Chinese Medicine, Changsha 410005, China

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    摘要:

    目的 观察腓骨近端截骨术联合中药复方丹紫康膝冲剂治疗肾虚髓亏型膝关节骨关节炎的临床疗效。方法 将60例膝关节骨关节炎(单侧内翻型)患者随机分为两组,即对照组和治疗组,每组各30例。对照组行近端腓骨截骨术,术后常规使用消肿、抗炎镇痛类药物和局部理疗;治疗组在对照组干预的基础上于术后第2天开始加用中药复方丹紫康膝冲剂口服,1周为1个疗程。2组均治疗1个疗程。术后3周随访,比较2组VAS评分、JOA关节功能评分和临床疗效。结果 术后3周,治疗组的VAS评分及JOA关节功能评分均明显高于对照组,临床有效率明显高于对照组,差异均有统计学意义(P<0.05)。结论 中药复方丹紫康膝冲剂治疗内翻型膝关节骨关节炎(肾虚髓亏型)可有效缓解患者关节疼痛、肿胀及功能障碍等临床症状,提高关节功能评分。

    Abstract:

    Objective To observe the clinical effect of proximal fibular osteotomy combined with Danzi Kangxi Granules in treating osteoarthritis of the knee. Methods 60 patients with osteoarthritis of the knee were randomly divided into control group and treatment group(n=30). The control group underwent proximal fibula osteotomy, postoperative routine use of detumescence, anti-inflammatory and analgesic drugs and topical therapy. The treatment group was treated with Chinese herbal compound danzikangxi granules orally started on the basis of the control group on the second day after surgery, 1 week for 1 course. 2 groups were treated for 1 course. 3 weeks after operation, the VAS score, JOA joint function score and clinical efficacy were compared between the 2 groups. Results After 3 weeks, the VAS score and JOA joint function score of the treatment group were significantly higher than those of the control group, the clinical effective rate was significantly higher than that of the control group, the difference was statistically significant(P<0.05). Conclusion The Danzi Kangxi granules can effectively relieve the knee joint pain, swelling and dysfunction and improve the joint function score.

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