玻璃酸钠联合中药热敷治疗髌骨软化症80例
|
摘要
目的:观察玻璃酸钠关节腔注射联合中药热敷治疗髌骨软化症的临床疗效。方法:80例(96膝)患者随机分为2组,治疗组42例(50膝)采用玻璃酸钠关节腔注射配合中药外敷治疗,对照组38例(46膝)单纯给予玻璃酸钠关节腔注射,2组均每周1次,5周为1个疗程,观察膝关节VAS疼痛评分及功能改善情况,随访1年观察疗效并进行评定。结果:80例(96膝)患者均得到随访,治疗组为97.62%,对照组为84.21%,治疗组有效率与对照组相比较,差异有统计学意义。结论:玻璃酸钠关节腔注射联合中药热敷治疗髌骨软化症疼痛缓解明显,功能恢复较好,有良好的疗效,值得临床推广。
Objective: To observe the articular cavity injection of sodium hyaluronate combined traditional Chinese medicine of patella softening heat treated 80 cases of clinical curative effect. Methods: 80 patients(96 knees) were randomly divided into 2 groups, the treatment group 42 cases(50 knees) with articular cavity injection of sodium hyaluronate was Chinese medicine external treatment, control group 38 cases(46 knees) simply gives articular cavity injection of sodium hyaluronate: both group 1 times a week, and 5 weeks for a period of treatment, observation of knee pain VAS score and function to improve the situation, treatment and follow-up of 1 year to assess. Results: 80 cases(96 knees) patients were followed up, the treatment group was 97.61%, the control group was 89.47%, the total effective rate in treatment group compared with control group, with significant difference(P< 0.05). Conclusion: The articular cavity injection of sodium hyaluronate combined treatment of patella softening with TCM hot compress pain relief, function recovery is good, has the good curative effect, worth clinical promotion.
Objective: To observe the articular cavity injection of sodium hyaluronate combined traditional Chinese medicine of patella softening heat treated 80 cases of clinical curative effect. Methods: 80 patients(96 knees) were randomly divided into 2 groups, the treatment group 42 cases(50 knees) with articular cavity injection of sodium hyaluronate was Chinese medicine external treatment, control group 38 cases(46 knees) simply gives articular cavity injection of sodium hyaluronate: both group 1 times a week, and 5 weeks for a period of treatment, observation of knee pain VAS score and function to improve the situation, treatment and follow-up of 1 year to assess. Results: 80 cases(96 knees) patients were followed up, the treatment group was 97.61%, the control group was 89.47%, the total effective rate in treatment group compared with control group, with significant difference(P< 0.05). Conclusion: The articular cavity injection of sodium hyaluronate combined treatment of patella softening with TCM hot compress pain relief, function recovery is good, has the good curative effect, worth clinical promotion.
引文
[1]姜保国.骨与关节损伤[M].5版.北京:人民卫生出版社,2012:1.
[2]殷琴,余庆阳.髌骨软化症的研究进展[J].中医正骨,2012(9):65-69.
[3]肖冰,庞杰.肌内效贴扎配合理疗治疗运动员髌骨软化症短期疗效观察[J].中国运动医学杂志,2014(1):64-66,85.
[4]姜贵云,姚立新,杨晓莲,等.髌骨软化症的康复治疗进展[J].河北医学,2011(12):1689-1692.
[5]国家中医药管理局.中医病症诊断疗效标准[M].1版.北京:中国医药科技出版社,2012:1.
[6]胥少汀.实用骨科学[M].4版.北京:人民军医出版社,2012:1.
[7]张凯诚,蔡佩佩.浅谈中医治疗髌骨软化症[J].内蒙古中医药,2011(8):139-140.
[8]王象腾.髌骨软骨软化症的诊断和治疗[J].中国医学工程,2012(1):172-173.
[9]田玲.针灸配合中药外敷治疗髌骨软化症20例疗效观察[J].四川中医,2011(2):120-121.
[10]杨晓莲,姚立新,姜贵云,等.髌骨软化症的中医治疗近况[J].河北中医,2009(6):930-934.
[11]严浩然,蔡俊丰,沈彬,等.玻璃酸钠治疗髌骨软骨软化症[J].中国组织工程研究,2014(52):8525-8528.
[12]杨晓莲,姜贵云,徐丽丽,等.黏弹性材料玻璃酸钠关节腔填充治疗髌骨软化症的安全性评价[J].中国组织工程研究与临床康复,2009(8):1545-1548.
[13]周红军,杨树安,高军.髌骨软化症中医证候分布规律调查分析[J].河南中医,2012(10):1324-1325.
[14]朱换平,赵兵善.中药热敷治疗骨伤科慢性疾患的研究现状[J].甘肃中医学院学报,2011(5):58-61.
[2]殷琴,余庆阳.髌骨软化症的研究进展[J].中医正骨,2012(9):65-69.
[3]肖冰,庞杰.肌内效贴扎配合理疗治疗运动员髌骨软化症短期疗效观察[J].中国运动医学杂志,2014(1):64-66,85.
[4]姜贵云,姚立新,杨晓莲,等.髌骨软化症的康复治疗进展[J].河北医学,2011(12):1689-1692.
[5]国家中医药管理局.中医病症诊断疗效标准[M].1版.北京:中国医药科技出版社,2012:1.
[6]胥少汀.实用骨科学[M].4版.北京:人民军医出版社,2012:1.
[7]张凯诚,蔡佩佩.浅谈中医治疗髌骨软化症[J].内蒙古中医药,2011(8):139-140.
[8]王象腾.髌骨软骨软化症的诊断和治疗[J].中国医学工程,2012(1):172-173.
[9]田玲.针灸配合中药外敷治疗髌骨软化症20例疗效观察[J].四川中医,2011(2):120-121.
[10]杨晓莲,姚立新,姜贵云,等.髌骨软化症的中医治疗近况[J].河北中医,2009(6):930-934.
[11]严浩然,蔡俊丰,沈彬,等.玻璃酸钠治疗髌骨软骨软化症[J].中国组织工程研究,2014(52):8525-8528.
[12]杨晓莲,姜贵云,徐丽丽,等.黏弹性材料玻璃酸钠关节腔填充治疗髌骨软化症的安全性评价[J].中国组织工程研究与临床康复,2009(8):1545-1548.
[13]周红军,杨树安,高军.髌骨软化症中医证候分布规律调查分析[J].河南中医,2012(10):1324-1325.
[14]朱换平,赵兵善.中药热敷治疗骨伤科慢性疾患的研究现状[J].甘肃中医学院学报,2011(5):58-61.