中西医结合治疗膝关节滑膜皱襞综合征临床研究
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R684

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Clinical Study on Integrated Chinese and Western Medicine Therapy for Synovial Plica Syndrome of Knee Joint
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    摘要:

    目的:观察中西医结合治疗膝关节滑膜皱襞综合征的临床疗效。方法:选择膝关节滑膜皱襞综合征患者60例,按随机数字表法分为研究组和对照组各30例。对照组给予常规西药与臭氧治疗,研究组在对照组基础上给予中药熏洗治疗,2期治疗期间均配合康复功能训练。连续治疗5 周后观察2 组治疗效果。结果:研究组膝关节功能优良率为93.33%,高于对照76.67%,差异有统计学意义(P<0.05)。治疗前,2组血清白细胞介素-1(IL-1)、肿瘤坏死因子-α(TNF-α) 水平比较,差异无统计学意义(P>0.05)。治疗后,2组血清IL-1、TNF-α水平较治疗前下降(P<0.05),研究组血清IL-1、TNF-α水平低于对照组(P<0.05)。治疗前,2组视觉模拟评分法(VAS) 评分比较,差异无统计学意义(P>0.05)。治疗后,2组VAS评分较治疗前下降(P<0.05),研究组VAS 评分低于对照组(P<0.05)。治疗前,2 组Lysholm 膝关节功能评分比较,差异无统计学意义(P>0.05)。治疗后,2 组Lysholm 膝关节功能评分较治疗前升高(P<0.05),研究组Lysholm 膝关节功能评分高于对照组(P<0.05)。结论:中西医结合治疗膝关节滑膜皱襞综合征可提高临床疗效,缓解患者疼痛情况,恢复膝关节功能,值得推广应用。

    Abstract:

    Abstract:Objective:To observe the clinical effect of integrated Chinese and western medicine therapy for synovial plica syndrome of knee joint. Methods:A total of 60 patients with synovial plica syndrome were selected and divided into the study group and the control group according to random number table method, 30 cases in each group. The control group was treated with conventional western medicine and ozone,while the study group was additionally treated with Chinese herbal fumigation based on the treatment of the control group. During the treatment,both groups were conducted with functional rehabilitation training. The therapeutic effect in the two groups was observed after five weeks of treatment. Results: The excellent and good rate of knee joint function in the study group was 93.33% , higher than that of 76.67% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference in the comparisons of the levels of interleukin- 1(IL- 1) and tumor necrosis factor- α(TNF- α) in serum between the two groups(P>0.05). After treatment, the levels of IL- 1 and TNF- α in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the above two levels in the study group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference in the comparison of the score of Visual Analogue Scale(VAS) between the two groups(P>0.05). After treatment, the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05), and the VAS score in the study group was lower than that in the control group(P<0.05). Before treatment, there was no significant difference in the comparison of the score of Lysholm Knee Scoring Scale in the two groups(P>0.05). After treatment,the scores of Lysholm Knee Scoring Scale in both groups were increased when compared with those before treatment, and the score in the study group was higher than that in the control group(P<0.05).Conclusion:The integrated Chinese and western medicine therapy for synovial plica syndrome of knee joint,can improve the clinical effect,relieve the pain and restore the function of knee joint.

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施立奇,李象钧,赵俊,孙益.中西医结合治疗膝关节滑膜皱襞综合征临床研究[J].新中医,2020,52(10):78-81

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  • 在线发布日期: 2020-05-26
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