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目的膝关节局部阻滞加骶管阻滞及关节腔内注射玻璃酸钠与联合应用中药汽疗治疗膝关节骨性关节病的疗效观察。方法选择57例膝关节骨性关节病病人,39～76岁,机械抽样随机分为2组:A组23例,膝关节局部阻滞加骶管阻滞及关节腔内注射玻璃酸钠;B组34例,膝关节局部阻滞加骶管阻滞及关节腔内注射玻璃酸钠并联合应用中药汽疗。分别记录病人治疗前与治疗后1个月的疼痛、行走能力功能基本恢复情况以及治疗前与治疗后1个月的疼痛视觉模拟尺(VAS),并进行统计学处理。结果B组在疼痛缓解、行走功能恢复上明显优于A组,疼痛视觉模拟(VAS)有显著差异。结论中西医结合疗法治疗骨性膝关节病,疗效满意。
Objective To observe the curative effect of knee joint local blockade plus caudal block and intra-articular injection of sodium hyaluronate in combination with traditional Chinese medicine steam therapy on knee joint osteoarthrosis. Methods Fifty-seven patients with osteoarthritis of the knee joint were selected and aged from 39 to 76 years. Mechanical sampling was divided into two groups at random: group A (23 cases), local block of knee joint plus caudal block and intra-articular injection of sodium hyaluronate. B Group 34 cases, local block of knee joint plus caudal block and intra-articular injection of sodium hyaluronate combined with traditional Chinese medicine steam therapy. The patients’ pains before operation and one month after treatment were recorded, and the basic functional recovery of walking ability and pain visual analogue scale (VAS) before treatment and one month after treatment were recorded and statistically analyzed. Results Group B was better than group A in pain relief and walking function recovery, and visual analogue pain (VAS) was significantly different. Conclusion Integrative medicine treatment of osteoarthritis of knee, with satisfactory results.