中药膝痛宁熏洗联合玻璃酸钠关节腔注射治疗膝骨性关节炎疗效观察

目的：观察采用中药膝痛宁熏洗联合玻璃酸钠关节腔注射治疗膝关节骨性关节炎的临床疗效。方法：收集我科收治的84例膝骨性关节炎患者并随机分成对照组和治疗组，对照组仅予玻璃酸钠关节腔注射治疗，治疗组在此基础上并给予中药膝痛宁外用熏洗。结果：对照组总有效率为69．0％，治疗组为90．5％，2组比较有统计学意义（P〈0．05）；治疗组VAS评分和WOMAC评分方面均有明显改善（P〈0．05），而对照组仅有VAS评分较前有明显降低（P〈0．05），WOMAC评分方面均无明显改善（P〉0．05）。结论：中药膝痛宁熏洗联合玻璃酸钠关节腔注射治疗膝骨性关节炎疗效显著，值得临床推广。

Curative Effect Analysis of the Traditional Chinese Medicine XI TONG NING Fumigation Combined with Sodium Hyaluronate Intra-articular Injection in the Treatment of Knee Osteoarthritis

Objective：To observe the clinical efficacy of traditional Chinese medicine fumigation combined with sodium hyaluronate in the treatment of knee osteoarthritis. Methods ： Eighty-four patients with knee osteoarthritis were randomly divided into control group and treatment group. Control group received simple sodium hyaluronate intra-artieular injection therapy, and the treatment group was addi-tionally given Chinese medicine XI TONG NING heat vaporization therapy. Results ： The total effective rate was 69.0% in the control group and 90. 5% in the treatment group. The difference was statistically significant （P 〈0. 05）. In treatment group, the scores of VAS and WOM-AC were improved after treatment （ P 〈 0. 05 ）. In control group, however, only VAS score declined further （ P 〈 0. 05 ）. Conclusion： The clinical effect of XI TONG NING combined with sodium hyaluronate is significant, thus it is suggested to be widely used in the treatment of knee osteoarthritis clinically.