世界中医药
文章摘要
引用本文:邢宝瑞,郭东辉,李晓明,侯秀秀,马世强,韩广普.坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗的应用研究[J].世界中医药,2018,(06):.  
坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗的应用研究
Application Study of Bone Strengthening Capsule Combined with Arthroscopy and High Tibial Osteotomy in the Treatment of Knee Osteoarthritis with Genu Varus Deformity
投稿时间:2017-12-25  
DOI:10.3969/j.issn.1673-7202.2018.06.022
中文关键词:  膝骨性关节炎  膝内翻畸形  坚骨胶囊  关节镜  胫骨高位截骨  膝关节功能  VAS评分
English Keywords:Knee osteoarthritis  Genu varum deformity  Bone strengthening capsule  Arthroscopy  High tibial osteotomy  Knee joint function  VAS score
基金项目:河北省中医药管理局2017度科研计划课题(2017136)——坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎治疗的应用研究(2017136)
作者单位
邢宝瑞,郭东辉,李晓明,侯秀秀,马世强,韩广普 河北省沧州中西医结合医院骨六科,沧州,061000 
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中文摘要:
      目的:探讨坚骨胶囊联合关节镜与胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗中的应用效果。方法:选取2015年8月至2016年8月沧州中西医结合医院收治的膝骨性关节炎伴膝内翻畸形患者82例,依照随机数字表法分为对照组和观察组,每组41例。对照组予以关节镜与胫骨高位截骨治疗,观察组于对照组基础上联合坚骨胶囊治疗。比较2组治疗前后膝关节功能评分(HSS)、疼痛评分(VAS)、股胫角、膝关节内侧间隙距离及生命质量评分(SF-36),并观察2组治疗效果。结果:观察组总有效率92.68%(38/41)高于对照组70.73%(29/41),差异有统计学意义(P<0.05);治疗后与对照组比较,观察组HSS评分提高,VAS评分降低,差异有统计学意义(P<0.05);治疗后与对照组比较,观察组股胫角降低,膝关节内侧间隙距离提高,差异有统计学意义(P<0.05);治疗后与对照组比较,观察组SF-36评分提高,差异有统计学意义(P<0.05)。结论:膝骨性关节炎伴膝内翻畸形患者予以坚骨胶囊联合关节镜与胫骨高位截骨治疗效果确切,可有效增加膝关节内侧间隙,降低股胫角,缓解患者疼痛感,促进其膝关节功能恢复,提高其生命质量。
English Summary:
      To explore the application effect of bone strengthening capsule combined with arthroscopy and high tibial osteotomy in the treatment of knee osteoarthritis with genu varus deformity.Methods:A total of 82 cases of knee osteoarthritis with genu varus deformity from August 2015 to August 2016 in our hospital were randomly divided into the control group and the observation group,each with 41 cases.The control group was treated with arthroscopy and high tibial osteotomy,and the observation group was treated with the bone strengthening capsule on the basis of the control group.The knee function score ( HSS ),pain score ( VAS ),femoral and tibial angle,medial knee gap distance and quality of life score ( SF-36 ) were compared between the two groups before and after treatment.The therapeutic effects of the two groups were observed.Results:The total effective rate of the observation group was 92.68% (38/41),which was higher than that of the control group (70.73%) (29/41)( P<0.05).After treatment,compared with the control group,the HSS score of the observation group was increased,VAS score decreased( P<0.05 ).The femoral and tibial angles of the observation group was decreased,and the inner space of the knee joint was increased compared with the control group after treatment( P<0.05 ).And SF-36 score of the observation group was improved(P<0.05).Conclusion:bone strengthening capsule combined with arthroscopy and high tibial osteotomy in the treatment of knee osteoarthritis with genu varus deformity,can effectively increase the medial knee joint gap,reduce the femoral tibial angle,relieve the pain of patients,promote the recovery of the knee joint function,and improve the quality of life.
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