单纯透明玻璃酸钠关节腔内注射结合中药熏洗治疗膝关节骨性关节炎166例临床观察

目的分组对比观察单纯透明质酸钠关节腔内注射与结合中药熏洗治疗膝关节骨性关节炎的临床疗效。方法选择符合膝关节骨性关节炎中西医诊断标准的患者166例206膝，随机分为2组，分别为单纯透明质酸钠组，单纯透明质酸钠＋中药熏洗组，分别给予相应治疗，对治疗前后患者病情评分进行分析评价，观察临床疗效。结果单纯透明质酸钠＋中药熏洗组总有效率与单纯透明质酸钠组比较差异有显著（P〈0．05），在改善疼痛、压痛、畏寒肢冷等方面，两组比较P〈0．01；在改善肿胀、功能活动等表现方面两组比较（P〉0．05，疗效相当。结论单纯透明玻璃酸钠关节腔内注射结合中药熏洗治疗膝关节骨性关节炎能有效缓解疼痛等症状，改善关节功能，提高患者的生活质量，在防止病情复发上有明显优势，是非手术中西医联合治疗膝关节骨眭关节炎一种安全有效、毒副作用小且复发率低的方法。

The clinical observations and comparion on using the sodium hyaluronate intraarticular injection purely and that combined with Chinese medicine fumigating and washing for 166 case of knee joint ostearthritis

Objective To observe and compare the curative effect of sodium hyaluronate intraarticular injection purely and that combined with Chinese medicine fumigating and washouting therapy for knee joint ostearthritis.Methods 126 cases (206 knees) were divided randomly into two groups.Control group was treated with sodium hyaluronate intraarticular injection,and Experimental group was treated with sodium hyaluranate intraarticular injection combined with Chinese medicine fumigating and washing therapy,then observe and compare the curative effect.Results The disparity of total effective rate between these two groups was significant (P＜0.05).In the aspects of improving ache,tenderness,and chilly limbs,the comparison of these two sets is significant(P＜0.01).In the aspects of improving the swell and funcation of movement,comparison of these two sets is non-significant(P＞0.05),the curative effect was equal.Conclusions The treatment of knee joint osteoarthritis with sodium hyaluronate intraarticul injection combined with Chinese medicine fumigating and washing therapy can effectively alleviate ache,symptnm,etc.And improve function of the joint,raise the sufferer's quality of life.There is obvious advantage in keeping away of reeidivation.It was a kind of safe,effective nonoperative therapeutic alliance method of traditional Chinese and western medicine,which with small poisonous side effect and low relapse rate.