首页|十枣汤加味散联合塞来昔布胶囊治疗湿热瘀闭型膝骨关节炎性滑膜炎临床研究

十枣汤加味散联合塞来昔布胶囊治疗湿热瘀闭型膝骨关节炎性滑膜炎临床研究

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目的 观察十枣汤加味散联合塞来昔布胶囊治疗湿热瘀闭型膝骨关节炎性滑膜炎的临床疗效.方法 选取2021年12月-2023年5月承德医学院附属医院诊治的膝骨关节炎性滑膜炎患者120例,采用随机数字表法分为观察组和对照组,每组60例,对照组采用通络祛痛膏联合塞来昔布胶囊治疗,观察组采用十枣汤加味散联合塞来昔布胶囊治疗,治疗2周.比较两组治疗前后疼痛视觉模拟评分法(VAS)、膝关节肿胀程度评分、膝关节功能(HSS)评分、滑囊积液深度、临床疗效和不良反应.结果 两组治疗后VAS评分、膝关节肿胀程度评分、滑囊积液深度均较治疗前降低,HSS评分较治疗前升高,差异具有统计学意义(P<0.05),两组间治疗前各指标比较,差异无统计学意义(P>0.05),两组间治疗后各指标比较,差异具有统计学意义(P<0.05).观察组总有效率95%(57/60)高于对照组的83.3%(50/60)(P<0.05);观察组不良反应发生率10%(6/60)与对照组的13.3%(8/60)相当(P>0.05).结论 十枣汤加味散联合塞来昔布胶囊治疗湿热瘀闭型膝骨关节炎性滑膜炎患者的疗效显著,能明显缓解患者疼痛,消除膝关节肿胀,有效促进膝关节功能恢复,且不良反应少,治疗安全性较高.
Clinical Study on Modified Shizaotang Powder(十枣汤加味散)Combined with Celecoxib in Treatment of Knee Osteoarthritis Synovitis of Damp-Heat and Blood Stasis Type
Objective To observe the clinical efficacy of Modified Shizaotang Powder(十枣汤加味散)combined with celecox-ib on knee osteoarthritis synovitis of damp-heat and blood stasis type.Methods A total of 120 patients with knee osteoarthritis synovitis treated in Affiliated Hospital of Chengde Medical from May 2021 to December 2023 were enrolled.They were randomly divided into control group(60 cases)and observation group(60 cases)by random number table.The patients in the observation group were treated with Modified Shizaotang Powder and celecoxib capsule.Those in the control group were treated with Tongluo Qutong Cream(通络祛痛膏)and celecoxib capsule.Both groups were treated for 2 weeks.The visual analogue scale(VAS),knee joint swelling scale,knee joint function(Hospital for Special Surgery,HSS)score,the depth of bursa effusion,the clinical curative effect and adverse reactions were compared between the two groups before and after treatment.Results After treatment,the VAS score,knee joint swelling scale and the depth of bursa effusion in both groups decreased,while the HSS score increased in both groups,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups before treatment(P>0.05),but there was significant difference between the two groups after treatment(P<0.05).The total ef-fective rate of the observation group(95%,57/60)was higher than that of the control group(83.3%,50/60)(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group(10%,6/60)and the control group(13.3%,8/60)(P>0.05).Conclusion Modified Shizaotang powder combined with celecoxib has obvious curative effect on knee osteoarthritis synovitis of damp-heat and blood stasis type,and can relieve the pain,eliminate the swelling of knee joints and promote the recovery of knee joint function of the patients.The treatment is safe and reliable.

Shizao Tang(十枣汤)synovitisknee osteoarthritisknee jointexternal use of traditional Chinese medicine

陈星燃、晏飞、王领弟、邵月、李连泰、王书君、王玉满

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承德医学院附属医院,河北承德 067000

承德医学院,河北承德 067000

十枣汤 滑膜炎 膝骨关节炎 膝关节 中药外用

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)