首页|壮骨关节胶囊促进老年性膝骨关节炎患者康复效果观察

壮骨关节胶囊促进老年性膝骨关节炎患者康复效果观察

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目的:探究壮骨关节胶囊促进老年性膝骨关节炎患者康复效果.方法:研究共计纳入本院康复科收治的老年性膝骨关节炎患者120例(2022年1月-2024年1月),采取随机数字表法分成两组.给予对照组患者(60例)玻璃酸钠膝关节腔内注射治疗,1次/周,2 ml/次,若存在关节腔积液,先抽取积液,再进行注射治疗,治疗时间为4周;观察组患者(60例)在对照组治疗措施上联合壮骨关节胶囊治疗,玻璃酸钠用法同对照组,壮骨关节胶囊每日早晚饭后服用,0.9 g/次,治疗4周时间.比较两组患者疗效、治疗前后患者疼痛评分(VAS)、治疗前后患者最大主动关节活动度(AROM)及西安大略大学和麦克马斯特大学骨关节炎指数(WOMAC)等关节功能相关指标变化、白介素1β(IL-1β)及白介素(IL-6)炎性因子水平变化、不良反应.结果:观察组临床总有效率比对照组更高(P<0.05);治疗前两组患者VAS评分比较无统计学差异(P>0.05),治疗后两组患者评分均下降,观察组治疗后评分比对照组更低(P<0.05);治疗前两组患者关节功能相关指标(AROM及WOMAC评分)及炎性因子水平(IL-1β及IL-6)比较无统计学差异(P>0.05),治疗后两组患者各组指标均改善,观察组患者治疗后各项指标均优于对照组(P<0.05);观察组未见不良反应,对照组1例恶心(P>0.05).结论:壮骨关节胶囊可提升老年性膝骨关节炎临床疗效,可较好促进患者关节功能恢复,缓解疼痛等症状,不良反应少,安全可靠.
Observation on the rehabilitation effect of Zhuanggu Guanjie capsule in promoting the rehabilitation of elderly patients with knee osteoarthritis
Objective:To explore the rehabilitation effect of Zhuanggu Guanjie capsulein promoting the rehabilitation of elderly patients with knee osteoarthritis.Methods:A total of 120 patients with senile knee osteoarthritis admitted to the Rehabilitation Department of the Third People's Hospital of Anyang City(from January 2022 to January 2024)were divid-ed into two groups using the random number table method.The patients in the control group(60 cases)were treated with an intra-articular injection of sodium hyaluronate into the knee joint,once a week,2 ml each time.If there was joint effusion,the effusion was aspirated,and injection treatment was performed.The treatment time was 4 weeks.The patients in the observa tion group(60 cases)were treated with Zhuanggu Guanjie capsule based on the treatment measures of the control group.The use of sodium hyaluronate was the same as that in the control group.Zhuanggu Guanjie capsule was taken after breakfast and dinner every day,0.9 g each time.The treatment time was 4 weeks.Changes in pain scores(VAS)before and after treatment;changes in joint function-related indicators,such as maximum active range of motion(AROM)and the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)before and after treatment;changes in the levels of inflammatory fac-tors,such as interleukin-1 β(IL-1 β)and interleukin-6(IL-6);and adverse reactions were compared between the two groups.Results:The total clinical efficacy rate of the observation group was higher than that of the control group(P<0.05).There was no statistical difference in the VAS scores between the two groups before treatment(P>0.05).After treatment,the scores of both groups of patients decreased,and the score of the observation group after treatment was lower than that of the control group(P<0.05).There was no statistical difference in the joint function-related indicators(AROM and WOMAC scores)and the levels of inflammatory factors(IL-1β and IL-6)between the two groups of patients before treatment(P>0.05).After treatment,all the indicators of both groups of patients improved,and all the indicators of the patients in the observation group after treatment were better than those in the control group(P<0.05).There were no adverse reactions in the observation group and one case of nausea in the control group(P>0.05).Conclusion:Zhuanggu Guanjie capsule can improve the clinical efficacy of elderly patients with knee osteoarthritis,improve the recovery of joint functions,relieve symptoms such as pain,have few adverse reactions,and are safe and reliable.

senile knee osteoarthritisZhuanggu Guanjie capsulecurative effectjoint functioninflammatory factorsadverse reaction

王晓君

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安阳市第三人民医院,河南 455000

老年性膝骨关节炎 壮骨关节胶囊 疗效 关节功能 炎性因子 不良反应

2024

天津药学
天津市医药集团有限公司 天津市药学会

天津药学

影响因子:0.794
ISSN:1006-5687
年,卷(期):2024.36(5)