首页|独活寄生汤联合BKA治疗中老年重度双间室膝关节骨关节炎的效果

独活寄生汤联合BKA治疗中老年重度双间室膝关节骨关节炎的效果

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目的:探讨独活寄生汤应用于双间室膝关节置换术(bicompartment knee arthroplasty,BKA)治疗中老年患者重度双间室膝关节骨关节炎的效果.方法:选取 2020 年 1 月—2023 年 1 月在普定县中医医院诊断为重度双间室膝关节骨关节炎并接受BKA治疗的患者 80 例,按照随机数字表法分为对照组(40 例)和观察组(40 例).对照组给予口服盐酸氨基葡萄糖治疗,观察组在对照组的基础上给予独活寄生汤治疗.比较两组C反应蛋白水平、红细胞沉降率、匹兹堡睡眠质量指数(PSQI)评分.结果:治疗 2 个月后,观察组总有效率为 97.50%,明显高于对照组(82.50%);治疗 2 个月后,观察组红细胞沉降速率、血清C反应蛋白水平均显著下降,炎症反应水平均明显低于对照组,差异均有统计学意义(P<0.05).治疗 1、2 个月后,观察组PSQI评分均明显低于对照组,差异均有统计学意义(P<0.05).结论:独活寄生汤能够降低重度双间室膝关节骨关节炎患者的炎症反应水平,提高治疗效果,缓解疼痛,提高患者睡眠质量.
The Effect of Duhuo Jisheng Decoction Combined with BKA in the Treatment of Severe Double Compartment Knee Osteoarthritis in Middle-aged and Elderly Patients
Objective:To explore the effect of Duhuo Jisheng Decoction on the treatment of severe double compartment knee osteoarthritis in middle-aged and elderly patients undergoing bicompartment knee arthroplasty(BKA).Method:A total of eighty patients with severe double compartment knee osteoarthritis diagnosed in Puding County Hospital of Traditional Chinese Medicine from January 2020 to January 2023 and treated with BKA were selected,divided into control group(40 cases)and observation group(40 cases)by random number table method.The control group was treated with oral Glucosamine Hydrochloride,while the observation group was treated with Duhuo Jisheng Decoction on the basis of the control group.The levels of C reactive protein and erythrocyte sedimentation rate and the scores of Pittsburgh sleep quality index(PSQI)were compared between the two groups.Result:After 2 months of treatment,the total effective rate of the observation group was 97.50%,which was significantly higher than that of the control group(82.50%).After 2 months of treatment,the erythrocyte sedimentation rate and serum C reactive protein level in the observation group were decreased significantly,and the inflammatory reaction levels were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After 1 month and 2 months of treatment,PSQI scores in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Duhuo Jisheng Decoction can reduce the inflammatory reaction levels of patients with severe double compartment knee arthritis,improve the therapeutic effect,relieve pain and improve the sleep quality of patients.

Severe double compartment knee osteoarthritisDuhuo Jisheng DecoctionErythrocyte sedimentation rateSerum C reactive protein level

宋尚明

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普定县中医医院外二科 贵州 普定 562100

重度双间室膝关节骨关节炎 独活寄生汤 红细胞沉降率 血清C反应蛋白水平

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(3)
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