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银苓消肿丸联合关节镜清理术对膝骨性关节炎患者膝肿胀程度及关节活动度的影响
夏宝剑,张达夫,王峰,赵娜,槐恒达,田欣
河北省沧州中西医结合医院青县院区关节创伤科河北沧州 062650
摘要:
目的 探讨银苓消肿丸联合关节镜清理术对膝骨性关节炎(KOA)患者膝肿胀程度及关节活动度的影响。方法:选取2022年1月—2023年7月河北省沧州市中西医结合医院收治的92例气滞血瘀型KOA患者,用随机数字表法分为对照组(46例)和联合组(46例)。对照组进行关节镜清理术联合常规治疗,联合组在对照组的基础上附加银苓消肿丸。比较两组患者治疗4周后的疗效;治疗前、治疗2周和治疗4周后的症状评分、膝关节功能(KSS)评分、关节活动度、血清炎性因子及不良反应发生率。结果:联合组总有效率为95.65%,显著高于对照组的76.09%(P<0.05)。与治疗前相比,两组治疗2周后、治疗4周后KSS、屈伸度和屈伸弧度显著升高,联合组高于对照组(P<0.05);症状评分、伸直度及血清肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)显著降低,联合组低于对照组(P<0.05);两组总不良反应总发生率无明显差异。结论:银苓消肿丸联合关节镜清理术可有效改善KOA患者的膝肿胀程度,提高关节活动度,安全性高。
关键词:  膝骨性关节炎  银苓消肿丸  关节镜清理术  膝肿胀程度  关节活动度
DOI:10.3969/j.issn.1007-6948.2025.02.009
投稿时间:2024-04-30
基金项目:河北省中医药管理局科研计划项目(2024171)
Impacts of Yinling Xiaozhong pill combined with arthroscopic debridement on the degree of knee swelling and joint range of motion in patients with knee osteoarthritis
XIA Bao-jian,ZHANG Da-fu,WANG Feng
Department of Joint Traumatology, Qingxian Branch, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Qingxian 062650, China
Abstract:
Objective To observe the impacts of Yinling Xiaozhong pill combined with arthroscopic debridement on the degree of knee joint swelling and joint range of motion in patients with knee osteoarthritis (KOA). Methods A total of Qi stagnation and blood stasis type 92 KOA patients who visited Cangzhou Chinese and Western Medicine Hospital in Hebei Province from January 2022 to July 2023 were randomly separated KOA patients into a combination group (46 cases) and a reference group (46 cases). The reference group underwent arthroscopic debridement, while the combined group received Yinling Xiaozhong pill based on reference group. The efficacy of the two groups after 4 weeks of treatment, the symptom scores, KSS, joint range of motion, serum inflammatory factors, and incidence of untoward reactions during treatment before, 2 weeks of treatment, and 4 weeks of treatment was compared. Results The total effective rate of the combination group (95.65%) was obviously higher than that of the reference group (76.09%) (P<0.05). Compared with before treatment, the KSS, flexion extension arc were significantly increased after 2 weeks and 4 weeks of treatment, and the combined group was higher than the control group (P<0.05). Symptom score, and serum levels of tumor necrosis factor-α (TNF-α) C-reactive protein (CRP), and interleukin-6 (IL-6), were obviously decreased in combination group compared with control group (P<0.05);there was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion The combination of Yinling Xiaozhong pill and arthroscopic debridement can effectively improve the degree of knee swelling and joint mobility in KOA patients, and has high safety.
Key words:  Knee osteoarthritis  Yinling Xiaozhong pill  arthroscopic debridement  degree of knee swelling  joint mobility

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