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[1]楊世榮.全膝關(guān)節(jié)置換術(shù)配合中藥熱敷 治療膝骨關(guān)節(jié)炎肝腎不足、筋脈瘀滯證[J].中醫(yī)正骨,2018,30(09):64-66.
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全膝關(guān)節(jié)置換術(shù)配合中藥熱敷 治療膝骨關(guān)節(jié)炎肝腎不足、筋脈瘀滯證()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年09期
頁碼:
64-66
欄目:
骨關(guān)節(jié)炎
出版日期:
2018-09-20

文章信息/Info

作者:
楊世榮
浙江省寧波市奉化區(qū)中醫(yī)醫(yī)院,浙江 寧波 315500
關(guān)鍵詞:
骨關(guān)節(jié)炎 關(guān)節(jié)成形術(shù)置換 中藥療法 熱敷 白細(xì)胞介素1 血清素 地諾前列酮
摘要:
觀察全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)配合中藥熱敷治療膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)肝腎不足、筋脈瘀滯證的臨床療效。方法:2017年1月至2018年1月,采用TKA配合中藥熱敷治療KOA肝腎不足、筋脈瘀滯證患者50例。男23例,女27例。年齡40~75歲,中位數(shù)66歲。病程3~26年,中位數(shù)13年。TKA術(shù)后2周切口愈合后開始進(jìn)行中藥熱敷,每次15~20 min,每日1次,連續(xù)治療4周。分別于治療前及治療結(jié)束后,采用酶聯(lián)免疫吸附法測(cè)定患者血清中白細(xì)胞介素(interleukin,IL)-1、5-羥色胺(5-hydroxytryptamine,5-HT)、前列腺素E2(prostaglandin E2,PGE2)的含量; 測(cè)定膝關(guān)節(jié)屈曲畸形角度及活動(dòng)度; 采用美國(guó)特種外科醫(yī)院(hospital for special surgery,HSS)膝關(guān)節(jié)評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)患膝運(yùn)動(dòng)功能。結(jié)果:治療結(jié)束后,患者血清IL-1、5-HT、PGE2含量均較治療前降低[(3.18±0.51)pg·mL-1,(6.53±0.75)pg·mL-1,t=26.118,P=0.000;(82.63±8.56)pg·mL-1,(228.26±20.21)pg·mL-1,t=46.918,P=0.000;(92.61±9.35)pg·mL-1,(306.67±30.15)pg·mL-1,t=47.951,P=0.000],膝關(guān)節(jié)屈曲畸形角度較治療前減小(2.65°±0.59°,17.12°±2.36°,t=42.061,P=0.000),膝關(guān)節(jié)活動(dòng)度較治療前增加(95.67°±9.63°,50.12°±5.35°,t=29.237,P=0.000); HSS評(píng)分中的疼痛、功能、活動(dòng)范圍、肌力、固定畸形、不穩(wěn)定評(píng)分均較治療前增高[(27.58±8.86)分,(1.97±0.73)分,t=20.370,P=0.000;(21.38±6.26)分,(1.78±0.67)分,t=22.014,P=0.000;(18.36±6.13)分,(3.92±1.19)分,t=16.352,P=0.000;(9.25±3.52)分,(2.49±0.98)分,t=13.082,P=0.000;(9.51±3.32)分,(3.49±1.31)分,t=11.927,P=0.000;(9.23±3.97)分,(2.56±1.07)分,t=11.471,P=0.000]。結(jié)論:TKA配合中藥熱敷治療KOA肝腎不足、筋脈瘀滯證,可以減輕炎癥反應(yīng)、矯正膝關(guān)節(jié)屈曲畸形、增加膝關(guān)節(jié)活動(dòng)度、促進(jìn)膝關(guān)節(jié)運(yùn)動(dòng)功能恢復(fù)。

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更新日期/Last Update: 2018-09-20