补肾活血汤联合几丁糖注射对膝骨关节炎患者关节镜术后膝关节功能和血清炎症因子水平的影响
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北京市大兴区中西医结合医院科研项目(DXZXYB202404);


Effect of Bushen Huoxue Decoction combined with chitosan injection on knee joint function and serum inflammatory factors in patients with knee osteoarthritis after arthroscopic surgery
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    摘要:

    目的:探讨补肾活血汤联合几丁糖注射用于膝骨关节炎(KOA)患者关节镜术后的疗效。方法:将116例KOA患者按术后干预方案不同分为对照组与观察组,每组各58例。两组患者均行关节镜下清理术。术后,对照组予以几丁糖关节腔注射治疗;观察组予以补肾活血汤联合几丁糖关节腔注射治疗,两组均连续治疗4周。比较两组患者疗效、疼痛评分、膝关节肿胀值、膝关节功能[膝关节屈曲度、骨关节炎指数量表(WOMAC)、Lysholm评分]、膝关节超声指标[关节腔积液厚度、滑膜厚度]和血清炎症因子[白细胞介素6(IL-6)、白细胞介素1β(IL-1β)、肿瘤坏死因子α(TNF-α)]水平。结果:治疗4周后,观察组患者总有效率高于对照组(P<0.05);膝关节疼痛VAS评分、肿胀值、WOMAC评分和关节腔积液厚度、滑膜厚度均低于对照组(P<0.05),膝关节屈曲度和Lysholm评分均高于对照组(P<0.05);血清IL-6、IL-1β和TNF-α水平均低于对照组(P<0.05)。结论:补肾活血汤联合几丁糖注射用于KOA术后可提高疗效,能够促进患者疼痛缓解和膝关节功能恢复,减轻炎症反应。

    Abstract:

    Objective:To explore the curative effect of Bushen Huoxue decoction combined with chitosan injection on patients with knee osteoarthritis(KOA)after arthroscopic surgery.Methods:A total of 116 patients with KOA were divided into control group and observation group according to different postoperative intervention schemes,with 58 cases in each group.Both groups underwent ar-throscopic debridement,after operation,the control group was treated with intra-articular injection of chitosan,and the observation group was treated with Bushen Huoxue Decoction combined with intra-articular injection of chitosan for 4 weeks.The efficacy,pain score,knee swelling value,knee function[knee flexion,osteoarthritis index scale (WOMAC),Lysholm score],ultrasound indexes of knee joint[joint effusion thickness,synovial thickness]and serum inflammatory factors[interleukin-6(IL-6),interleukin-1 β(IL-1β),tumor necrosis factor-α(TNF-α)]were compared between the two groups.Results:After 4 weeks of treatment,compared with the control group,the total effective rate of the observation group was higher(P<0.05).Compared with the control group,the VAS score,swelling value,WOMAC score and joint effusion thickness,synovial thickness in the observation group were lower(P<0.05),and the knee flexion and Lysholm score were higher(P<0.05).The levels of serum IL-6,IL-1 β and TNF-α in the observation group were lower than those in the control group(P<0.05).Conclusion:Bushen Huoxue Decoction combined with chitosan injection can improve the curative effect after KOA operation,promote pain relief and knee joint function recovery,reduce inflammation.

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李进选;王宏伟;.补肾活血汤联合几丁糖注射对膝骨关节炎患者关节镜术后膝关节功能和血清炎症因子水平的影响[J].川北医学院学报,2025,40(7):909-913.

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  • 在线发布日期: 2025-08-10
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