摘要
目的观察中药熏洗配合西医常规保守治疗创伤性关节炎(TA)的临床疗效。方法将108例TA患者随机分为2组。对照组54例采用西医常规保守治疗;治疗组54例在对照组治疗基础上加用中药熏洗。2组均以7 d为1个疗程,2个疗程后观察治疗前后关节液中一氧化氮(NO)、超氧化物歧化酶(SOD)及丙二醛(MDA)含量变化,并进行疗效比较。结果治疗组治疗后总有效率88.0%,对照组总有效率75.9%,2组总有效率比较差异有统计学意义(P<0.05),治疗组疗效明显优于对照组;2组治疗后关节液中NO、SOD及MDA的含量与本组治疗前比较差异均有统计学意义(P<0.05);治疗组治疗后关节液中NO、SOD及MDA的含量与对照组比较差异均有统计学意义(P<0.05),治疗组改善优于对照组。结论中药熏洗配合常规抗炎镇痛西药治疗TA临床疗效优于单纯采用西药治疗,可有效缓解或消除关节疼痛、肿胀等症状,缩短病程,且安全可靠。
Objective To observe the effect of fumigation of Chinese herb combined with conventional western conservative treatment on traumatic arthritis（TA）.Methods 108 cases of TA were randomly divided into two groups.Patients in control group（n=54） were treated by conventional western medical therapy.Patients in treatment group（n=54） were treated by fumigation of Chinese herb combined with conventional western conservative treatment.The course was seven days in two groups.The changes of NO,SOD and MDA in joint fluid were observed after two courses.Results There was obvious difference between two groups on the total effective rate（88.0%,75.9%,P0.05）.There were obvious differences between before and after treatment on N0,SOD and MDA in joint fluid in two groups（P0.05）.There were obvious differences between two groups on NO,SOD and MDA in joint fluid after treatment（P0.05）.Conclusion The effect of fumigation of Chinese herb combined with conventional western medicine treatment was superior to that of only conventional western medicine treatment.Combination therapy of Chinese and western medicine can effectively mitigate or eliminate joint pain,swelling and other symptoms,shorten the course,and has safety.
出处
《河北中医》
2012年第3期387-389,共3页
Hebei Journal of Traditional Chinese Medicine
关键词
骨关节炎
外治法
中西医结合疗法
Ostearthritis
External treatment
Combination therapy of Chinese and western medicine
