本文選題：膝關(guān)節(jié)　切入點(diǎn)：類風(fēng)濕性關(guān)節(jié)炎　出處：《遼寧中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的:觀察全膝關(guān)節(jié)置換術(shù)結(jié)合中藥治療類風(fēng)濕性關(guān)節(jié)炎的臨床療效材料與方法:2012年1月到2014年12月于我院接受治療的20例類風(fēng)濕關(guān)節(jié)炎患者20膝,作為研究對(duì)象。其中男7例,女13例,年齡48~72歲,平均62.45歲;病程6~14年,平均9年;合并癥:3例有糖尿病。隨機(jī)分為試驗(yàn)組10例,對(duì)照組10例。兩組所有選取患者根據(jù)病情均行全膝關(guān)節(jié)置換術(shù)治療,常規(guī)治療組(對(duì)照組)給予常規(guī)抗炎、消腫、預(yù)防血栓對(duì)癥治療,中西醫(yī)結(jié)合組(試驗(yàn)組)除上述西醫(yī)治療外結(jié)合口服中藥治療。根據(jù)膝關(guān)節(jié)HSS評(píng)分系統(tǒng)進(jìn)行評(píng)分,術(shù)后對(duì)兩組患者膝關(guān)節(jié)的功能恢復(fù)進(jìn)行系統(tǒng)性評(píng)價(jià)。本次研究所選取的患者,性別、年齡以及病程等比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。結(jié)果:試驗(yàn)組:優(yōu)9膝,良1膝,可0膝,差0膝。膝關(guān)節(jié)HSS評(píng)分術(shù)前平均29.9分,術(shù)后2周隨訪平均得分88.3分,改善率為83.6%。優(yōu)良率100%。對(duì)照組:優(yōu)6膝,良2膝,可2膝,差0膝。膝關(guān)節(jié)HSS評(píng)分術(shù)前平均32.1分,術(shù)后2周隨訪平均得分83.4分,改善率為74.6%。優(yōu)良率80%。試驗(yàn)組術(shù)后改善率優(yōu)于對(duì)照組。差異有統(tǒng)計(jì)學(xué)意義(P0.5)。結(jié)論:全膝關(guān)節(jié)置換術(shù)結(jié)合中藥治療膝關(guān)節(jié)類風(fēng)濕性關(guān)節(jié)炎是比較理想的方法,可以緩解關(guān)節(jié)疼痛,改善關(guān)節(jié)功能,調(diào)節(jié)全身免疫系統(tǒng),提高生活質(zhì)量。
[Abstract]:Objective: to observe the clinical efficacy of total knee arthroplasty combined with traditional Chinese medicine in the treatment of rheumatoid arthritis. From January 2012 to December 2014, 20 knees of 20 patients with rheumatoid arthritis were treated in our hospital.There were 7 males and 13 females with an average age of 62.45 years, a mean age of 62.45 years, a course of 6 ~ 14 years with an average of 9 years, and 3 cases with diabetes mellitus.They were randomly divided into trial group (n = 10) and control group (n = 10).All the selected patients in both groups were treated with total knee arthroplasty according to their condition. The routine treatment group (control group) was treated with routine anti-inflammatory, anti-swelling, and anti-thrombotic therapy.According to the HSS scoring system of knee joint, the function of knee joint in both groups was evaluated systematically after operation.There was no significant difference in patients, sex, age and course of disease in this study.Results: in the experimental group, 9 knees were excellent, 1 knee was good, 0 knees were fair, and 0 knees were poor.The average score of HSS score was 29.9 before operation and 88.3 after 2 weeks follow-up. The improvement rate was 83.6.The excellent and good rate is 100.The control group: excellent 6 knees, good 2 knees, fair 2 knees, poor 0 knees.The average score of HSS score was 32.1 points before operation and 83.4 points after 2 weeks follow-up. The improvement rate was 74.6%.The excellent and good rate is 80.The improvement rate of the experimental group was better than that of the control group.The difference was statistically significant (P 0.5).Conclusion: total knee arthroplasty combined with traditional Chinese medicine in the treatment of knee rheumatoid arthritis is an ideal method, which can relieve joint pain, improve joint function, regulate the whole body immune system and improve the quality of life.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R593.22

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