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| Study on arthroscopy debridement combined with Shenjin Tougu Decoction in the treatment of knee osteoarthritis |
| XIANG Fusheng1 LIU Li1 ZHOU Bin1 WANG Jing1 YIN Guoliang2 YU Guihua1 YANG Dongxiao3 WU Jianhui1 |
1.Department of Orthopaedic, Ezhou Central Hospital, Hubei Province, Ezhou 436000, China;
2.Department of Traditional Chinese Medicine, Ezhou Central Hospital, Hubei Province, Ezhou 436000, China;
3.Department of Medical Imaging, Ezhou Central Hospital, Hubei Province, Ezhou 436000, China |
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Abstract Objective To study the clinical effect of arthroscopic debridement combined with Shenjin Tougu Decoction in the treatment of knee osteoarthritis. Methods A total of 526 cases with mild-to-moderate knee osteoarthritis in Ezhou Central Hospital from February 2010 to February 2015, which were randomly divided into observation group 263 cases and control group 263 cases by random number table method. The observation group was treated with arthroscopy debridement combined with the fumigation and washing with Shenjin Tougu Decoction, the control group was treated with arthroscopy debridement simply. Criteria for judging the therapeutic effect of knee osteoarthritis Japanese orthopaedic association scores (JOA) and hospital for special surgery knee score (HSS) knee scoring criteria were used to evaluate curative effect postoperative 49, 91, 175 days. Results There was no significant difference in HSS and JOA excellent and good rates between the two groups at 49th day after surgery (P ＞ 0.05). At 91st and 175th day after surgery, HSS and JOA excellent and good rates in the observation group were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). There were no severe adverse reactiows in the two groups. Conclusion Application of combined arthroscopy debridement and Shenjin Tougu Decoction fumigation in the treatment of knee osteoarthriti had better long-term curative effect than simply using arthroscopy debridement. Shenjin Tougu Decoction in long term can relieve patients′ pain and delay the progress of articular degeneration, and improve patients′ quality of life.
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