Volume 35 Issue 2
Mar.  2019
Turn off MathJax
Article Contents
HUJun, ZHOUZhong. Clinical Observation of Arthroscopic Debridement Combined with Xianfang Huoming Decoction in Treating Acute Suppurative Arthritis[J]. Journal of Nanjing University of traditional Chinese Medicine, 2019, 35(2): 148-151.
Citation: HUJun, ZHOUZhong. Clinical Observation of Arthroscopic Debridement Combined with Xianfang Huoming Decoction in Treating Acute Suppurative Arthritis[J]. Journal of Nanjing University of traditional Chinese Medicine, 2019, 35(2): 148-151.

Clinical Observation of Arthroscopic Debridement Combined with Xianfang Huoming Decoction in Treating Acute Suppurative Arthritis

  • Publish Date: 2019-03-10
  • OBJECTIVE To observe the clinical efficacy of arthroscopic debridement combined with Xianfang Huoming Decoction in treating acute suppurative arthritis. METHODS 68 patients with acute suppurative arthritis during the hospitalization of Lianyungang TCM Hospital Affiliated to Nanjing University of Chinese Medicine and Integrated Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, from March 2014 to December 2017, were randomly divided into 2 groups, 34 patients in each group. All the 68 patients were under the arthroscopic debridement treatment. The patients were lavaged and drainaged with gentamicin-containing physiological saline (80 000 U/500 mL) for 1 to 2 weeks after the operation. According to the drug sensitivity test, the sensitive antibiotics were selected for intravenous infusion for 2 weeks, and the treatment group was treated with Xianfang Huoming Decoction. The control group was only under the arthroscopic debridement treatment. Three weeks after the operation, observe the Lysholm score, pain visual analogue scale (VAS), Judet knee flexion and functional evaluation of two groups before and after treatment. RESULTS After treatment, the Lysholm knee joint score of the treatment group was significantly higher than that of the control group (P<0.05). The pain visual analog score (VAS) of the treatment group was significantly lower than the control group (P<0.05). Judet knee flexion and function evaluation excellent rate of the treatment group (91.18%), the excellent rate of the control group (70.59%). The treatment group was significantly higher than the control group (P<0.05). No significant adverse reactions were observed in the two groups. CONCLUSION Arthroscopic debridement combined with Xianfang Huoming Decoction can significantly shorten the treatment course of suppurative knee arthritis, rapid recovery of joint function and high rate of excellent, which is an ideal treatment.

     

  • loading
  • [1]
    宣涛,徐斌,徐洪港,等.关节镜下清理及术后持续灌洗引流治疗化脓性膝关节炎[J].中国修复重建外科杂志,2008,22(12):1525-1527.
    [2]
    ATESCHRANG A, ALBRECHT D, SCHROETER S, et al. Current concepts review: septic arthritis of the knee pathophysiology, diagnostics, and therapy[J].Wiener Klinische Wochenschrift, 2011,123(7/8): 191-197.
    [3]
    袁义,章海均,张波,等.不同冲洗时间对关节镜治疗老年化脓性膝关节炎的疗效分析[J].中国骨伤,2017,30(4):300-303.
    [4]
    杨骐宁,姜丹生,蔡鹏飞,等.化脓性膝关节炎的临床治疗有效性研究[J].中华医院感染学杂志,2014,24(4):947-949.
    [5]
    蒋位庄,王和鸣.中医骨病学[M].北京:人民卫生出版社,1998:112.
    [6]
    黄桂成,王拥军.中医骨伤科学[M].北京:中国中医药出版社,2016:310-311.
    [7]
    黄乐春,胡惠民,梁宇翔.膝关节功能评分量表评述[J].中国医药科学,2016,6(13):50-53.
    [8]
    蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:123-124.
    [9]
    JUDET R. Mobilisation of the stiff knee[J]. J Bone Joint Surg, 1959,41:856-857.
    [10]
    国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:212.
    [11]
    MATHEWS CJ, WESTON VC, JONES A, et al. Bacterial septic arthritis in adults.[J]. Lancet, 2010, 375(9717): 846-855.
    [12]
    周保军,胡开泰,祁志轶,等.关节镜下治疗急性化脓性膝关节炎[J].临床骨科杂志,2011,14(1):65-66.
    [13]
    王磊.关节镜下清理术加持续冲洗术在感染致膝关节炎中的应用[J].中华医院感染学杂志,2013,23(6):1336-1337.
    [14]
    张文兵.仙方活命饮配合手术引流与外科手术治疗肛周脓肿的疗效比较[J].中国普通外科杂志,2012,21(8):1045-1046.
    [15]
    周明,邹文,范少勇,等.仙方活命饮抗炎作用的实验研究[J].中国中医药现代远程教育,2017,15(19):143-145.
    [16]
    刘旺华,曾逸笛,洪净,等.基于CD3+、CD4+和CD8+ 淋巴细胞亚群变化的急性化脓性扁桃体炎气分证本质研究[J].中医药学报,2014,42(1):78-80.
    [17]
    郭丽娜.五味消毒饮合仙方活命饮治疗耳鼻喉科疾病的体会[J].时珍国医国药,2009,20(8):2068.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (744) PDF downloads(569) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return