红花化瘀汤熏洗联合踝上截骨术治疗踝关节骨关节炎临床研究OA
Clinical study on the treatment of ankle osteoarthritis with Honghua Huayu Decoction fumigation and washing combined with supramalleolar osteotomy
目的 观察红花化瘀汤熏洗联合踝上截骨术(SMOT)治疗踝关节骨关节炎(OA)的临床效果.方法 选取 2018 年 1 月至 2023 年 1 月河北省沧州中西医结合医院 64 例行 SMOT 的踝关节 OA 患者作为研究对象,采用随机数字表法分为 2 组,治疗组 32 例(后退出 2 例),对照组 32 例(后退出 3 例).对照组予 SMOT 治疗,治疗组在对照组基础上,于术后第 2 个月患肢切口愈合良好、正常拆线后加红花化瘀汤熏洗.比较 2 组胫骨远端关节面正位角(TAS)、胫骨远端关节面侧位角(TLS)、距骨倾斜角(TT)、踝关节疼痛视觉模拟评分法(VAS)评分及美国足踝外科协会(AOFAS)踝-后足评分量表评分.结果 术后6 个月,2 组TAS、TLS 均较本组术前增大(P<0.05),TT 均较术前减小(P<0.05),但术后6 个月治疗组与对照组 TAS、TLS、TT 比较差异无统计学意义(P>0.05).术后2 个月、3 个月、6 个月、12 个月,2 组踝关节疼痛 VAS 评分随时间变化均呈下降趋势(P<0.05),且术后2 个月、3 个月,治疗组 VAS 评分均低于对照组(P<0.05).术后3 个月、6 个月、12 个月,2 组 AOFAS 踝-后足评分量表评分随时间变化均呈增高趋势(P<0.05),且术后 3 个月治疗组患者 AOFAS 踝-后足评分量表评分高于对照组(P<0.05).结论 红花化瘀汤熏洗能有效缓解踝关节 OA 患者 SMOT 术后疼痛症状,改善踝关节功能,加速踝关节术后功能恢复.
Objective To observe the clinical efficacy of Honghua Huayu Decoction fumigation and washing combined with supramalleolar osteotomy(SMOT)in the treatment of ankle osteoarthritis(OA).Methods A total of 64 patients with ankle OA who underwent SMOT in the Cangzhou Hospital of Integrated TCM-WM·Hebei from January 2018 to January 2023 were enrolled and randomly assigned to two groups using a random number table.The treatment group included 32 patients,of whom 2 withdrew later;the control group included 32 patients,of whom 3 withdrew later.The control group received SMOT alone,while the treatment group received Honghua Huayu Decoction fumigation and washing beginning in the second postoperative month,after the incision on the affected limb had healed well and sutures were removed routinely.The following indi-cators were compared between the two groups:tibial articular sur-face angle in the anteroposterior view(TAS),tibial articular sur-face angle in the lateral view(TLS),talar tilt(TT),visual analogue scale(VAS)score for ankle pain,and the American Or-thopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score.Results At 6 months after surgery,TAS and TLS increased in both groups compared with preoperative values(P<0.05),while TT decreased compared with preoperative values(P<0.05);however,there were no statistically significant differences in TAS,TLS,or TT between the treatment and control groups at 6 months after surgery(P>0.05).At 2,3,6,and 12 months after surgery,VAS scores for ankle pain showed a downward trend over time in both groups(P<0.05).In addition,at 2 and 3 months after surgery,VAS scores in the treatment group were lower than those in the control group(P<0.05).At 3,6,and 12 months after surgery,AOFAS ankle-hindfoot scores increased over time in both groups(P<0.05).At 3 months after surgery,the AOFAS ankle-hindfoot score in the treatment group was higher than that in the control group(P<0.05).Conclusion Honghua Huayu Decoction fumigation and washing can effectively relieve postop-erative pain after SMOT in patients with ankle OA,improve ankle function,and accelerate postoperative functional recovery.
魏余晋;杨宗宇;崔亮;陶世武;孙国昌;徐劭炜;冯娜娜;刘非
河北省沧州中西医结合医院骨科院区足踝二科,河北 沧州 061000河北省沧州中西医结合医院骨科院区足踝二科,河北 沧州 061000||河北省中西医结合骨关节病研究重点实验室,河北 沧州 061000河北省沧州中西医结合医院骨科院区足踝二科,河北 沧州 061000河北省沧州中西医结合医院骨科院区足踝二科,河北 沧州 061000河北省黄骅市中医医院骨伤二科,河北 黄骅 061100河北省沧州中西医结合医院东院区足踝外科,河北 沧州 061000河北省中西医结合骨关节病研究重点实验室,河北 沧州 061000||河北省沧州中西医结合医院科研办公室,河北 沧州 061000河北省沧州中西医结合医院头颈胸部肿瘤内科,河北 沧州 061000
医药卫生
骨关节炎,踝关节踝上截骨熏洗疗法
Ankle osteoarthritisSupramalleolar osteotomyFumigation and washing therapyn
《河北中医》 2026 (5)
732-736,741,6
河北省中医药管理局中医药类科研计划项目(编号:2022594)
评论