孙京涛　魏瑄　蔡松涛

【摘 要】目的：观察桃红四物汤联合非甾体抗炎药治疗早期膝骨关节炎的临床疗效和安全性。方法：将67例行膝关节保守治疗的膝骨关节炎患者随机分为治疗组33例和对照组34例。对照组给予非甾体抗炎药治疗，治疗组在对照组基础上加用桃红四物汤治疗。观察2组临床疗效，以及治疗前后视觉模拟评分法（VAS）评分、美国特种外科医院评分（HSS评分）、关节活动度（ROM），并观察不良反应发生情况。结果：治疗组治愈21例，好转9例，无效3例，总有效率为90.91%;对照组治愈20例，好转6例，无效8例，总有效率为76.47%。2组比较，差异有统计学意义（P < 0.05）。治疗后，2组VAS评分、HSS评分、ROM较治疗前均有改善（P < 0.05），且治疗组优于对照组（P < 0.05）。2组不良反应发生率比较，差异无统计学意义（P > 0.05）。结论：桃红四物汤联合非甾体抗炎药治疗膝骨关节炎能够有效缓解疼痛，改善膝关节功能，适用于早期膝骨关节炎。

【关键词】 骨关节炎，膝;桃红四物汤;非甾体抗炎药;VAS评分;关节活动度;HSS评分;临床疗效

Clinical Observation on 33 Cases of Early Knee Osteoarthritis Treated by Taohong Siwu Tang（桃红四物汤）Combined with Non-steroidal Anti-inflammatory Drugs

SUN Jing-tao，WEI Xuan，CAI Song-tao

【ABSTRACT】Objective：To observe the clinical efficacy and safety of Taohong Siwu Tang（桃紅四物汤）

combined with non-steroidal anti-inflammatory drugs in the treatment of early knee osteoarthritis.Methods：

Sixty-seven patients with knee osteoarthritis were randomly divided into a treatment group（33 cases）and a control group（34 cases）.The control group was treated with non-steroidal anti-inflammatory drugs，and the treatment group was treated with Taohong Siwu Tang based on the treatment for the control group.The clinical efficacy，VAS score，HSS score and ROM before and after treatment were observed，and the incidence of adverse reactions was also observed.Results：In the treatment group，21 cases were recovered，9 cases were improved，

3 cases were invalid，and the total effective rate was 90.91%.In the control group，20 cases were recovered，6 cases were improved，8 cases were invalid，and the total effective rate was 76.47%.The difference between the two groups was statistically significant（P < 0.05）.After treatment，VAS score，HSS score and ROM of both groups were improved compared with those before treatment（P < 0.05），and the treatment group was better than the control group（P < 0.05）.

There was no significant difference in the incidence of adverse reactions between the two groups（P > 0.05）.Conclusion：Taohong Siwu Tang Combined with non-steroidal anti-inflammatory drugs in the treatment of knee osteoarthritis can effectively relieve pain and improve knee joint function，suitable for early knee osteoarthritis.

【Keywords】 osteoarthritis，knee;Taohong Siwu Tang（桃红四物汤）;non-steroidal anti-inflammatory drugs;VAS score;ROM;HSS score;clinical efficacy

骨关节炎（osteoarthritis，OA）是常见的退变性疾病，最常受累的关节是膝关节，多种因素会影响本病的发生，如年龄、性别、肥胖、下肢力线不良等。有文献显示，50岁人群中10%被OA困扰[1]。膝骨关节炎（knee osteoarthritis，KOA）终末期需要进行全膝关节置换术治疗，为了延缓或者避免行全膝关节置换术，早期治疗显得尤为重要[2-3]，积极治疗配合生活习惯的改善能获得很好的临床效果。本研究应用桃红四物汤联合非甾体抗炎药治疗KOA患者，现总结报告如下。

1 临床资料

1.1 一般资料 选取2018年9月至2019年9月在郑州市骨科医院行保守治疗的KOA患者67例，随机分为治疗组33例和对照组34例。治……