三痹汤联合3D打印PSI辅助HTO治疗骨性关节炎临床疗效观察

启良 熊; 刘江华; 雍来清; 杨晓勇; 壮云翔; 蒋国喜; 张雪莲; 王鹏; 石强; 卯明贵

doi:10.62177/fcdt.v2i2.1254

Authors

启良熊云南玉溪市中医医院
刘江华玉溪市中医医院
雍来清玉溪市中医医院
杨晓勇玉溪市中医医院
壮云翔玉溪市中医医院
蒋国喜玉溪市中医医院
张雪莲玉溪市中医医院
王鹏玉溪市中医医院
石强玉溪市中医医院
卯明贵玉溪市中医医院

DOI:

https://doi.org/10.62177/fcdt.v2i2.1254

Keywords:

膝骨关节炎, 三痹汤, 3D打印PSI, 高位胫骨截骨术（HTO）, 治疗效果

Abstract

目的：观察三痹汤联合3D打个性化导板（Patient Specific Instrumentation, PSI）辅助胫骨高位截骨术（High Tibial Osteotomy, HTO）治疗骨性关节炎临床疗效。方法：将玉溪市中医医院2022年6月—2025年1月收治的60例中老年膝内侧间室关节炎患者为研究对象，随机分为2组，研究组30例给予三痹汤联合3D打印PSI辅助HTO治疗。对照组30例给予3D打印PSI辅助HTO治疗。对比2组患者术后第2、7、14天血沉、C反应蛋白（CRP）变化情况。测量视觉模拟评分（VAS评分）及美国特种外科医院膝关节评分（HSS评分）。结果：研究组患者术后12 个月后的显效率与总有效率均明显高于对照组（P均＜0.05）。研究组患者术后血沉及CRP下降较比较组快，（P均＜0. 05）。2组患者术后HSS评分较术前明显升高。研究组患者的VAS 评分明显小于或低于对照组（P均＜0.05）。研究组HSS评分明显高于对照组（P均＜0.05）。结论：三痹汤联合3D打印PSI辅助HTO治疗骨性关节炎在改善膝关节功能，缓解疼痛以及临床症状方面效果更好。

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