After Arthroscopy With Clinical Studies Of Tcm Topical Treatment Of Knee Osteoarthritis

Objective: To observe arthroscopic debridement with external application of Chinese medicine approach, for knee osteoarthritis clinical symptoms, signs, improve the situation, to clarify this method, the initial treatment of knee osteoarthritis mechanism for the clinical application of integrated Chinese and Western medicine to provide a certain degree of basis.Material and method: Chinese and Western medicine meet the diagnostic criteria in patients with knee osteoarthritis 40 cases according to the principle of randomization in the order according to length of stay were divided into treatment group and control group. Two surgical methods are used arthroscopic debridement: epidural anesthesia, the upper limb thigh tourniquet tie bag. Jackson described routine knee arthroscopy using the standard pre-patella, the lateral approach, first regular order of microscopy. According to the results of arthroscopic surgery microscope, mode of operation including: the proliferation of synovial hypertrophy cleaning or condylar osteophytes were ground to expand forming, removal of loose bodies, plica adhesion lysis or the removal, damage or repair meniscus resection, cartilage degeneration, or exfoliative lesion surface debridement and joint lavage and so on. Patients in both groups with the 3 000 ~ 6 000 ml normal saline flush joint cavity, until the liquid out so far brighter. Completion of surgery patients with the pad pressure bandage knee, after 24 hours to encourage patients with isometric contraction exercise and routine use of antibiotics intravenously 3 days, 3 days after ambulation. Arthroscopic treatment of patients began to use clean-up after 7 days, Liaoning University of Traditional Chinese Medicine Affiliated Hospital of Traditional Chinese Medicine self-San topical analgesic treatment, prescription consists of: Turmeric, Myrrh, Angelica, Cape Jasmine, Rhubarb, Sanleng, Rhizoma Corydalis, Rhizoma Curcumae, Asarum ,Borneol and so on. 1 day, 2 weeks for a course of treatment, continuous observation of two courses.Results: The two groups were compared before and after treatment in patients with Lysholm score were to be significantly alleviate the symptoms of knee joint function was improved. The two groups before and after treatment Lysholm knee function score their own comparisons and differences between the two groups were statistically significant (P <0.05);two groups of patients with joint pain and swelling after treatment than those before treatment to reduce (P <0. 05), while the other symptoms before and after treatment no significant change (P> 0.05), compared two groups of clinical efficacy of the treatment group, the total effective rate was 95% in the control group, the total effective rate was 65%,the difference was statistically significant (P <0.05), treatment group in improving the KOA in patients with pain, swelling, joint dysfunction and other symptoms and signs of clinical efficacy is superior to the control group.Conclusion: The use of arthroscopic debridement for treatment with the herb-pad method of early and mid-term knee osteoarthritis can significantly improve patient symptoms, signs, for knee osteoarthritis have a definite effect.