Clinical Observation Of Sanbi Decoction Combined With Practice Exercise On High Tibial Osteotomy Of Knee Osteoarthritis Of Deficiency Of Liver And Kidney

OBJECTIVE:To observe the short-term clinical efficacy of knee joint arthroscopy in patients with liver and kidney deficiency type knee osteoarthritis after arthroscopic knee joint removal and high tibial medial open wedge osteotomy combined with Sanbi decoction oral and external fumigation.Explore the clinical treatment plan of comprehensive treatment of knee osteoarthritis with traditional Chinese and Western medicine,promote the advantages of traditional Chinese medicine in the treatment of this disease,reduce the pain of patients,and improve the quality of life.Methods:The 80 cases included in the study were randomly divided into two groups.Treatment group(40 cases):Arthroscopy was performed and tibial high medial open wedge osteotomy was performed.After the operation,local knee exercises were performed according to the knee joint,and postoperative exercise was performed.And in the first 1 to 2 weeks after the operation,the oral administration of Sanbi Decoction was taken orally,and after 3 to 12 weeks,the external prescription of Sanbi Decoction was added and subtracted for topical fumigation.Control group(40 cases):Arthroscopy was performed and tibial high medial open wedge osteotomy was performed.After the operation,local knee exercises were performed according to the knee joint.The treatment and observation course of the treatment group and the observation group was 12 weeks.After the treatment,the observation indexes of the two groups before and after treatment were analyzed and compared.Results:Lequene and Mery knee osteoarthritis severity index scores were compared between the two groups:after 12 weeks of treatment,the comparison between the two groups was P<0.05,the difference was statistically significant,and the improvement in the index score of the treatment group was better than that of the control group.Pain VAS score comparison between the two groups:P<0.05 after 2 weeks of treatment,the difference was statistically significant,the pain relief performance of the treatment group was better than the control group.The swelling value measurement was compared between the two groups:P<0.05 after 2 weeks of treatment,the difference was statistically significant,and the swelling effect of the treatment group was better than that of the control group.Before and after treatment in both groups,there were no obvious abnormalities in the observation of general safety indicators,and no obvious adverse events occurred in both groups.Conclusion:Knee osteoarthritis patients with liver and kidney deficiency type are treated with arthroscopic knee joint cleaning and high tibial medial open wedge osteotomy,combined with Sanbi decoction plus oral or external fumigation,can be more effective Reducing the clinical severity of patients with knee osteoarthritis has a more significant effect in relieving clinical symptoms and improving daily activities.This method can also effectively improve the postoperative pain and swelling of patients,reduce the pain and complications caused by surgical treatment,and significantly improve the benefit of clinical treatment.In short,the combination of Chinese and Western comprehensive treatment strategy of Sanbi Decoction plus oral and external fumigation combined with exercise therapy and arthroscopic knee joint cleaning and tibial high medial open wedge osteotomy for the treatment of knee osteoarthritis of liver and kidney deficiency type Under the guidance of modern biomechanics,a good knee joint cavity environment and lower limb force lines were obtained through surgery.Under the guidance of Chinese medicine bone and bone balance theory and special treatment methods,better postoperative rehabilitation results were obtained,which improved the clinical treatment.Effect and profitability.It is worthy of clinical promotion and application.