| Objective It is to research and analysis the comparative arthroscopy cleaning postoperatively,the degree of subjective satisfaction, pain, blood sedimentation, c-reactive protein and the change of blood uric acid, clinical curative effect, the postoperative complications,Lysholm knee function score,etc.determine whether arthroscopy cleaning joint gout granule in the treatment of gouty arthritis curative effect, for knee gouty arthritis for safe and effective treatment method.Methods Selected from March 2013 to September 2013 in shiyan city, hubei province taihe hospital of joint wards in the hospital treatment of 60 cases of recurrent knee gouty arthritis patients as the research object.Using randomized controlled method(using the method of tossing a coin), according to admission order divided into treatment group and control group, each 30 cases, surgical method and other postoperative treatment is the same. 60 patients with gouty arthritis, male 55 cases, women in 5 cases; Age 34-65 years of age, course of 7 days to 15 years.TCM syndrome differentiation were damp and hot accumulate knot.Improve the preoperative routine inspection and preoperative assessment after admission, no absolute contraindications. Treatment group 30 cases,clear line of arthroscopy surgery, postoperative day one start oral gout granule, a bag of 10 grams, three times a day, every time a bag, for 14 consecutive days. Control group 30 cases, clear line of arthroscopy surgery, postoperative oral colchicine, sodium bicarbonate pills; Don’t take Piao alcohol after 1 week, probenecid,treatment for 14 consecutive days. To observe the postoperative group patients subjective satisfaction; 1 week, 2 weeks after the pain caused by visual analogue scale(VAS score); After 1 week, 2weeks, blood sedimentation, c-reactive protein and the change of blood uric acid; Clinical curative effect; 1 month, 3 months after the Lysholm knee function score; The postoperative complications.And statistical analysis results(SPSSl9.0 statistical software).Results1.Compare two groups of subjective satisfaction Cases in treatment group assessment when satisfied with 26 cases(86.7%),3cases(10%), commonly dissatisfied in 1 case(3.3%).When evaluating cases of control group with 20 cases(66.7%),6 cases(20%),commonly dissatisfied with 4 cases(13.3%). Subjective satisfaction with the treatment group was better than control group.2.Two groups of preoperative and postoperative 1 week, 2 weeks pain degree comparing visual analogue scale On two groups of patients before and after treatment 1 week and VAS score in two weeks after treatment,the results are shown in table 3. according to the results of the treatment group patients at 1 week, 2 weeks after treatment the score score significantly lower than the control group(P<0.05),Pain relie the treatment group was significantly better than the control group.3.1 week, 2 weeks after two groups of blood sedimentation,c-reactive protein and blood uric acid Treatment group after treatment blood sedimentation, c-reactive protein and blood uric acid level significantly decreased, and the lower level is better than that of control group,with statistical difference(P<0.01).Gout granule blood uric acid,reduce blood sedimentation and c-reactive protein, reduce the inflammation of the joints is superior to western medicine.4.Comparison of clinical efficacy after 3 months.Patients were followed up for 3 months,the treatment group, the total effective rate was 96.7% in the control group, the total effective rate was73.3%, the statistical comparison, the difference was statistically significant(P<0.05).Comparison of the clinical efficacy of the two groups of patients, the treatment group than the control group.5.Two groups of preoperative and postoperative 1 month,3 months knee function score Postoperative knee function score in treatment group 1 month follow-up was 68.15±10.04,the control group was51.80±16.90, the treatment group is better than that of control group,the difference was statistically significant(P<0.05).Postoperative knee function score in treatment group 3 months follow-up was 85.85±8.08,the control group was 63.28±10.02,the treatment group was better than control group,the difference was statistically significant(P<0.05).Conclusion By arthroscopy cleaning operation treatment knee joint gout compared the clinical effect of the treatment of gouty arthritis, the results show that the arthroscopy cleaning technique combined gout granule in treatment of knee gout arthritis curative effect is distinct,clean up under arthroscopy surgery compared withwestern medicine treatment the curative effect is better, is one of the treatment of gouty arthritis safe,effective,minimally invasive, quick method. The cleaning technique under arthroscopy combined gout granule in treatment of knee gout arthritis,postoperative develop good lifestyle and eating habits, can maximum limit reduce joint damage, stop the progression, protect the function of knee joint. |
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