[1]徐劭炜,杨宗宇,王君向.红花化瘀汤熏洗联合踝关节周围截骨术治疗踝关节骨性关节炎临床疗效观察[J].西部中医药,2025,38(08):138-142.[doi:10.12174/j.issn.2096-9600.2025.08.26]
　XU Shaowei,YANG Zongyu,WANG Junxiang.Observation on Clinical Effects of Honghua Stasis-resolving Decoction Fumigation Combined with Ankle Arthrodesis in Treating Ankle Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2025,38(08):138-142.[doi:10.12174/j.issn.2096-9600.2025.08.26]
点击复制

红花化瘀汤熏洗联合踝关节周围截骨术治疗踝关节骨性关节炎临床疗效观察

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年08期
页码:
138-142
栏目:
特色医疗
出版日期:
2025-08-15

文章信息/Info

Title:
Observation on Clinical Effects of Honghua Stasis-resolving Decoction Fumigation Combined with Ankle Arthrodesis in Treating Ankle Osteoarthritis
作者:
徐劭炜1, 杨宗宇1,2, 王君向1
1.河北中医药大学，河北 石家庄 050200
2.河北省沧州中西医结合医院，河北 沧州 061001
Author(s):
XU Shaowei1, YANG Zongyu1,2, WANG Junxiang1
1.Hebei University of Chinese Medicine, Shijiazhuang 050200, China
2.Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China
关键词:
骨性关节炎; 踝关节; 踝关节周围截骨术; 红花化瘀汤; 熏洗
Keywords:
osteoarthritis;  ankle; ankle arthrodesis; stasis-resolving decoction; fumigation
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2025.08.26
文献标志码:
B
摘要:
目的探讨红花化瘀汤熏洗联合踝关节周围截骨术治疗踝关节骨性关节炎（ankle osteoarthritis，AOA）的疗效。 方法随机选择AOA患者62例，随机分为两组。截骨术组（31例）采用踝关节周围截骨术治疗；联合熏蒸组（31例）于踝关节周围截骨术后采用红花化瘀汤熏洗，每日2次，连续熏蒸4周。评估两组临床疗效及中医证候评分，检测血清炎症因子水平，评判踝功能评分、肿胀值、疼痛程度，统计患者骨性愈合时间。 结果总有效率联合熏蒸组［93.55%（29/31）］高于截骨术组［74.19%（23/31）］（P＜0.05）。两组治疗后中医证候评分、白细胞介素1β、肿瘤坏死因子α、高敏C反应蛋白水平及肿胀值均降低（P＜0.05），AOFAS评分升高，且上述指标联合熏蒸组变化均较截骨术组明显（P＜0.05）。两组术后各时间段VAS评分均较术前降低（P＜0.05）；联合熏蒸组术后1、4周VAS评分均低于截骨术组（P＜0.05）。骨性愈合时间联合熏蒸组短于截骨术组（P＜0.05）。 结论红花化瘀汤熏洗联合踝关节周围截骨术对于AOA术后患者恢复具有明显的促进作用，既能缩短骨性愈合时间，又能改善踝关节功能，减轻术后症状和炎症反应，有利于踝关节功能的恢复。
Abstract:
ObjectiveTo discuss clinical effects of Hongua (Carthami flos) stasis-resolving decoction fumigation combined with ankle arthrodesis in treating ankle osteoarthritis (AOA). MethodsAll 62 AOA patients were randomly chosen and allocated to two groups. The osteotomy group (31 cases) was treated with ankle arthrodesis, and the combination group (31 cases) accepted Hongua stasis-resolving decoction fumigation after the surgery, twice each day, fumigation for four weeks in a row. To assess clinical effects and TCM syndrome integrals in the two groups, to detect the levels of serum inflammatory factors, and to evaluate ankle function scores, swelling values and VAS scores, and to calculate bony healing time. ResultsTotal effective rate of the combination group was [93.55%(29/31)], higher than [74.19%(23/31)] of the osteotomy group (P<0.05). The decrease in TCM syndrome integrals, the levels of IL-1β and TNF-α, and high sensitivity C-reactive protein (hs-CRP) and swelling values was found in the two groups after the treatment (P<0.05), and AOFAS scores were elevated, and the changes of the combination group were more evident than these of the osteotomy group (P<0.05). VAS scores at different time points were lower after the operation than before the operation in the two groups (P<0.05); VAS scores after one week and four weeks of the surgery in the combination group were lower than these in the osteotomy group (P<0.05). Bony healing time of the combination group was shorter than that of the osteotomy group (P<0.05). ConclusionHongua stasis-resolving decoction combined with ankle arthrodesis could enhance the postoperative recovery of AOA patients obviously, it could shorten bony healing time, improve ankle function, relieve postoperative symptoms and inflammatory reaction, and help the recovery of anke function.

相似文献/References:

[1]李兴勇,徐霞,麻虎,等.中医药治疗膝关节骨性关节炎的现状[J].西部中医药,2013,26(12):144.
　LI Xingyong,XU Xia,MA Hu,et al.Progress of Treatment for Knee Osteoarthritis by TCM[J].Western Journal of Traditional Chinese Medicine,2013,26(08):144.
[2]李春娥,董建文,王文波.膝关节骨性关节炎熏洗方用药规律文献研究[J].西部中医药,2015,28(03):97.
[3]王想福,石瑞芳,武纪玲,等.玻璃酸钠单独使用与联合解毒消瘀膏治疗膝骨性关节炎疗效观察[J].西部中医药,2015,28(03):118.
[4]周天恒.针灸治疗膝骨性关节炎临床观察[J].西部中医药,2015,28(04):123.
[5]陆金金,欧阳八四.电针与温针灸治疗瘀血阻滞型膝骨关节炎的疗效比较[J].西部中医药,2014,27(04):119.
　LU Jinjin,OUYANG Basi.Comparison of Clinical Effects between Acusector and Warm Needling Moxibustion in Treating Knee Osteoarthritis of Blood Stasis Obstruction Pattern[J].Western Journal of Traditional Chinese Medicine,2014,27(08):119.
[6]田雪梅,张丽君,柳树英.中医外治法辨证治疗膝骨性关节炎120例[J].西部中医药,2012,25(10):95.
　TIAN Xue-mei,ZHANG Li-jun,LIU Shu-ying.Syndrome Differentiation of TCM External Treatment for 120 Cases of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2012,25(08):95.
[7]赵道洲,郑恒恒.手法配合陇中Ⅰ号汽雾透皮疗法治疗膝骨性关节炎的临床研究*[J].西部中医药,2013,26(04):36.
　ZHAO Daozhou,ZHENG Hengheng.Clinical Study on Manipulation and Gansu Mist Transdermal Therapy No.1 in Treating Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2013,26(08):36.
[8]郝峰.中药提速透化结合点穴按摩治疗膝骨性关节炎90例[J].西部中医药,2017,30(10):105.
　HAO Feng.Herbs Accelerating Permeabilization Combined with Acupoint Massage in Treating 90 Cases of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2017,30(08):105.
[9]李宁,李应福,谢兴文,等.兰州地区膝关节骨性关节炎的中医证候分布特点[J].西部中医药,2016,29(02):95.
　LI Ning,LI Yingfu,XIE Xingwen,et al.Distribution Features of TCM Syndromes of Knee Osteoarthritis in Lanzhou City[J].Western Journal of Traditional Chinese Medicine,2016,29(08):95.
[10]姚兴璋,李兴勇,李喜香,等.骨痹止痛液对兔膝骨性关节炎软骨中相关因子表达影响的研究[J].西部中医药,2016,29(04):29.
　YAO Xingzhang,LI Xingyong,LI Xixiang,et al.Study on the Influence of GuBi ZhiTong Liquid on Cartilage-related Factors Expressions of the Rabbits with Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2016,29(08):29.

备注/Memo

备注/Memo:
徐劭炜（1995—），男，硕士学位，医师。研究方向：足踝外科。河北省中医药类科研计划项目（2022594）。
更新日期/Last Update: 2025-08-15