目的 探讨壮骨关节胶囊联合玻璃酸钠注射液治疗膝骨关节炎的临床疗效。方法 选取2016年5月-2019年11月新乡市第一人民医院收治的膝骨关节炎患者95例，根据数字表法将所有患者分为对照组（47例）和治疗组（48例）。对照组给予玻璃酸钠注射液2 mL，每周1次。治疗组在对照组基础上口服壮骨关节胶囊，0.9 g/次，2次/d。两组均持续治疗12周。观察两组的临床疗效，比较两组治疗前后西安大略和麦克马斯特大学骨关节炎指数（WOMAC）和血清学指标的变化情况。结果 治疗后，治疗组的临床总有效率是89.58%，显著高于对照组（68.09%，P<0.05）。两组治疗后，僵硬评分、关节疼痛评分、躯体功能评分、WOMAC量表总评分均较治疗前显著下降（P<0.05）；治疗后，治疗组WOMAC量表各评分均显著低于对照组（P<0.05）。治疗后，两组白细胞介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）及白介素-6（IL-6）均较治疗前显著下降（P<0.05）；且治疗组炎症因子水平低于对照组（P<0.05）。结论 壮骨关节胶囊联合玻璃酸钠注射液治疗早期膝骨关节炎患者疗效肯定，可有效改善膝骨关节炎临床症状，调节血清炎性因子，具有一定的临床推广应用价值。

Objective To investigate the effect of Zhuanggu Guanjie Capsules combined with sodium hyaluronate in treatment of knee osteoarthritis. Methods A total of 95 patients with knee osteoarthritis admitted to Xinxiang First People's Hospital from May 2016 to November 2019 were selected and divided into the control group (47 cases) and the treatment group (48 cases) according to the number table method. Patients in the control group were given 2 mL Sodium Hyaluronate Injection once a week. Patients in the treatment group were po administered with Zhuanggu Guanjie Capsules on the basis of the control group, 0.9 g/time, twice daily. Both groups were treated continuously for 12 weeks. After treatment, the clinical efficacy was evaluated, and the changes of WOMAC score and serological indexes of the two groups before and after treatment were compared. Results After treatment, the total clinical effective rate in the treatment group was 89.58%, significantly higher than that in the control group (68.09%, P<0.05). After treatment, stiffness score, joint pain score, somatic function score and WOMAC total score in both groups were significantly lower than those before treatment (P<0.05). After treatment, the WOMAC scores of the treatment group were significantly lower than those of the control group (P<0.05). After treatment, IL-1β, TNF-α, and IL-6 were significantly decreased in the two groups compared with those before treatment (P<0.05). The inflammatory factors in the treatment group were lower than those in the control group (P<0.05). Conclusion Zhuanggu Guanjie Capsules combined with sodium hyaluronate has a positive effect in treatment of knee osteoarthritis, and can effectively improve the clinical symptoms of knee osteoarthritis, and regulate the serum inflammatory factors, which has a certain clinical promotion and application value.

R976

河南省医学科技攻关计划项目（172102310209）