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目的:观察复原舒筋汤治疗髌骨软化症的临床疗效.方法:将106例髌骨软化症患者随机分为两组各53例.治疗组予复原舒筋汤治疗,对照组予双氯芬酸钠肠溶片治疗,治疗14 d后观察比较两组患者临床症状变化,比较记录两组疼痛视觉模拟(VAS)评分、股四头肌向心收缩峰力矩及Lysholm膝关节评分,并评价临床疗效.结果:总有效率治疗组为86.8％,对照组为79.3％;治疗组临床疗效优于对照组(P＜0.05);两组患者治疗后VAS评分均明显降低(P＜0.05);两组治疗后VAS评分比较,治疗组低于对照组(P＜0.05).两组患者治疗后Lysholm膝关节评分、股四头肌向心收缩峰力矩均明显增加(P＜0.05);两组治疗后Lysholm膝关节评分、股四头肌向心收缩峰力矩比较,治疗组均高于对照组,差异有统计学意义(P＜0.05).结论:复原舒筋汤治疗髌骨软化症有较好疗效,可缓解疼痛,改善患者膝关节功能.“,”Objective:To observe the clinical effect of Fuyuan Shujin Decoction on chondromalacia patellae.Methods:The 106 cases of patients with chondromalacia patellae were randomly divided into two groups,53 cases in each.Patients were given Fuyuan Shujin Decoction in the treatment group,and diclofenac sodium enteric coated tablets in control group.The clinical symptoms change were observed and compared between the two groups in 14 days.The visual simulation score,femoral quadriceps concentric peak torque and Lysholm knee score were observed,and the clinical efficacy was evaluated.Results:The total effective rate was 86.8％ in the control group,and 79.3％ in the treatment group;The difference was statistically significant (P＜0.05);The VAS score was significantly reduced in the two groups after treatment,and the difference was statistically significant (P＜0.05);the treatment group showed lower VAS score than the control group,with statistically significant difference (P＜0.05).The Lysholm knee score as well as the femoral head of the four head of the contraction peak torque were significantly increased in two groups,at the end of the treatment,with statistically significant difference (P＜0.05);The treatment group showed higher Lysholm knee score and femoral head contraction peak torque than the control group,with statistically significant difference(P＜0.05).Conclusion:Fuyuan Shujin Decoction can provide good curative effect on chondromalacia patellae,relieve pain,and improve patients with knee joint function.