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目的:髌股关节病是一种常见的中老年的膝关节退变性疾病,传统中医药治疗难以迅速缓解患者症状.本研究将菱形阻滞与中药外敷、针灸相结合,用于髌股关节病患者的治疗,并观察其短期及长期的治疗效果.方法:将纳入的90例患者随机分为三组:膝关节菱形阻滞组(KB组)、中医药组(TM组)、及膝关节菱形阻滞联合中医药组(KT组),每组30例,随访3月,记录患者治疗前后各时点的静息及运动VAS评分、膝关节Lysholm功能评分.结果:TM组术后7天静息VAS评分及术后7天、15天运动VAS评分明显高于KB组和KT组;KT组术后30天及90天Lysholm评分明显高于TM组和KB组.结论:传统的中医药治疗与膝关节菱形阻滞均可改善髌股关节病患者膝关节功能;中医药联合膝关节菱形阻滞治疗对髌股关节病患者膝关节功能的改善优于单独的中医药治疗或膝关节菱形阻滞治疗.“,”Objective:Patellofemoral joint disease was a common degenerative disease for elder people.It was difficult to release the symptoms quickly under the treatment of traditional Chinese medicine.This trail combined the rhombic block with external application of Chinese medicine and acupuncture to observe the therapy effect in short period and long period.Methods:90 patients were arranged to three groups randomly:knee rhombic block group (KB group), traditional Chinese medicine group (TM group) and knee rhombic block combined traditional Chinese medicine group (KT group), 30 patients in each group.Recorded the rest and motive VAS scores and Lysholm function scores.Results:The TM Group had a higher rest VAS score at the 7 th day after surgery, and had a higher motive VAS scores at 7 th and 15 th day after surgery.KT group had a higher Lysholm scores at 30 th and 90 th day after surgery.Conclusion:Both traditional Chinese medicine and knee rhombic block can improve the knee function for patients with patellofemoral joint disease.The combination of traditional Chinese medicine and knee rhombic block provide better function improving of knee joint than either traditional Chinese medicine or knee rhombic block.