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中药熏洗配合七珠展筋散治疗膝骨关节炎临床观察.doc
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中药熏洗配合七珠展筋散治疗膝骨关节炎临床观察
【摘要】目的:观察海桐皮汤熏洗配合局部涂擦七珠展筋散治疗膝骨关节炎的临床疗效。方法:将70例膝骨关节炎患者随机分为治疗组和对照组,每组35例。对照组给予膝关节腔局部注射玻璃酸钠配合口服洛索洛芬钠片治疗,治疗组在膝关节腔局部注射玻璃酸钠基础上,采用海桐皮汤熏洗患膝,配合七珠展筋散局部揉药进行治疗。2组均治疗3周。观察2组临床疗效及治疗前后疼痛视觉模拟评分法(VAS)评分、红细胞沉降率、C-反应蛋白,并观察2组不良反应。结果:治疗组临床控制5例,显效9例,有效18例,无效3例,总有效率为91.43%;对照组临床控制3例,显效8例,有效16例,无效8例,总有效率为77.14%。2组比较,差异有统计学意义(P 0.05)。对照组因口服洛索洛芬钠片有3例患者出现轻微恶心、呕吐、腹痛等不良反应,而治疗组未出现不良反应。结论:采用海桐皮汤熏洗配合局部七珠展筋散揉药治疗早、中期膝骨关节炎,可明显改善患者症状、体征,临床疗效确切,且操作方便,临床安全性高。
【关键词】骨关节炎,膝;海桐皮汤;七珠展筋散;熏洗疗法;不良反应
Clinical Observation on the Treatment of Knee Osteoarthritis with TCM Fumigation and Washing bining Qizhu Zhanjin San(七珠展筋散)
CUI Shu-ping,LI Guo,XU Xiao-gang
【ABSTRACT】 Objective:To observe the curative effect of fumigation and washing therapy with Haitongpi Decoction(bined with local application of Qizhu Zhanjin San(七珠展筋散)in the treatment of knee osteoarthritis.Methods:Seventy cases of knee osteoarthritis were randomly divided into two groups:a treatment group and a control group,35 cases in each group.The control group was given local injection of hyaluronate sodium into knee joint bined with oral administration of Loxoprofen Sodium Tablets,while the treatment group,after being given local injection of hyaluronate sodium into knee joint cavity,was further treated with fumigation and washing with Haitongpi Decoction and rubbing treatment with Qizhu Zhanjin San.The 2 groups were treated for 3 weeks.The clinical efficacy,adverse reactions and VAS score,erythrocyte sedimentation rate and C-reactive protein before and after treatment were observed.Results:In the treatment group,5 cases were clinically controlled,9 cases were markedly effective,18 cases were effective,3 cases were ineffective,and the total effective rate was 91.43%;while in the control group,3 cases was clinically controlled,8 cases were markedly effective,16 cases were effective,8 cases were ineffective,and the total effective rate was 77.14%.The difference was statistically significant between the 2 groups(P 0.05).In the control group,there were 3 cases with mild nausea,vomiting,abdominal pain and other adverse reactions due to oral administration of Loxoprofen Sodium Tablets,while there were no adverse reactions in the treatment group.Conclusion:Fumigation and washing with Haitongpi bining rubbing treatment with Qizhu Zhanjin San can significantly improve patients
’ symptoms and signs in the treatment of early-phase and metaphase knee osteoarthritis,clinically effective,convenient and safe. 【Keywords】 osteoarthritis,knee;Haitongpi Decoction(海桐皮汤);Qizhu Zhanjin San(七珠展筋散);
fumigation and washing therapy;adverse reactions
膝骨关节炎(knee osteoarthritis,KOA)多见于中老年人,是一种以关节软骨退行性病变和关节周围骨质增生为病理特征的慢性进行性骨关节病,发病率较高[1]。目前,KOA确切的病因和发病机制仍未明了,尚缺乏行之有效的治疗方法。笔者采用海桐皮汤熏洗配合局部七珠展筋散揉药治疗KOA患者35例,现总结报告如下。
1 临床资料
1.1 一般资料选取2014年4月至2015年10月在本院门诊就诊的KOA患者70例,按照随机数字表法分为治疗组和对照组,每组35例。治疗组男14例,女21例;年龄42~78岁,中位数58岁;病程3~19年,平均(11.80±4.20)年。对照组男15例,女20例;年龄46~ 内容来自淘豆网时时彩平台 www.roa7e.cn转载请标明出处.
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