膝关节骨性关节炎的辨证分型与疼痛的关系  

The relationship between syndrome differ classification and pain of knee osteoarthritis

作　　者：戴七一[1] 杨泽贤[1] 欧国建[1] 

机构地区：[1]广西中医学院附属瑞康医院,广西南宁530011

出　　处：《中医正骨》2010年第2期7-8,11,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:探讨膝关节骨性关节炎患者关节疼痛与临床辨证分型的关系。方法:随机选择4个年龄段患者共60例,按中医辨证分型进行分组:寒湿阻络型组、湿热阻络型组、瘀血阻络型组、肝肾两虚型组、混合型组;比较各组患者的关节疼痛评分。结果:寒湿阻络型组、湿热阻络型组、瘀血阻络型组及肝肾两虚型组之间关节疼痛评分比较,差异无统计学意义(P>0.05);混合型组分别与寒湿阻络型组、湿热阻络型组、肝肾两虚型组比较,差异有统计学意义(P<0.05);混合型组与瘀血阻络型组比较,差异无统计学意义(P>0.05)。结论:混合型患者的膝关节疼痛程度高于寒湿阻络型、湿热阻络型、肝肾两虚型患者。Objective：To explore the relationship between joint pain and clinical syndrome differ classification for the patients with knee osteoarthritis. Methods ：60 patients from 4 different age brackets were divided into blockage of meridian due to cold and dampness group（BMCD Group）, blockage of meridian due to dampness and heat group（ BMDH Group）, blockage of meridian due to blood stasis group（ BMBS Group） ,deficiency of liver and kidney group（ DLK Group） and mixed type group according to syndrome differ classification in traditional Chinese medicine. The scores of joint pain were compared among all the groups. Results ：There was no statistical difference in the scores of joint pain among BMCD Group,BMDH Group,BMBS Group and DLK Group（P 〉0.05）. There was statistical difference be- tween the scores of joint pain of mixed type group and that of, BMCD Group, BMDH Group and DLK Group, respectively （ P 〈 0.05 ）. There was no statistical difference in the scores of joint pain between mixed type group and BMBS Group（ P 〉 0.05 ）. Conclusion：The degree of joint pain for the patients of mixed type is higher than that for the patients of BMCD type, BMDH type and DLK type.

关 键 词：骨关节炎 膝 膝关节 关节痛 辨证分型 

分 类 号：R274[医药卫生—中医骨伤科学]