运用良导络调节疗法穴位贴敷治疗膝骨性关节炎的临床研究  

Treatment of knee osteoarthritis with Ryodoraku regulation therapy and acupoint application therapy

作　　者：范竞[1] 陈海东[2] 王培民[1] 黄国淳[1] 马勇[2] 

机构地区：[1]南京中医药大学附属医院,江苏210029 [2]南京中医药大学

出　　处：《北京中医药大学学报》2013年第8期563-566,共4页Journal of Beijing University of Traditional Chinese Medicine

摘　　要：目的 评价良导络调节疗法穴位贴敷治疗膝骨关节炎的临床疗效,并探讨其与中医经典理论的联系.方法 本研究为前瞻性、随机、对照研究.总共60例年龄介于38～75岁的江苏省中医院门诊膝骨关节炎患者随机分成治疗组和对照组,治疗组予以良导络调节疗法穴位贴敷复方南星止痛膏治疗,对照组给予常规复方南星止痛膏贴敷治疗.连续用药2周,观察治疗前后的疼痛、僵硬、功能障碍视觉模拟评分法（VAS评分）、西安大略及麦克玛斯特大学骨关节炎指数评分量表（WOMAC）指标积分.全部病例治疗观察结束后进行统计分析.结果 良导络测定膝骨关节炎患者的F1脾经、F4膀胱经兴奋,同时伴有F3肾经、F5胆经抑制现象最为明显.2组组内比较在疼痛、僵硬、功能障碍单项积分以及WOMAC总分方面均有显著差异（P＜0.05）,治疗后2组组间比较在疼痛、功能障碍单项积分以及WOMAC总分方面有显著差异（P＜0.05）.提示良导络调节疗法穴位贴敷复方南星止痛膏组疗效优于常规复方南星止痛膏贴敷组.结论 良导络调节疗法穴位贴敷在有效缓解膝骨关节炎患者疼痛、关节僵硬以及功能障碍方面都具有良好的疗效.研究进一步证实中医理论本病属虚实夹杂,病机为肝肾亏虚、寒湿困脾的正确性.Objective To evaluate the curative effect of Ryodoraku regulation therapy and acupoint application therapy on knee osteoarthritis,and to discuss the relationship between this therapy and classical theory of TCM.Methods Randomized and positive control method was applied in this prospective trial.The clinical patients with knee osteoarthritis （n =60）,who were aged from 38 to 75 and came from Jiangsu Provincial Hospital of Traditional Chinese Medicine,were selected and randomly divided into treatment group （treated with Ryodoraku regulation therapy and acupoint application therapy with Fufang Nanxing Zhitong Plaster） and control group （treated with routine acupoint application therapy with Fufangnanxingzhitong plaster）.After successive treatment for 2 weeks,VAS integrals of pain,stiffness and dysfunction,as well as WOMAC integrals were observed before and after treatment.The data were statistically analyzed after treatment and observation.Results The phenomenon of excitation of F1 （spleen meridian） and F4 （bladder meridian）,alongside with that of depression of F3 （kidney meridian） and F5 （gallbladder meridian） were significant.The difference in VAS single integral of pain,stiffness or dysfunction,as well as total WOMAC integral was significant in the comparison within the same group （P ＜ 0.05）.After treatment the difference in VAS single integral of pain and dysfunction,as well as total WOMAC integral was significant between two groups （P ＜ 0.05）.The result indicated that the clinical curative effect was higher in treatment group than that in control group.Conclusion Ryodoraku regulation therapy and acupoint application therapy has a reliable curative effect on knee osteoarthritis and can relieve pain,stiffness and dysfunction.It is proved that the nature of knee osteoarthritis is mixture of deficiency and excess,and pathogenesis is deficiency of liver and kidney,and cold-dampness encumbering spleen.

关 键 词：良导络疗法 穴位贴敷 膝骨关节炎 临床研究 

分 类 号：R245.9[医药卫生—针灸推拿学]