中药经筋综合辨证外敷治疗膝骨关节炎的临床研究  

Clinical study fo external application by TCM diffre entiation comprehensively reinfocr ement in treating knee osteoarthritis

作　　者：陈浩雄 徐宁达 何斌斌 谢增军 

机构地区：[1]深圳市第二中医院,广东深圳518034

出　　处：《中国伤残医学》2014年第12期11-12,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨中药经筋综合辨证外敷治疗膝骨性关节炎的临床疗效。方法：采用随机对照研究方式，将120例单膝骨性关节炎患者分为治疗组和对照组，其中以经筋综合辨证外敷治疗膝骨性关节炎56例（治疗组），与通痹散、解毒散、消瘀散辨证治疗膝骨性关节炎55例（对照组）进行临床疗效对比。结果：2组患者治疗后VAS评分及WOMAC评分与治疗前比较均有下降，差异有统计学意义（P＜0．05）。治疗组能更有效的降低疼痛程度及改善关节活动功能，2组间差异具有统计学意义（P＜0.05），治疗组疗效优于对照组。结论：中药经筋综合辨证外敷治疗膝骨性关节炎疗效显著，值得临床推广应用。Objective：To observe the clinical effect of external application by TCM differentiation comprehensively reinforcement on knee osteoarthritis （ KOA） .Methods：Chooses 120 patients of single knee osteoarthritis ,randomly divided the cases into a treatment group and a control group .56 cases of patients with knee osteoarthritis treated with external application by TCM differentiation comprehensively reinforcement （ treatment group ） , while 55 cases of patients with knee osteoarthritis treated with external application of Tongbi Power ,Xi-aoyu Power, Jiedu Power by TCM differentiation （control group）.Results：After treatment, the VAS score, Knee synovial thickness , joint effusion and the WOMAC score of the 2 groups were both decreased compared with treatment before .There was significant different be-tween the 2 groups（P〈0.05）.The treatment group could reduce pain , synovial thickness and joint effusion , improve joint activities func-tion more effectively than the control one , There was significant different between the 2 groups（P〈0.05）, and the teratment group was significant better than the control one .Conclusion：The external application by TCM differentiation comprehensively reinforcemenare signif -icantly effective in treating knee osteoarthritis , and it should be worth promoting .

关 键 词：膝骨关节炎 中药经筋辨证外敷 

分 类 号：R684.3[医药卫生—骨科学]