养血柔肝法与补肾活血法治疗早期膝骨关节炎疗效对比分析  

Comparative Analysis of the Therapeutic Effect Between Yangxue Rougan Method and Bushen Huoxue Method on Early Knee Osteoarthritis

作　　者：陈琦[1] 孟晓耘[1] 邢磊 陈博[1] 张琥[1] CHEN Qi;MENG Xiaoyun;XIN Lei;CHEN Bo;ZHANG Hu(Shuguang Hospital Affiliated of Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China;Integrated TCM and Western Medicine Hospital, Shanghai 200010, China)

机构地区：[1]上海市中医药大学附属曙光医院,上海200021 [2]上海市黄浦区中西医结合医院,上海200010

出　　处：《中医药临床杂志》2018年第12期2305-2308,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81774340);上海市名老中医学术经验研究工作室(SHGZS-2017025;上海市进一步加快中医药事业发展三年行动计划项目(ZY3-JSFC-2-1035);上海市中医药领军人才建设学术共同体成员培养项目(ZY3-RCPY-1-1001)

摘　　要：目的:观察养血柔肝法治疗早期膝骨关节炎的疗效,探讨早期膝骨关节炎的主要病机。方法:将78例早期膝骨关节炎患者随机分为2组,治疗组采用养血柔肝法治疗,对照组采用补肾法治疗,观察两组治疗前后的WOMAC评分。结果:治疗后两组VAS疼痛评分和WOMAC评分均降低,且治疗组降低程度大于对照组。结论:在膝骨关节炎早期,痿症是其主要病机所在,从肝论治为有效的治疗方法。Objective: To observe the curative effect of Yangxue Rougan method and Bushen Huoxue method on early knee osteoarthritis and to explore the main pathogenesis of early knee osteoarthritis.Methods: 78 patients with early knee osteoarthritis were randomly divided into 2 groups.The treatment group was treated with nourishing blood and softening the liver.The control group was treated with tonifying kidney.The WOMAC scores before and after treatment were observed in both groups.Results: After treatment,the VAS pain score and WOMAC score were lower in both groups,and the treatment group was lower than the control group.Conclusion: In the early stage of knee osteoarthritis,snoring is the main pathogenesis,and treatment from the liver is an effective treatment.

关 键 词：肝 肾 膝骨关节炎 

分 类 号：R274.9[医药卫生—中西医结合]