中医透药导入疗法治疗膝骨性关节炎的临床研究(二)  

Clinical Research on Osteoarthritis of Knee by Traditional Chinese Medicine Penetration(Ⅱ)

作　　者：彭水姣 赵彩虹 宁卫权 汤卫红 谭坚 贺心佳 文莉 

机构地区：[1]湘潭市第二人民医院,湖南湘潭411100

出　　处：《中医药导报》2015年第13期84-86,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湘潭市医学会2014年度医学科研计划项目(项目编号:36)

摘　　要：目的:观察自拟方中医透药导入治疗膝骨性关节炎的疗效。方法:将115例(158膝)膝关节骨性关节炎患者随机分为3组,治疗组(A组)45例(60膝),采用自拟方中医透药导入治疗;对照组(B组)28例(42膝),采用自拟方药液外敷;对照组(C组)42例(56膝),采用膝关节穿刺注射透明质酸钠。随访6个月时观察比较3组疼痛改善、NSAIDS的使用、复发情况。结果:3组治疗后膝关节疼痛评分均较治疗前改善,早期A、C两组比较,差异无统计学意义(P>0.05),随着治疗的进展,A组疼痛改善明显(P<0.05),NSAIDS使用明显减少,与治疗前比较,差异有统计学意义(P<0.01),复发率明显下降。结论:自拟方中医透药导入治疗膝骨性关节炎能够改善关节功能,消除或减轻疼痛,缓解症状,提高患者的生活质量。Objective： To observe the curative effect of knee osteoarthritis by traditional Chinese medicine penetration on. Methods： The 115 cases （158 knees） with knee osteoarthritis were randomly divided into 3 groups, the treatment group （A group） with 45 cases （60 knees） was treated by traditional Chinese medicine penetration; the control group （B group） with 28 cases （42 knees） was treated by self-made prescription liquid medicine for extemal application; control group （C group） with 42 cases （56 knees） was treated by puncture and injection of sodium hyaluronate. With follow up of 6 months, the effect was observed, including pain, NSAIDS application and recrudesces. Results： The 3 groups of patients showed lower knee joint pain score than before treatment, and there was no significant difference between group A and C （P〉0.05）, at the early stage. With progress of the treatment, the group A showed obvious improvement on pain （P〈0.05）, as well as less application of NSAIDS, and there was significant difference （P〈0.01）; The group A showed lower recrudesces rate. Conclusion： The Traditional Chinese medicine penetration can improve joint function, eliminate or alleviate pain, relieve symptoms and improve the quality of life of patients with osteoarthritis of the knee.

关 键 词：中医透药导入 膝骨性关节炎 透明质酸钠 

分 类 号：R255.6[医药卫生—中医内科学]