苗药五藤膏外敷联合红外线治疗膝骨关节炎临床观察  

Clinical Observation on the Treatment of Knee Osteoarthritis by External Application of Miao Medicine Wuteng Gao(五藤膏)Combined with Infrared Ray

作　　者：周静[1] 宁乔怡 王莹[1] 徐晖[1] 张琼予[1] 周佳燕[1] 

机构地区：[1]贵阳中医学院第二附属医院,贵州贵阳550001

出　　处：《风湿病与关节炎》2016年第1期5-7,共3页Rheumatism and Arthritis

基　　金：贵州省社会攻关课题(黔科合SY字〔2015〕3048);贵州省科技创新人才团队项目(黔科合人才团队项目〔2013〕4033);贵州省中医药重点学科项目(2012);国家卫生计生委中医临床重点专科项目(2012);贵州省中医药管理局课题(QZYY-2014-082)

摘　　要：目的:观察苗药五藤膏联合红外线治疗膝骨关节炎的临床疗效。方法:将80例膝骨关节炎患者随机分为治疗组和对照组,每组40例。治疗组予苗药五藤膏外敷联合红外线照射治疗,对照组予美洛昔康片口服,治疗2周后,观察2组临床疗效、视觉模拟评分法(VAS)评分、膝骨关节炎严重性指数(ISOA)评分。结果:治疗组临床控制31例,显效4例,进步2例,无效3例,总有效率为92.50%;对照组临床控制21例,显效4例,进步4例,无效11例,总有效率为72.50%。2组比较,差异有统计学意义(P<0.05)。治疗后,2组VAS评分及ISOA评分较治疗前均有改善(P<0.01),且治疗组优于对照组(P<0.01或P<0.05)。结论:五藤膏外敷联合红外线治疗膝骨关节炎疗效满意,值得推广应用。Objective：To observe the clinical effect of Miao medicine Wuteng Gao （ 五藤膏） combined with infrared ray in the treatment of knee osteoarthritis.Methods：80 cases of knee osteoarthritis were randomly divided into two groups：a treatment group and a control group,40 cases in each.The treatment group was treated with Miao medicine Wuteng Gao combined with infrared ray, while the patients in the control group were orally given meloxicam tablets.After 2-week treatment,the clinical efficacy,the VAS scores and the ISOA scores of the two groups were observed.Results：In the treatment group,the pathogenetic condition of 31 cases were clinically controlled,4 cases were markedly effective,2 cases were improved,and 3 cases were ineffective,the total efficiency being 92.50%;while in the control group,the pathogenetic condition of 21 cases were clinically controlled,4 cases were markedly effective,4 cases were improved,and 11 cases were ineffective,the total efficiency being 72.50%.The difference was statistically significant between the two groups （P 〈 0.05 ） .After treatment,VAS scores and ISOA scores in both groups were improved compared with those before treatment （P 〈 0.01 ） and the treatment group was better than the control group （P 〈 0.01 or P 〈 0.05 ） . Conclusion：Wuteng Gao combined with infrared ray in the treatment of knee osteoarthritis is satisfying and worthy of popularization and application.

关 键 词：骨关节炎 膝 五藤膏 苗药 外敷 红外线 

分 类 号：R684.3[医药卫生—骨科学]