四妙散加味联合针灸推拿治疗膝关节骨性关节炎临床观察  

Clinical Observation of Modified Simiao Powder Combine with Acupuncture and Massage in Treating Knee Osteoarthritis

作　　者：钟邱[1] 林凯[1] 苏小霖[1] 吴养[1] 

机构地区：[1]广东省湛江中心人民医院,广东湛江524037

出　　处：《中医药临床杂志》2016年第8期1129-1131,共3页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:探讨四妙散加味联合针灸推拿治疗膝关节骨性关节炎临床疗效。方法:将76例确诊为膝关节骨性关节炎且中医证型属于湿热痹阻的患者纳入研究并随机分组,对照组40例予塞来昔布治疗,观察组36例则采用四妙散加味联合针灸推拿治疗,1个月为1个疗程。比较2组患者临床综合疗效及关节疼痛、晨僵及功能活动(WOMAC积分)改善情况;观察不良反应情况。结果:2组患者症状均缓解,但各指标改善方面观察组均更显著,差异具统计学意义;对照组3例出现胃肠不适,观察组则无不良反应。结论:四妙散加味联合针灸推拿治疗膝关节骨性关节炎疗效显著,较塞来昔布而言,患者临床症状、关节症状及功能的改善情况均更显著,值得推广。Objective： To investigate the effect of modified Simiao powder combine with acupuncture and massage in treating knee osteoarthritis. Methods： 76 cases with moist heat arthralgia spasm type of syndrome knee osteoarthritis was randomly divided into the control group（n=40） and the observation group（n-=36）. Celecoxib was used in the control group and modified Simiao powder combine with acupuncture and tuina was used in the observation group. A month is a course of treatment. Comparison of the two groups of patients comprehensive clinical efficacy and joint pain, morning stiffness, functional integration activities WOMAC improvement, observed adverse reactions. Results： The symptom of two groups of patients were relieved, but all indicators improve aspects of the observation group were more significant better. The control group had three cases of gastrointestinal discomfort, observation group had no adverse reactions. Conclusion： Modified Simiao Powder combined acupuncture and massage treatment of knee osteoarthritis significantly, compared with celecoxib, the clinical symptoms, joint symptoms and functional improvement are more significant, worthy of promotion.

关 键 词：四妙散加味 针灸推拿 膝关节骨性关节炎 临床观察 

分 类 号：R274.9[医药卫生—中西医结合]