独活寄生汤联合特定电磁波治疗器、温针灸治疗膝骨关节炎临床研究  

Clinical Study on Duhuo Jisheng Tang Combined with Specific Electromagnetic Wave Spectrum and Warming-Needle Moxibustion for Knee Osteoarthritis

作　　者：黄均毅 HUANG Junyi

机构地区：[1]北京市丰台区王佐镇社区卫生服务中心中医科,北京100074

出　　处：《新中医》2020年第18期46-49,共4页New Chinese Medicine

摘　　要：目的:观察独活寄生汤联合特定电磁波治疗器(TDP)、温针灸治疗膝骨关节炎的临床疗效。方法:选取86例膝骨关节炎患者作为研究对象,随机分为观察组和对照组各43例,观察组给予独活寄生汤联合TDP、温针灸治疗,对照组给予塞来昔布胶囊治疗。2组均治疗30 d。比较2组患者治疗前后的疼痛视觉模拟评分法(VAS)评分、Lysholm膝关节功能评分表评分、中医症状和体征分级量化评分,治疗后的临床疗效及不良反应发生情况。结果:治疗10 d,观察组总有效率为88.37%,对照组总有效率为69.77%,2组比较,差异有统计学意义(P<0.05);2组中医症状和体征分级量化评分均较治疗前降低,观察组评分低于对照组,差异均有统计学意义(P<0.05)。治疗30 d,观察组总有效率为95.35%,对照组总有效率为81.40%,2组比较,差异有统计学意义(P<0.05);2组中医症状和体征分级量化评分均较治疗前和治疗10 d下降(P<0.05),观察组评分低于对照组(P<0.05)。2组VAS评分均较治疗前降低,Lysholm评分均治疗前升高,差异均有统计学意义(P<0.05)。观察组VAS评分低于对照组,Lysholm评分高于对照组,差异均有统计学意义(P<0.05)。对照组不良反应发生率为13.95%,观察组不良反应发生率为0,2组比较,差异有统计学意义(P<0.05)。2组患者的血常规、尿常规、肝功能、肾功能检查结果均正常。结论:独活寄生汤联合TDP、温针灸治疗膝骨关节炎可有效缓解局部疼痛,改善膝关节活动功能,安全有效。Objective:To observe the clinical effect of Duhuo Jisheng tang combined with specific electromagnetic wave spectrum(TDP) and warming-needle moxibustion for knee osteoarthritis. Methods:A total of 86 cases of patients with knee osteoarthritis were selected as research objects and randomly divided into the observation group and the control group,43 cases in each group. The observation group was treated with Duhuo Jisheng tang combined with TDP and warmingneedle moxibustion,and the control group was given celecoxib capsules treatment. Both groups were treated for 30 days.The scores of Visual Analogue Scale(VAS),Lysholm Knee Function Scale and grading and quantification of Chinese medicine symptoms and signs before and after treatment, as well as the clinical effect and incidence of adverse reactions after treatment in the two groups were compared. Results:After treatment for 10 days,the total effective rate was 88.37% in the observation group and 69.77% in the control group, the difference being significant(P<0.05);the scores of grading and quantification of Chinese medicine symptoms and signs in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group,differences being significant(P<0.05). After treatment for 30 days,the total effective rate was 95.35% in the observation group and 81.40% in the control group,the difference being significant(P<0.05);the scores of grading and quantification of Chinese medicine symptoms and signs in the two groups were decreased when compared with those before treatment and after 10 days of treatment respectively(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05). The VAS scores in the two groups were decreased when compared with those before treatment and Lysholm scores were increased,differences being significant(P<0.05). The VAS score in the observation group was lower than that in the control group and Lysholm score was higher, differences

关 键 词：膝骨关节炎 风寒湿痹证 肝肾亏虚证 独活寄生汤 温针灸 

分 类 号：R681.8[医药卫生—骨科学]