中医辨证用药综合疗法联合康复训练治疗膝关节骨性关节炎患者的临床疗效  

Clinical Efficacy of Traditional Chinese Medicine Syndrome Differentiation and Medication Combined Therapy Combined with Rehabilitation Training in the Treatment of Patients with Knee Osteoarthritis

作　　者：杨红波 YANG Hongbo(Second Department of Rehabilitation,Xinyi Hospital of Traditional Chinese Medicine,Xinyi,Jiangsu Province,221400 China)

机构地区：[1]新沂市中医医院康复二科,江苏新沂221400

出　　处：《系统医学》2022年第17期34-38,共5页Systems Medicine

摘　　要：目的研究膝关节骨性关节炎患者应用中医辨证用药综合疗法联合康复训练进行治疗的效果。方法选择2020年1月-2021年11月在新沂市中医医院进行治疗的104例膝关节骨性关节炎患者作为研究对象,采取随机数表法将以上对象分为对照组(n=52)及观察组(n=52)。对照组单纯采取肌肉关节康复训练;观察组在此基础上采用中医辨证用药综合疗法,根据患者症状表现,依据每例患者的中医证型给予针对性药方治疗。对比两组疗效、症状(关节肿胀、关节疼痛、关节屈伸受限、晨僵)中医证候积分改善情况、治疗前后的膝关节骨性关节炎严重性指数(ISOA)评分及简式Fugl-Meyer(FMA)下肢运动功能评分。结果观察组治疗总有效率为94.23%,高于对照组的78.85%,差异有统计学意义(χ^(2)=5.283,P<0.05);治疗后,观察组各项关节症状(肿胀、关节疼痛、关节屈伸受限、晨僵)中医证候积分均低于对照组,差异有统计学意义(t=11.005、8.893、12.787、8.657,P<0.05);治疗后,观察组ISOA评分(6.71±1.29)分低于对照组的(9.90±1.24)分、FMA评分(19.25±2.23)分高于对照组的(15.73±2.57)分,差异有统计学意义(t=12.856、7.460,P<0.05)。结论对膝关节骨性关节炎患者采用中医辨证用药综合疗法联合康复训练进行治疗的临床效果显著,能够改善患者各项典型症状,有助于膝关节严重程度的减轻以及运动功能的改善。Objective To study the effect of traditional Chinese medicine syndrome differentiation and medication combined therapy combined with rehabilitation training on patients with knee osteoarthritis.Methods A total of 104 patients with knee osteoarthritis who were treated in Xinyi Hospital of Traditional Chinese Medicine from January 2020 to November 2021 were selected as the research subjects.The above subjects were divided into control group(n=52)and observation group(n=52)by random number table method.The control group only took muscle and joint rehabilitation training.On this basis,the observation group adopted the comprehensive therapy of TCM syndrome differentiation and medication.According to the symptoms of the patients,specific prescriptions were given according to the TCM syndromes of each patient.The curative effect,symptoms(joint swelling,joint pain,joint flexion and extension limitation,morning stiffness)improvement of TCM syndrome scores,knee osteoarthritis severity index(ISOA)score and simplified Fugl-Meyer score before and after treatment were compared between the two groups(FMA)Lower Extremity Motor Function Score.Results The total effective rate of the observation group was 94.23%,which was higher than 78.85%of the control group,and the difference was statistically significant(χ^(2)=5.283,P<0.05);after treatment,the TCM syndrome scores of various joint symptoms(swelling,joint pain,limited joint flexion and extension,morning stiffness)in the observation group were lower than those in the control group,and the differences were statistically significant(t=11.005,8.893,12.787,8.657,P<0.05);after treatment,the ISOA score of the observation group(6.71±1.29)points was lower than that of the control group(9.90±1.24)points,and the FMA score(19.25±2.23)points was higher than that of the control group(15.73±2.57)points,and the difference was statistically significant(t=12.856,7.460,P<0.05).Conclusion The clinical effect of traditional Chinese medicine syndrome differentiation and medication comprehensive t

关 键 词：膝关节骨性关节炎 中医辨证用药综合疗法 康复训练 中医证候积分 

分 类 号：R684[医药卫生—骨科学]