“筋骨并重、内外兼治”理论指导下运用中医药辨证治疗膝骨关节炎的临床疗效  

Clinical Efficacy of Traditional Chinese Medicine Syndrome Differentiation Treatment for Knee Osteoarthritis Guided by the Theory of“Strengthening Tendons and Bones,Treating Both Internally and Externally”

作　　者：邹金宏 梁翼[1] 李敏[1] 余文景[1] 沙湖[1] ZOU Jinhong;LIANG Yi;LI Min(Sichuan Orthopaedic Hospital,Department of Rheumatology,Chengdu Sichuan 610041,China)

机构地区：[1]四川省骨科医院关节病科,四川成都610041

出　　处：《四川中医》2024年第10期130-133,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医药管理局科学技术研究专项课题(编号:2022XT88)。

摘　　要：目的:评价“筋骨并重、内外兼治”理论指导下运用中医药辨证治疗膝骨关节炎的临床疗效。方法:选取本院收治的膝骨关节炎患者98例,并随机分对照组48例和观察组50例,对所有患者开展健康教育、行动辅助、运动治疗三方面的健康宣教。此外,对照组常规西药治疗,观察组在对照组的基础上予以中医药辨证治疗,并加针刺血海、梁丘、膝阳关、犊鼻、阳陵泉、阴陵泉、足三里、阿是穴治疗,待得气后接通电针仪疏密波治疗,两组均以2周为1个疗程,共治疗3个疗程。观察两组患者临床疗效、关节肿胀消退时间、住院时间、中医症状积分、膝关节屈曲度、VAS与WOMAC量表评分。结果:经过3个疗程治疗后,观察组疗效总有效率97.92%明显高于对照组84.00%(P<0.05),观察组的膝关节肿胀消退时间与住院时间均比对照组要短(P<0.05),两组患者的中医症状积分明显降低、膝关节屈曲度变好,两组患者VAS与WOMAC评分明显降低,且观察组较对照组改善程度更为明显(P<0.05)。结论:“筋骨并重、内外兼治”理论指导下运用中医药辨证治疗膝骨关节炎显示出较好的疗效,能够明显改善膝关节屈曲度,缩短膝关节肿胀消退与住院时间,改善膝关节功能,减轻疼痛,值得临床推广应用。Objective:To evaluate the clinical efficacy of Chinese medicine in the treatment of osteoarthritis of the knee under the guidance of the theory of“the tendons and bones are given equal importance,and the internal and external treatments are given at the same time”.Methods:98 patients with osteoarthritis of the knee admitted to our hospital were selected and randomly divided into 48 cases in the control group and 50 cases in the observation group,and health education,action assistance,and exercise therapy were carried out for all the patients.In addition,the control group was routinely treated with western medicines,while the observation group was treated with traditional Chinese medicine on the basis of the control group with the addition of acupuncture on the Sea of Blood,Liangqiu,Kneeling Yangguan,Calvary,Yanglingquan,and Yinlingquan,Foot Sanli,A Yes point treatment,to be connected to the electro-acupuncture device sparse and dense wave treatment,both groups to 2 weeks for a course of treatment,a total of 3 courses of treatment.Observe the clinical efficacy of the two groups,the time of joint swelling subsiding,hospitalisation time,TCM symptom score,knee flexion,VAS and WOMAC scale score.Results:After 3 courses of treatment,the total efficacy rate of 97.92%of the observation group was significantly higher than that of 84.00%of the control group(P<0.05),the time of knee swelling subsiding and the hospitalisation time of the observation group were shorter than that of the control group(P<0.05),the Chinese medicine symptom scores of the patients of the two groups were significantly reduced,the knee flexion became better,and the VAS and WOMAC scores of the patients of the two groups were significantly lower and The degree of improvement was more obvious in the observation group than in the control group(P<0.05).Conclusion:The treatment of osteoarthritis of the knee with Chinese medicine under the guidance of the theory of“the tendons and bones should be given equal importance,and the internal and external tre

关 键 词：膝骨关节炎 筋骨并重 内外兼治 电针 

分 类 号：R684.3[医药卫生—骨科学]