补正续骨丸联合电针透穴治疗肝肾亏虚型膝骨关节炎的临床观察

发布时间：2018-04-03 23:04

本文选题：补正续骨丸　切入点：电针透穴　出处：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:本课题针对膝骨关节炎的病因病机特点,采用补正续骨丸联合电针透穴治疗方法,通过观察膝关节WOMAC、Lequesne评分的改变,探讨本疗法治疗膝骨关节炎的临床疗效及安全性。材料与方法:选取住院和门诊患者共60例,采用计算机随机数字法将其随机分为治疗组、对照组各30例。对照组应用电针透穴+扶他林外用进行治疗,治疗组应用补正续骨丸+电针透穴+扶他林外用进行治疗。治疗15日后统计疗效,以膝关节WOMAC评分量表、Lequesne膝骨性关节炎积分作为疗效评价指标,应用统计软件SPSS17.0对数据进行统计分析。结果:1.治疗15日后,两组患者均有改善,WOMAC评分综合疗效显示:治疗组总有效率为96.67%,对照组总有效率为76.67%;Lequesne评分综合疗效显示:治疗组总有效率为100%,对照组总有效率为96.67%。2.两组疗后的疼痛、僵硬、日常活动评分及WOMAC总评分较治疗前均明显下降,有显著性差异(P0.05),且治疗组的疼痛、僵硬、日常活动评分及WOMAC总评分均低于对照组,有显著性差异(P0.05)。3.两组治疗后Lequesne评分较治疗前均有所下降,且组内前后比较均有统计学意义(P0.05);两组的(疗前—疗后)Lequesne评分比较,有显著性差异(P=0.0020.01)。说明两组治疗均有效,且治疗组疗效优于对照组。结论:补正续骨丸联合电针透穴疗法治疗肝肾亏虚型膝骨关节能取得较好疗效,具有疗效确切,简单易行,副作用小,经济等特点,值得临床进一步推广。
[Abstract]:Objective: according to the etiology and pathogenesis of knee osteoarthritis, the clinical efficacy and safety of this therapy for knee osteoarthritis were studied by observing the changes of WOMA Che Lequesne score.Materials and methods: 60 inpatients and outpatients were randomly divided into treatment group (n = 30) and control group (n = 30).The control group was treated with electroacupuncture and Futalin for external use, while the treatment group was treated with the external application of Buzheng Xuegu pills.After 15 days of treatment, the WOMAC score of knee joint and the score of knee osteoarthritis were used as the evaluation index, and the statistical software SPSS17.0 was used to analyze the data.The result is 1: 1.The scores of pain, stiffness, daily activity and WOMAC in the two groups were significantly lower than those before treatment (P 0.05), and the scores of pain, stiffness, daily activity and WOMAC in the treatment group were lower than those in the control group (P 0.05).After treatment, the Lequesne scores of the two groups were lower than those before and after treatment, and there was a significant difference between the two groups (P0. 0020. 01%, P < 0. 05), and there was a significant difference between the two groups (P0. 0020. 01%, P 0. 0020. 01, P < 0. 05).It showed that both groups were effective, and the curative effect of the treatment group was better than that of the control group.Conclusion: Buzheng Xiegu Pill combined with electroacupuncture through acupoint therapy can obtain better curative effect on knee bone and joint with deficiency of liver and kidney, which has the characteristics of definite curative effect, simple operation, small side effect, economical and so on, which is worthy of further clinical promotion.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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