膝痹舒药袋洗剂治疗膝关节骨关节炎的临床观察

发布时间：2018-01-08 11:36

本文关键词：膝痹舒药袋洗剂治疗膝关节骨关节炎的临床观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本课题通过观察膝痹舒药袋洗剂治疗膝关节骨性关节炎后症状、体征及疼痛的改善情况,评价本治疗的可行性和有效性,以此证明膝痹舒药袋洗剂在治疗膝关节疼痛和改善功能障碍方面具有较好疗效,为临床提供一种更加有效、方便的治疗方法。方法:观察自2015年8月-2016年11月期间黑中医附属第一医院骨科门诊就诊的80例患者,符合KOA的诊断标准、纳入标准的,分为治疗组和对照组。其中治疗组40例,采用由导师多年临床应用的膝痹舒药袋洗剂治疗,对照组40例,采用海桐皮汤加减治疗。两组都进行为期半个月的治疗,对治疗后进行膝关节疼痛程度评分,膝关节症状、体征评分,做统计学分析。结果:运用膝痹舒药袋洗剂的治疗组有8例患者治愈,有24例患者达到显效,其中6例患者治疗后膝关节症状改善尚可,定为有效,2例患者症状未见改善视为无效,总体有效率为95%,治愈率为20%;而运用海桐皮汤为对照组的,达到治愈级别的患者为6例,显效级别的患者数量为18例,效果尚可的患者有11例,定为有效,有5例患者治疗后效果不佳,将其纳入无效,本组的总体有效率为87.5%,治愈率15%。在患者症状、体征及疼痛的改善方面,治疗组要优于对照组。结论:膝痹舒药袋洗剂组及海桐皮汤组治疗方法对KOA的治疗均起到一定的疗效,但膝痹舒药袋洗剂总体有效率及治愈率要高于海桐皮汤组,并且膝痹舒药袋洗剂组更加方便快捷、无痛苦及副作用、疗效可靠,值得推广运用。
[Abstract]:Objective: This study aimed to observe the knee Bishu medicine bag lotion in the treatment of osteoarthritis of the knee after the improvement of symptoms, signs and pain evaluation, the feasibility and effectiveness of treatment, in order to prove that the knee Bishu medicine bag lotion has good curative effect in the treatment of knee joint pain and dysfunction. The clinical, to provide a more effective and easy treatment method. Methods: observation from August 2015 -2016 year in November 80 cases of patients in the First Affiliated Hospital of traditional Chinese medicine black outpatient department of orthopedics, with KOA diagnostic criteria, inclusion criteria, divided into treatment group and control group. The treatment group of 40 cases, the knee paralysis Shu lotion in the treatment of clinical medicine bag the application of tutor, 40 cases in the control group, with Haitongpi decoction. Two groups were treated for half a month, after the treatment of knee joint pain score, knee symptoms, signs score, statistics Histological analysis. Results: the treatment group using the knee Bishu medicine bag Lotion 8 cases were cured, 24 cases reached markedly, among the 6 patients after treatment of knee joint symptoms can, as effective, 2 patients did not improve symptoms as invalid, the total effective rate is 95%, the cure rate was 20% while the use of Haitongpi Decoction; the control group, the cure level of the patients in 6 cases, the number of levels were markedly effective in 18 cases, good effect in 11 patients is effective, effective in 5 cases after the treatment of the poor, will be incorporated into the void, the overall group rate was 87.5% the cure rate of 15%. in patients with symptoms, signs and pain on the improvement of the treatment group was better than the control group. Conclusion: the knee Bishu medicine bag lotion group and Haitongpi Decoction group treatment of KOA have a certain effect, but the knee Bishu medicine bag lotion overall effective rate and the cure rate is higher than that of Pittosporum skin soup Group, and genu Bi Shu medicine bag lotion group is more convenient and quick, painless pain and side effects, the curative effect is reliable, it is worth popularizing.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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