七珠展筋散配合海桐皮汤薰洗治疗膝骨关节炎并滑膜炎（气滞血瘀）的疗效观察

发布时间：2018-03-28 06:20

本文选题：七珠展筋散　切入点：海桐皮汤　出处：《河南中医药大学》2016年硕士论文

【摘要】：目的:本课题研究膝骨关节炎并滑膜炎(气滞血瘀)的发病机制,观察七珠展筋散配合海桐皮汤中药薰洗治疗膝骨关节炎并滑膜炎的临床疗效,为本病的治疗提供有效、简便的方法。方法:本研究观察病例60例,随机分为试验组、对照组两组,每组病人30例。治疗疗程为2周。试验组方法为七珠展筋散结合海桐皮汤的薰洗治疗,七珠展筋散的使用方法为外用局部揉药;对照组以云南白药气雾剂外用配合海桐皮汤薰洗治疗。治疗前后分别记录患者本临床研究的观察指标。对本临床的观察指标进行治疗前后的对比。并且详细比较试验组与对照组治疗效果。结果:两组治疗后在休息痛、活动痛、压痛、肿胀、活动度及总分方面较治疗前都有显著差异(P0.05),两组治疗手段均可有效治疗膝骨关节炎并滑膜炎。试验组在疼痛缓解的疗效上优于对照组(P0.05)。两组临床疗效量化评定中试验组总有效率为93.33%,对照组的总有效率为86.67%,经统计学分析比较两组无显著性差异,两组疗效相当。结论:两种方法在治疗膝骨关节炎并滑膜炎方面均有着可观的疗效,副作用较低,安全性高,使用方便,能有效缓解膝骨关节炎并滑膜炎的症状。七珠展筋散结合海桐皮汤薰洗治疗膝关节滑膜炎并骨关节炎疗效显著,这种传统的治疗方法,患者容易操作,花费较低,值得推广。
[Abstract]:Objective: to study the pathogenesis of knee osteoarthritis associated with synovitis (Qi stagnation and blood stasis), and to observe the clinical effect of Qizhu Zhan Jinjin Powder (QZZJS) combined with Haitongpi decoction (HST) in the treatment of knee osteoarthritis with synovitis, so as to provide effective treatment for this disease. Methods: 60 cases were randomly divided into experimental group and control group with 30 patients in each group. The course of treatment was 2 weeks. The experimental group was treated with Qizhu Zhanjin Powder combined with Haitongpi decoction. The usage method of Qizhu Zhanjin Powder is local kneading medicine for external use; The control group was treated with Yunnan Baiyao Aerosol combined with Haitongpi decoction fumigation before and after treatment. The observation indexes of this clinical study were recorded before and after treatment. The clinical observation indexes before and after treatment were compared in detail. Results: after treatment, the two groups were in pain of rest, Movement pain, tenderness, swelling, There were significant differences in activity and total score between the two groups in terms of activity and total score. Both groups were effective in the treatment of knee osteoarthritis and synovitis. The effect of pain relief in the experimental group was better than that in the control group (P 0.05). The total effective rate of the test group was 93.33 and the total effective rate of the control group was 86.67. There was no significant difference between the two groups by statistical analysis. Conclusion: the two methods are effective in the treatment of knee osteoarthritis and synovitis, with low side effects, high safety and convenient use. It can effectively relieve the symptoms of knee osteoarthritis and synovitis. Qizhu Zhan Jin San combined with Haitongpi decoction fumigation has remarkable curative effect on synovitis and osteoarthritis of knee joint. This traditional treatment method is easy for patients to operate and low in cost, so it is worth popularizing.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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