运用逐痰祛瘀固本法治疗髌股关节骨性关节炎的疗效分析

发布时间：2018-04-04 08:09

本文选题：逐痰祛瘀固本法　切入点：髌股关节骨性关节炎　出处：《中成药》2017年08期

【摘要】：目的观察运用逐痰祛瘀固本法治疗髌股关节骨性关节炎的临床疗效。方法采用随机对照方法,将60例髌股关节骨性关节炎的患者分为治疗组(和营逐痰固本汤组)与对照组(双氯芬酸钠缓释片组)各30例,分别于治疗前、治疗4周后,记录并比较两组患者KSS上下楼梯功能评分、下蹲时膝前痛程度(VAS评分)及Lysholm膝关节评分。结果治疗前后组内比较,两组的KSS、VAS、Lysholm水平均有明显改善,差异有统计学意义(P0.01)。治疗后组间比较,两组在降低VAS水平方面疗效相当(P0.05),但治疗组在提高KSS和Lysholm水平方面明显优于对照组(P0.01,P0.05)。结论运用逐痰祛瘀固本法治疗髌股关节骨性关节炎疗效满意,可明显改善患者的疼痛和关节功能。
[Abstract]:Objective to observe the clinical effect of treating patellofemoral osteoarthritis by removing phlegm and blood stasis.Methods 60 patients with patellofemoral osteoarthritis were randomly divided into treatment group (30 cases) and control group (30 cases) before and 4 weeks after treatment.The scores of KSS up and down stairs, the degree of anterior knee pain during squatting and the score of Lysholm knee joint were recorded and compared between the two groups.Results compared with before and after treatment, the levels of KSSV VASA Lysholm in the two groups were significantly improved, and the difference was statistically significant (P 0.01).Compared with the control group, the therapeutic effect of the two groups in reducing the level of VAS was similar to that in the control group, but the treatment group was superior to the control group in increasing the levels of KSS and Lysholm.Conclusion the treatment of patellofemoral osteoarthritis by removing phlegm and blood stasis is satisfactory and can obviously improve the pain and joint function of the patients.
【作者单位】：上海市黄浦区中心医院石氏伤科;上海市黄浦区五里桥街道社区卫生服务中心;
【基金】：上海市黄浦区科技项目(HKW201306)
【分类号】：R274.9

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