散瘀止痛汤治疗膝骨性关节炎随机平行对照研究

发布时间：2018-04-21 13:21

本文选题：膝骨性关节炎 + 散瘀止痛汤　；参考：《实用中医内科杂志》2017年01期

【摘要】：[目的]观察散瘀止痛汤治疗膝骨性关节炎疗效。[方法]使用随机平行对照方法,将112例住院患者按就诊顺序编号简单随机分为两组。对照组50例双氯芬酸钠50mg/次,2次/d。治疗组62例散瘀止痛汤(生黄芪15g,威灵仙、川芎、牛膝、制川乌先煎、三七、元胡、鸡血藤、制乳香、制没药、姜黄、郁金各10g,全蝎研末吞服6g),水煎400mL,早晚温服,服药后饮用黄酒50mL/次为引。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈23例,显效26例,有效12例,无效1例,总有效率98.39%;对照组痊愈6例,显效14例,有效17例,无效13例,总有效率74.00%;治疗组疗效优于对照组(P0.01)。[结论]散瘀止痛汤治疗膝骨性关节炎,疗效满意,无严重不良反应,值得推广。
[Abstract]:[objective] to observe the curative effect of Sanyu Zhitong decoction on knee osteoarthritis. [methods] 112 inpatients were randomly divided into two groups. The control group (50 cases) received diclofenac sodium 50mg/ twice a day. Treatment group 62 cases of Sanyu Zhitong decoction (raw astragalus 15g, Weiling Xian, Chuanxiong, Achyranthes bidentata, Radix Notoginseng, Yuanhu, chicken blood rattan, frankincense, myrrh, turmeric, tulip, 10g each, Scorpio, 4000ml, morning and evening warm clothes, After taking medicine, drinking rice wine 50mL/ times was cited. The treatment was a course of treatment for 7 days. Clinical symptoms and adverse reactions were observed. Continuous treatment for 2 courses of treatment to determine the efficacy. [results] in the treatment group, 23 cases were cured, 26 cases were effective, 12 cases were effective, 1 case was ineffective, the total effective rate was 98.399.In the control group, 6 cases were cured, 14 cases were effective, 17 cases were effective, 13 cases were ineffective, and the total effective rate was 74.00%. Conclusion: Sanyu Zhitong decoction has satisfactory curative effect and no serious adverse reaction in the treatment of knee osteoarthritis, so it is worth popularizing.
【作者单位】：甘肃省武山县山丹镇卫生院中医科;
【分类号】：R274.9

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