益肾健步汤配合非负重锻炼治疗膝关节骨性关节炎的临床疗效观察

发布时间：2018-08-02 20:25

【摘要】：目的:通过运用益肾健步汤配合非负重锻炼治疗膝关节骨性关节炎,采用WOMAC膝关节评分系统及以膝关节周径的变化来反应肿胀程度作为临床观察指标,与对照组(单纯地口服依托考昔片治疗)作比较。用统计学分析测到的数据,观察对比治疗前后两组患者各项指标的变化,探求改善膝关节骨性关节炎症状的更好办法。方法:随机选择在河南省中医院骨伤门诊就诊的膝关节骨性关节炎患者60例,随机分为治疗组(口服益肾健步汤配合非负重锻炼)和对照组(单纯口服依托考昔片),每组各30例。运用WOMAC膝关节评分系统,并且观察膝关节周径变化,在治疗3个月以后,对比两组治疗结果。结果:治疗3个月后,运用统计学分析,对比两组各项指标,各项指标反映治疗明显好于对照组,提示采用益肾健步汤配合非负重锻炼治疗组的整体疗效比对照组更加明显。结论:益肾健步汤配合非负重锻炼对于改善膝关节骨性关节炎的疼痛、肿胀、僵硬等症状具有显著的效果,是改善膝关节功能活动和治疗膝关节骨性关节炎的有效方法。
[Abstract]:Objective: to treat knee osteoarthritis with Yishen Jianbu decoction (Yishen Jianbu decoction) and non-weight-bearing exercise. The WOMAC knee joint scoring system and the changes of knee joint circumference were used as clinical observation indexes. It was compared with the control group (oral etoxib alone). Statistical analysis was used to observe and compare the changes of indexes between the two groups before and after treatment to find a better way to improve the symptoms of knee osteoarthritis. Methods: sixty patients with osteoarthritis of knee joint were randomly selected from the outpatient clinic of bone injury in Henan Hospital of traditional Chinese Medicine. They were randomly divided into treatment group (oral Yishen Jianbu decoction combined with non-weight-bearing exercise) and control group (oral etcoxim alone) with 30 cases in each group. WOMAC knee scoring system was used to observe the changes of knee circumference. After 3 months of treatment, the results of treatment were compared between the two groups. Results: after 3 months of treatment, statistical analysis was used to compare the indexes of the two groups. Each index reflected that the treatment was obviously better than that in the control group, suggesting that the overall curative effect of the treatment group with Yishen Jianbu decoction combined with non-weight-bearing exercise was more obvious than that of the control group. Conclusion: Yishen Jianbu decoction combined with non-weight-bearing exercise can improve the pain swelling stiffness and other symptoms of knee osteoarthritis. It is an effective method to improve the function of knee joint and treat knee osteoarthritis.
【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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