穴位贴敷治疗风寒湿痹型膝关节骨性关节炎临床观察

发布时间：2018-08-28 06:57

【摘要】：目的：本次实验采取随机对照原则,对穴位贴敷疗法的临床试验,进行了客观、科学的评价,试图寻找一种新的安全、舒适、接受度广的常规治疗膝关节骨性关节炎治疗手段。材料与方法：选取沈阳市骨科医院骨伤一病房的门诊确诊为风寒湿痹型骨性关节炎患者60例,根据随机对照原则,将患者随机分为2组,即口服洛索洛芬钠加穴位贴敷(安慰剂)组,穴位贴敷加洛索洛芬钠联合贴敷组,进行为期3周的临床治疗观察,治疗前后进行VAS疼痛评分、WOMAC评分、体征评分测定,后将数据输入SPSS19.0统计学软件中,计算有无相关性,并分析实验结果。结果：1.试验结果在提高生活质量方面即WOMAC评分,两组组内比较有统计学差异(P0.05),贴敷组优于安慰剂组2.疼痛指数为患者自身的感觉的评分,根据VAS评分统计,两组有统计学差异(P0.05),贴敷组优于安慰剂组。3.在改善体征方面,两组较治疗前均有所改善(P0.05),两组间治疗后比较无明显统计学差异(P0.05)。结论：1.穴位贴敷联合洛索洛芬钠片对膝关节骨性关节炎有着明确的治疗作用。2.在缓解疼痛方面,洛索洛芬钠片和穴位贴敷联合洛索洛芬钠片对疼痛的缓解有着较好的优势。3.在改善膝关节功能方面,穴位贴敷对比洛索洛芬钠片有着明确优势。4.在减轻体征方面,两组组无明显差异。5.综上所述,穴位贴敷是一种可以较为良好的改善膝关节活动情况、减轻疼痛的作用,为治疗KOA又增添了一种新的治疗方案,值得推广。
[Abstract]:Objective: the aim of this experiment was to evaluate the clinical trial of acupoint sticking therapy by random control, and to find a new safe, comfortable and widely accepted routine treatment method for knee osteoarthritis. Materials and methods: sixty patients with rheumatism and dampness arthralgia were randomly divided into two groups according to the principle of random control. That is, oral losuprofen sodium plus acupoint application (placebo) group, acupoint application plus losuprofen sodium combined application group, clinical treatment observation for 3 weeks, VAS pain score and physical sign score before and after treatment. Then the data were input into the SPSS19.0 statistical software to calculate the correlation, and the experimental results were analyzed. The result is 1: 1. The results showed that there was a significant difference between the two groups in improving the quality of life (WOMAC score) (P0.05), and the application group was better than the placebo group (2. 5%). The pain index is the score of the patient's own feeling, according to the VAS score statistics, there is a statistical difference between the two groups (P0.05), the application group is better than the placebo group. 3. In the improvement of physical signs, the two groups were improved before treatment (P0.05), there was no significant difference between the two groups after treatment (P0.05). Conclusion 1. Acupoint application combined with losuprofen sodium tablets has a definite therapeutic effect on knee osteoarthritis. In terms of pain relief, losuprofen sodium tablets and acupoint application combined with losuprofen sodium tablets have a good advantage in pain relief. 3. In improving the function of knee joint, acupoint application has a clear advantage over iosoprofen sodium tablets. 4. There was no significant difference between the two groups in reducing physical signs. To sum up, acupoint application is a better way to improve the knee joint motion and relieve pain. It adds a new treatment scheme for KOA, which is worth popularizing.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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