温阳通脉法治疗膝骨性关节炎疗效分析

发布时间：2018-11-02 19:45

【摘要】：目的:在《黄帝内经》清阳论治理论指导下应用温阳通脉法治疗膝骨性关节炎,观察医治后膝部疼痛缓解、僵硬改善情况及膝部生理活动的恢复情况。方法:回顾性研究解析湖北省中医院骨伤科门诊从2015年9月至2016年9月这段时间治疗的符合膝骨性关节炎诊断标准的病人120例。年龄49-68岁之间,这些病人中男性病人45例,女性病人75例。运用清阳论治治疗方法的为观察组,55例;运用气血论治治疗方法的为对照组,65例,其中:(1)观察组:男20例,女35例,年龄49-64岁,平均(56.60±7.25)岁;病程3个月-11年,平均(5.47±5.45)年;(2)对照组:男25例,女40例,年龄51-68岁,平均(59.80±8.60)岁;病程5个月-10年,平均(5.67±3.42)年。观察组予以根据清阳论治的黄芪桂枝五物汤加减,对照组患者予以根据气血论治的身痛逐瘀汤加减,两组患者治疗时间为3周。通过观察记载视觉模拟疼痛评分(VAS)标准、WOMAC骨关节炎指数评分来评判临床效果。结果:观察组和对照组120例病人中有102例病人得到了随访,随访时刻为治疗完成后3个月。治疗后按照视觉模拟疼痛评分标准(VAS)举行打分,治疗3周后与对照组改善疼痛的情况的对照差别有统计学意义(P0.05),按照WOMAC骨关节炎指数评估,观察组和对照组两组组内和组间对比均有统计学意义(P0.05),观察组医治效果比对照组优越(P0.05)。结论:《黄帝内经》清阳理论指导下应用温阳通脉法治疗膝骨性关节炎相较气血论治活血化瘀法更能够减少病人的疼痛、僵硬及改善关节生理活动功能,从而极大地提高和改善了患者的生活质量,体现了《内经》清阳论治的优势。
[Abstract]:Objective: to observe the improvement of knee pain, stiffness and the recovery of physiological activity of knee under the guidance of the theory of clearing yang and treating yang in Huangdi Classic of Internal Medicine, and the treatment of knee osteoarthritis with warming yang and Tongmai method. Methods: a retrospective study was conducted on 120 patients who met the diagnostic criteria of knee osteoarthritis from September 2015 to September 2016 in the Department of Orthopedics and Trauma of Hubei traditional Chinese Medicine Hospital. Between 49 and 68 years of age, there were 45 male and 75 female patients. There were 55 cases in the observation group and 65 cases in the control group treated with Qingyang treatment, and 65 cases in the control group. Among them: (1) the observation group: 20 males and 35 females, aged 49-64 years with an average of (56.60 卤7.25) years; The course of disease ranged from 3 months to 11 years with an average of (5.47 卤5.45) years; (2) the control group consisted of 25 males and 40 females, aged 51-68 years, with an average of 59.80 卤8.60 years, and the course of disease ranged from 5 months to 10 years with an average of (5.67 卤3.42) years. The observation group was treated with Huangqi Guizhi Wuwu decoction according to Qingyang treatment, the control group was treated with Shentong Zhuyu decoction according to Qi-blood theory, and the two groups were treated for 3 weeks. The clinical effect was evaluated by observing and recording visual analogue pain score (VAS) and WOMAC osteoarthritis index (OJ) score. Results: 102 of 120 patients in observation group and control group were followed up for 3 months after treatment. After treatment according to visual analogue pain score standard (VAS) score, 3 weeks after treatment with the control group to improve the pain compared with the difference was statistically significant (P0.05), according to the WOMAC osteoarthritis index evaluation, The observation group and the control group in and between the two groups were statistically significant (P0.05), the therapeutic effect of the observation group was superior to the control group (P0.05). Conclusion: under the guidance of "Huangdi Nei Jing" Qing Yang theory, the treatment of knee osteoarthritis with Wenyang Tongmai method can reduce the pain, stiffness and improve the physiological function of the joint, compared with the method of promoting blood circulation and removing blood stasis in the treatment of knee osteoarthritis. Thus greatly improve and improve the quality of life of patients, reflecting the advantages of Qing Yang treatment.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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