[1]陈元川 庞坚△ 石印玉 郭海玲 赵咏芳 詹红生 曹月龙.“石氏伤科膝骨关节炎特色诊疗方案”的临床优效性研究[J].中国中医骨伤科杂志,2016,24(06):9-12.
　CHEN Yuanchuan PANG Jian SHI Yinyu GUO Hailing ZHAO Yongfang ZHAN Hongsheng CAO Yuelong.Clinic Research on Knee Osteoarthritis Treatment Based on Shi's Unique Knee Osteoarthritis Therapy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(06):9-12.
点击复制

“石氏伤科膝骨关节炎特色诊疗方案”的临床优效性研究
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年06期
页码:
9-12
栏目:
临床研究
出版日期:
2016-06-10

文章信息/Info

Title:
Clinic Research on Knee Osteoarthritis Treatment Based on Shi's Unique Knee Osteoarthritis Therapy
文章编号:
1005-0205(2016)06-0009-04
作者:
陈元川1; 2 庞坚1; 2△ 石印玉1; 2 郭海玲1; 2 赵咏芳1; 2 詹红生1; 2 曹月龙1; 2
1.上海中医药大学附属曙光医院石氏伤科医学中心(上海,201203)
2.上海市中医药研究院骨伤科研究所
△.通信作者 E-mail:lidazul@126.com
Author(s):
CHEN Yuanchuan1; 2 PANG Jian1; 2△ SHI Yinyu1; 2 GUO Hailing1; 2 ZHAO Yongfang1; 2 ZHAN Hongsheng1; 2 CAO Yuelong1; 2
1.Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Tradiontional Chinese Medicine, Shanghai 201203, China;
2.Institute of Traumatology & Orthopedics, Shanghai Academy of Tradiontional Chinese Medicine, Shanghai 201203, China.
关键词:
膝骨关节炎;  诊疗方案;  石氏伤科
Keywords:
knee osteoarthritis;  therapy;  Shi's orthopedics and traumatology
分类号:
R274.39
文献标志码:
A
摘要:
目的:验证“石氏伤科膝骨关节炎特色诊疗方案”对比传统膝骨关节炎诊疗方案的临床优效性。方法:采用非同期对照的研究方法,对2007年至2013年在本院就诊的,年龄为44～71岁的,确诊为膝关节骨关节炎的183例患者进行回顾性研究,采用WOMAC量表积分的前后差值改变情况评定标准评定“石氏伤科膝骨关节炎特色诊疗方案”对比传统膝骨关节炎诊疗方案的临床优效性。结果:两组患者在经过选择不同的治疗方案并按照方案实施治疗后,“石氏伤科膝骨关节炎特色诊疗方案”组WOMAC评分差值在疼痛积分、功能积分以及总分上都明显优于传统治疗组,而在僵硬积分上两组的差异不明显。结论:骨关节炎疾病病程缠绵、病理复杂,单一治疗往往未能尽全功,有必要根据个体特点,综合选择有限度的合理治法,争取疗效的最大化。“石氏伤科膝骨关节炎特色诊疗方案”对比传统膝骨关节炎诊疗方案具临床优效性。
Abstract:
Objective: To observe the curative effect of Shi's unique knee osteoarthritis therapy. Methods: According to the ways of history control research, 183 patients who were diagnosed to be knee osteoarthritis were studied, aged 44 to 71 years old, from Shuguang hospital in shanghai. After treating either by Shi's unique knee osteoarthritis therapy or by traditional therapy for 4 weeks, the difference of WOMAC scores from two groups were compared to assess the curative effect. Results: Shi's unique knee osteoarthritis therapy group was superior to the traditional group in WOMAC total score, pain score and functional score, but not in stiff score. Conclusion: Osteoarthritis is a complicated disease, and it is hard to get full curative effect by single therapy. Shi's unique knee osteoarthritis therapy is a complex one, and it is superior to the traditional therapy.

参考文献/References:

[1] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中国矫形外科杂志,2014,22(3):287-288.
[2] Bellamy N,Buchanan WW,Goldmith CH,et al.Validation study of WOMAC:a health status instrument for measuring clinicallyimportant patient relevant outcomes followingtotal hip or knee arthroplasty in osteoarthritis [J].J OrthopRheumatol,1988,1:95-108.
[3] Bellamy N,Buchanan WW,Goldsmith CH,et al.Validation studyof WOMAC:a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy inpatients with osteoarthritis of the hip or the knee [J].J Rheumatol,1988,15:1833-1840.
[4] 陈蔚,郭燕梅,李晓英,等.西安大略和麦克马斯特大学骨关节炎指数的重测信度[J].中国康复理论与实践,2010,16(1):23-24.
[5] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:1677-1679.
[6] Rosemann T,Joos S,Koerner T,et al.Comparison of AIMS2-SF,WOMAC,x-ray and a global physician assessment in order to approach quality of life in patients suffering from osteoarthritis[J].BMC Musculoskelet Disord,2006,26(7):6.
[7] Kim IJ,Kim HA,Seo YI,et al.Prevalence of knee pain and its influence on quality of life and physical function in the Korean elderly population:a community based cross-sectional study[J].J Korean Med Sci,2011,26(9):1140-1146.
[8] 庞坚,曹月龙,陈博,等.基于WOMAC与AIMS2-SF评分的膝骨关节炎主症与生存质量的多元线性回归分析[J].中国中医骨伤科杂志,2013,21(9):13-14.
[9] Pang J,Cao YL,Zheng YX,et al.Influence of pain severity on health-related quality of life in Chinese knee osteoarthritis patients [J].Int J ClinExp Med,2015,8(3):4472-4479.
[10] 包德明.膝关节骨关节炎的治疗进展[J].中医正骨,2014,26(12):52-55.
[11] 张杰,王人彦,张玉柱.膝骨关节炎的治疗进展[J].中医正骨,2015,27(10):68-70.
[12] 蔡宏文,徐慧敏.非甾体类抗炎药在心血管疾病患者中的合理使用[J].中国药学杂志,2014,49(6):512-516.
[13] 邓小虎.非甾体抗炎药镇痛作用的临床应用进展[J].中国新药杂志,2014,23(14):1637-1642.
[14] 文琼芳,黄烽.氨基葡萄糖治疗骨关节炎的争议探讨[J].中国药物应用与监测,2015,12(4):246-250.
[15] 庞坚,曹月龙,詹红生.骨关节炎的“筋”“骨”之辩[J].上海中医药大学学报,2012,26(1):29-30.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81173277)
上海市科学技术委员会科研计划项目(13401902502)
“海派中医流派传承研究基地”(ZY3-CCCX-1-1003)
上海市中医药领军人才建设项目(2012-63-15)
上海领军人才项目(041)
浦东新区卫生系统重点学科群(老年骨骼疾病防治)
更新日期/Last Update: 2016-06-15