[1]陈林 袁瞳 刘佳嘉 林俊 陈晓磊 李晓锋 张琦△.洗腿又方熏洗联合体外冲击波治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2022,30(06):6-11.
　CHEN Lin YUAN Tong LIU Jiajia LIN JunCHEN Xiaolei LI Xiaofeng ZHANG Qi.Clinical Study of Xitui You Recipe Fumigation Combined with Extracorporeal Shock Wave on the Treatment of Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(06):6-11.
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洗腿又方熏洗联合体外冲击波治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年06期
页码:
6-11
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Clinical Study of Xitui You Recipe Fumigation Combined with Extracorporeal Shock Wave on the Treatment of Knee Osteoarthritis
文章编号:
1005-0205(2022)06-0006-06
作者:
陈林1 袁瞳2 刘佳嘉2 林俊2 陈晓磊2 李晓锋1 张琦2△
1上海中医药大学附属上海市中医医院(上海,200071)2上海市徐汇区斜土街道社区卫生服务中心中医科
Author(s):
CHEN Lin1 YUAN Tong2 LIU Jiajia2 LIN Jun2CHEN Xiaolei2 LI Xiaofeng1 ZHANG Qi2△
1Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China; 2Department of Traditional Chinese Medicine,Xuhui District Xietu Street Community Health Center,Shanghai 200032,China.
关键词:
膝骨关节炎;  中药熏洗;  体外冲击波;  洗腿又方;  临床疗效
Keywords:
knee osteoarthritis;  traditional Chinese medicine fumigation;  extracorporeal shock wave;  Xitui You recipe;  clinical efficacy
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察洗腿又方熏洗联合体外冲击波治疗膝骨关节炎的临床疗效。方法:将74例膝骨关节炎患者随机分为治疗组与对照组各37例。对照组给予体外冲击波治疗,治疗组在对照组基础上给予洗腿又方熏洗治疗,两组疗程均为4周。评估两组治疗前,治疗2,4周及治疗后4,8,12周视觉模拟评分法(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、15 m步行时间、膝关节活动度。结果:对照组治疗2,4周及治疗后4,8周VAS评分、WOMAC评分、15 m步行时间均低于治疗前(P<0.01); 治疗2,4周及治疗后4,8,12周膝关节活动度高于治疗前(P<0.01)。治疗组治疗2,4周及治疗后4,8,12周VAS评分、WOMAC评分、15 m步行时间均低于治疗前(P<0.01),膝关节活动度高于治疗前(P<0.01)。治疗组治疗2,4周及治疗后4,8,12周VAS评分、WOMAC评分均低于对照组(P<0.01,P<0.05),治疗4周及治疗后4,8,12周15 m步行时间低于对照组(P<0.01,P<0.05),治疗后12周膝关节活动度高于对照组(P<0.01)。结论:12周是体外冲击波治疗膝骨关节炎的临床疗效周期,洗腿又方熏洗联合治疗可提高并延长体外冲击波的临床疗效。
Abstract:
Objective:To observe the clinical efficacy of Xitui You recipe fumigation combined with extracorporeal shock wave(ESW)on the treatment of knee osteoarthritis.Methods:A total of 74 patients with knee osteoarthritis(KOA)were randomly divided into the treatment group and control group with 37 cases in each.The control group was given extracorporeal shock wave therapy,and the treatment group was given the treatment of Xitui You recipe fumigation on the basis of the control group.The course of treatment in both groups was 4 weeks.The VAS,WOMAC scores,15-meters walking time,and knee range of motion were evaluated before treatment,treatment with 2,4 weeks,and 4,8 and 12 weeks after treatment in the two groups.Results:The VAS,WOMAC scores,and 15-meters walking time in the control group were lower at treatment with 2,4 weeks and 4,8 weeks after treatment than those before treatment(P<0.01),and the range of motion of the joints was higher than that before treatment(P<0.01).The VAS,WOMAC scores,and 15-meters walking time in the treatment group at treatment with 2,4 weeks and 4,8 and 12 weeks after treatment were all lower than those before treatment(P<0.01),and the range of motion of knee joint was higher than that before treatment(P<0.01).The VAS and WOMAC scores of the treatment group at treatment with 2,4 weeks and 4,8 and 12 weeks after treatment were lower than those in the control group(P<0.01,P<0.05).The 15-meters walking time at treatment with 4 weeks,4,8 and 12 weeks after treatment was lower than that in the control group(P<0.01,P<0.05),and the range of motion of the knee joint was higher than that in the control group at 12 weeks after treatment(P<0.01).Conclusion:12 weeks is the curative effect period of ESW in treating KOA,and the treatment of Xitui You recipe fumigation can improve and prolong its clinical efficacy.

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备注/Memo

备注/Memo:
基金项目:上海市徐汇区医学科研项目(SHXH201947)
国家自然科学基金(82004183)
上海市青年科技英才扬帆计划(19YF1445300)
上海市中医医院未来计划项目(WL-XJRY-2021003K)
△通信作者 E-mail:zhangqi3700@126.com
更新日期/Last Update: 1900-01-01