[1]刘德明,席云卫△,朱垚,等.膝痹汤内服外洗治疗膝骨关节炎的临床观察[J].中国中医骨伤科杂志,2023,31(02):44-47.
　LIU Deming XI Yunwei ZHU Yao XU Chunyan TANG Zhirong.Clinical Observation of Oral Administration and External Washing of Xibi Decoction on the Treatment of Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(02):44-47.
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膝痹汤内服外洗治疗膝骨关节炎的临床观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年02期
页码:
44-47
栏目:
临床研究
出版日期:
2023-02-15

文章信息/Info

Title:
Clinical Observation of Oral Administration and External Washing of Xibi Decoction on the Treatment of Knee Osteoarthritis
文章编号:
1005-0205(2023)02-0044-04
作者:
刘德明1; 席云卫1△; 朱垚1; 许春彦1; 唐志荣1
1南京市六合区中医院(南京,211500)
Author(s):
LIU Deming1 XI Yunwei1△ ZHU Yao1 XU Chunyan1 TANG Zhirong1
1Nanjing Liuhe District Hospital of Traditional Chinese Medicine, Nanjing 211500, China.
关键词:
膝骨关节炎;  膝痹汤;  内服外洗
Keywords:
knee osteoarthritis;  Xibi decoction;  oral administration and external washing
分类号:
R684.3
文献标志码:
A
摘要:
目的:分析在膝骨关节炎(KOA)治疗中用膝痹汤内服外洗治疗的临床疗效。方法:选取膝骨关节炎患者168例,采用随机数字表法随机分为2组,对照组和治疗组各84例。对照组采用口服盐酸氨基葡萄糖片+外涂扶他林+膝关节功能锻炼治疗。治疗组采用膝痹汤内服外洗治疗+膝关节功能锻炼治疗。治疗6周后采用Lysholm评分、视觉模拟量表(VAS)评分、肿胀程度评分和中医病证诊断疗效标准评定患者的临床疗效。结果:对照组和治疗组Lysholm评分各项指标均较治疗前升高,但后者上升更为明显,差异有统计学意义(P<0.05); 对照组和治疗组患者VAS评分、肿胀程度评分的各项指标均较治疗前降低,但后者改善程度更为明显,差异有统计学意义(P<0.05); 对照组和治疗组患者疗效比较,后者的治疗总有效率高于前者,差异有统计学意义(P<0.05)。结论:膝痹汤内服外洗能显著改善膝骨关节炎患者膝关节功能,减轻受损膝关节的炎症水肿,缓解疼痛,促进患者功能康复。膝痹汤一药两用,简便易行,变废为宝。因其具有良好的经济和社会效益,膝痹汤值得临床深入研究及推广应用。
Abstract:
Objective:To analyze the clinical efficacy of Xibi decoction oral administration and external washing on the treatment of knee osteoarthritis(KOA).Methods:168 patients with knee osteoarthritis were randomly divided into two groups: control group(84 cases)and treatment group(84 cases). The control group was treated with oral glucosamine hydrochloride tablets, topical application of Votalin and knee joint functional exercise. The treatment group was treated with oral administration and external washing of Xibi decoction and knee joint functional exercise. The clinical efficacy of the patients was evaluated by Lysholm score, visual analogue scale(VAS)score, swelling degree score and “Therapeutic efficacy criteria for diagnosis and treatment of traditional Chinese medicine” after 6 weeks of treatment. Results:All the indexes of Lysholm score in control group and treatment group were higher than those before treatment, but the latter increased more significantly, and the indexes of VAS score and swelling score in control group and treatment group were lower than those before treatment, but the improvement degree of the latter was more obvious. Conclusion:Oral administration and external washing of Xibi decoction can significantly improve the function of knee joint, reduce the inflammation and edema of injured knee joint, relieve pain and promote the functional recovery of patients with KOA.

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备注/Memo

备注/Memo:
基金项目:南京市六合区科技局科研基金项目(LKJ20211201)
△通信作者 E-mail:xizhidi2022@163.com
更新日期/Last Update: 2023-02-10