[1]周利民 闫兆东 黄健△ 陈鸣.天然黎王贴外敷配合推拿治疗膝骨性关节炎风寒湿痹证40例[J].中国中医骨伤科杂志,2020,28(11):14-17.
　ZHOU Limin YAN Zhaodong HUANG Jian CHEN Ming.External Application of Natural Liwang Plaster Combinedwith Massage in Treating 40 Cases of KneeOsteoarthritis of Wind Cold Dampness Type[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(11):14-17.
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天然黎王贴外敷配合推拿治疗膝骨性关节炎风寒湿痹证40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年11期
页码:
14-17
栏目:
临床研究
出版日期:
2020-11-10

文章信息/Info

Title:
External Application of Natural Liwang Plaster Combinedwith Massage in Treating 40 Cases of KneeOsteoarthritis of Wind Cold Dampness Type
文章编号:
1005-0205(2020)11-0014-04
作者:
周利民1 闫兆东1 黄健1△ 陈鸣1
1海南省海口市中医医院(海口,570216)
Author(s):
ZHOU Limin1 YAN Zhaodong1 HUANG Jian1 CHEN Ming1
1Haikou Hospital of Traditional Chinese Medicine,Haikou 570216, China.
关键词:
天然黎王贴;  手法推拿;  膝骨性关节炎;  风寒湿痹
Keywords:
natural Liwang plaster;  knee osteoarthritis;  wind cold dampness Bi type;  inflammatory factors
分类号:
R684.3
文献标志码:
A
摘要:
目的:探讨天然黎王贴外敷配合手法推拿治疗膝骨性关节炎风寒湿痹证的临床疗效。方法:采用随机对照研究的方法,选择膝骨性关节炎风寒湿痹证患者80例,随机将其分为治疗组和对照组各40例。治疗组采用天然黎王贴膝关节处外敷,对照组采用吲哚美辛巴布膏膝关节处外敷,两组均为2次/d,6 h/次,连续使用14 d。两组均配合手法推拿,采用VAS评分、WOMAC评分和中医疗效标准评估临床疗效。结果:两组治疗前VAS评分差异无统计学意义(P>0.05); 与对照组比较,治疗组治疗结束后VAS评分明显降低,差异有统计学意义(P<0.01)。两组治疗前WOMAC评分中疼痛、僵硬和关节功能障碍评分差异无统计学意义(P>0.05); 与对照组比较,治疗组治疗结束后WOMAC评分中疼痛、僵硬和关节功能障碍评分均明显降低,差异有统计学意义(P<0.05或P<0.01)。与对照组比较,治疗组治疗后有效率(治愈、显效、有效)高于对照组,差异有统计学意义(P<0.05)。结论:天然黎王贴外敷配合手法推拿能明显减轻膝关节疼痛,改善膝关节功能,临床效果显著。
Abstract:
Objective:To investigate the clinical effect on external application of natural Liwang plaster combined with manual massage in the treatment of knee osteoarthritis of wind cold dampness type. Methods:80 cases of knee osteoarthritis with wind cold dampness type were randomly divided into treatment group and control group, and each group had 40 cases patients.The treatment group was treated with natural Liwang plaster on the knee joint, while the control group was treated with indomethacin cataplasm plaster.The two groups were used twice a day, 6 h each time,for two weeks.Both groups were combined with massage, and the VAS score,WOMAC score and TCM efficacy standard were used to evaluate the clinical efficacy.Results:There was no significant difference in the VAS score between the two groups before treatment(P>0.05). Compared with the control group, the VAS score of the treatment group was significantly lower after treatment(P<0.01).There was no significant difference in WOMAC scores of pain,stiffness and joint dysfunction between the two groups before treatment(P>0.05).Compared with the control group,the WOMAC scores of the treatment group were significantly lower than the control group(P<0.05 or P<0.01).Compared with the control group,the effective rate(cured,markedly, effective)of the treatment group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Natural Liwang plaster combined with manual massage can reduce knee joint pain and improve knee joint function, it has a good clinical efficacy.

参考文献/References:

[1] 龚龙,张立新,刘义辉,等.手法配合玻璃酸钠治疗膝骨关节炎52例[J].中国中医骨伤科杂志,2020,28(5):42-44.
[2] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018版)[J].中华骨科杂志,2018,38(12):705-715.
[3] 夏璇,王焕锐,吕媛,等.痹祺胶囊治疗膝骨关节炎的临床疗效及影像学评价[J].中草药,2020,51(13):3518-3522.
[4] 蔡鑫,唐芳,马武开,等.中药贴膏治疗膝骨关节炎疗效的Meta分析[J].风湿病与关节炎,2020,9(6):27-31.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:48-49.
[6] 黄健,闫兆东,白曼莫,等.浅谈黎医黎药在热带骨伤科学临床中的应用价值[J].中国中医骨伤科杂志,2018,26(9):79-81.
[7] 张仪美,王永成,贾红玲,等.中医药及民族医药治疗膝骨关节炎的研究[J].西部中医药,2019,32(11):154-157.
[8] 李晔,齐越峰,佟云.手法结合揿针治疗膝骨关节炎短期疗效观察[J].北京中医药,2020,39(3):280-282.
[9] 杨海梅,郑宝林.伤科黄水联合耳穴压豆治疗湿热蕴结型膝骨关节炎的临床疗效观察[J].广州中医药大学学报,2020,37(6):1109-1114.
[10] 朱付平,李武平,周富强,等.桃红四物液治疗“气滞血瘀型”膝骨关节炎疗效研究[J].辽宁中医杂志,2020,47(2):107-109.
[11] 李西海,陈文列,刘献祥.补肾柔肝法防治骨性关节炎作用机制探讨[J].福建中医药大学学报,2011,21(2):66-69.
[12] 杜战国.四物五藤汤加千斤拔治疗类风湿性关节炎76例[J].实用中医药杂志,2017,33(9):1031-1032.
[13] 张海宇,苟筱雯,赵生慧,等.态靶辨证在痰热互结型代谢综合征的运用——小陷胸汤加威灵仙、红曲、三桑[J].辽宁中医杂志,2020,47(6):1-3.
[14] 杨建宇,李杨,范竹雯,等.中国道地药材研究近况系列(9):道地药材怀牛膝的研究近况[J].光明中医,2020,35(5):786-789.
[15] 喻贵波,毛宇.小针刀结合推拿治疗膝骨关节炎的临床疗效及其对患者膝关节功能的影响[J].按摩与康复医学,2020,11(11):17-18.

备注/Memo

备注/Memo:
基金项目:第六批全国老中医药专家学术经验继承项目(国中医药人发〔2017〕29号)海南省卫生计生行业科研项目(19A200127)△通信作者 E-mail:wawayjs@sina.com(收稿日期:2020-06-08)
更新日期/Last Update: 2020-11-10